| Basic metabolic panelCPT 80048 | $56 | $8 | 657% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,564 | $356 | 439% | — | 4 |
| CT head without contrastCPT 70450 | $1,018 | $107 | 953% | — | 4 |
| CT pelvis with contrastCPT 72193 | $1,086 | $179 | 606% | — | 4 |
| Cardiac stress testCPT 93017 | $395 | $221 | 179% | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $390 | $1,223 | 32% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $481 | $1,223 | 39% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $367 | $950 | 39% | — | 4 |
| Complete blood count with differentialCPT 85025 | $51 | $8 | 660% | — | 4 |
| Comprehensive metabolic panelCPT 80053 | $77 | $11 | 729% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $292 | — | — | — | 4 |
| Diagnostic mammography, one breastCPT 77065 | $241 | — | — | — | 4 |
| ED visit, level 3CPT 99283 | $255 | $279 | 91% | — | 4 |
| ED visit, level 4CPT 99284 | $411 | $426 | 96% | — | 4 |
| ED visit, level 5CPT 99285 | $598 | $608 | 98% | — | 4 |
| Echocardiogram, completeCPT 93306 | $718 | $558 | 129% | — | 4 |
| Electrocardiogram with interpretationCPT 93000 | $30 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $987 | $904 | 109% | — | 4 |
| Excision of breast lesionCPT 19120 | $384 | $4,000 | 10% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $271 | $181 | 149% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $243 | $181 | 134% | — | 3 |
| Group psychotherapyCPT 90853 | $164 | $104 | 158% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $432 | $3,658 | 12% | — | 3 |
| Kidney function panelCPT 80069 | $103 | $9 | 1182% | — | 4 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,328 | $3,343 | 70% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $685 | $6,176 | 11% | — | 3 |
| Lipid panelCPT 80061 | $60 | $13 | 450% | — | 4 |
| Liver function panelCPT 80076 | $49 | $8 | 602% | — | 4 |
| Lumbar epidural steroid injectionCPT 62323 | $1,071 | $721 | 149% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $2,625 | $356 | 736% | — | 4 |
| MRI lower extremity joint (knee)CPT 73721 | $1,456 | $244 | 597% | — | 4 |
| MRI lumbar spine without contrastCPT 72148 | $1,435 | $244 | 589% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $269 | $107 | 252% | — | 4 |
| Office consultation, comprehensiveCPT 99244 | $92 | — | — | — | 4 |
| Office consultation, moderateCPT 99243 | $100 | — | — | — | 4 |
| Office visit, established patient, level 3CPT 99213 | $49 | — | — | — | 4 |
| Office visit, established patient, level 4CPT 99214 | $76 | — | — | — | 4 |
| Office visit, new patient, level 3CPT 99203 | $85 | — | — | — | 4 |
| Office visit, new patient, level 4CPT 99204 | $129 | — | — | — | 4 |
| Office visit, new patient, level 5CPT 99205 | $163 | — | — | — | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $92 | $18 | 499% | — | 4 |
| Partial thromboplastin timeCPT 85730 | $48 | $6 | 800% | — | 4 |
| Physical therapy, therapeutic exerciseCPT 97110 | $46 | — | — | — | 4 |
| Preventive visit, new patient, 18-39CPT 99385 | $81 | — | — | — | 4 |
| Preventive visit, new patient, 40-64CPT 99386 | $81 | — | — | — | 4 |
| Prothrombin timeCPT 85610 | $14 | $4 | 316% | — | 4 |
| Psychotherapy, 30 minutesCPT 90832 | $155 | $181 | 86% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $186 | $181 | 102% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $214 | $181 | 118% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $267 | — | — | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,595 | — | — | — | 4 |
| Sleep study (polysomnography)CPT 95810 | $743 | $877 | 85% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $80 | $17 | 476% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,517 | $904 | 168% | — | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $369 | $107 | 345% | — | 4 |
| Ultrasound, transvaginalCPT 76830 | $236 | $107 | 221% | — | 4 |
| Upper GI endoscopy with biopsyCPT 43239 | $276 | $927 | 30% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $256 | $927 | 28% | — | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $22 | $3 | 706% | — | 4 |
| Urinalysis, automated, without microscopyCPT 81003 | $22 | $2 | 991% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 280% | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $234 | $107 | 219% | — | 4 |