| Basic metabolic panelCPT 80048 | $32 | $8 | 376% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,217 | $356 | 341% | — | 8 |
| CT head without contrastCPT 70450 | $429 | $107 | 402% | — | 8 |
| CT pelvis with contrastCPT 72193 | $620 | $179 | 346% | — | 8 |
| Cardiac stress testCPT 93017 | $368 | $221 | 167% | — | 7 |
| Cataract surgery with IOL insertionCPT 66984 | $1,646 | $2,358 | 70% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $910 | $1,223 | 74% | — | 8 |
| Colonoscopy with polyp removalCPT 45385 | $945 | $1,223 | 77% | — | 8 |
| Colonoscopy, diagnosticCPT 45378 | $696 | $950 | 73% | — | 8 |
| Complete blood count with differentialCPT 85025 | $30 | $8 | 386% | — | 8 |
| Complete blood count, automatedCPT 85027 | $25 | $6 | 386% | — | 8 |
| Comprehensive metabolic panelCPT 80053 | $40 | $11 | 376% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $259 | — | — | — | 5 |
| Diagnostic mammography, one breastCPT 77065 | $194 | — | — | — | 5 |
| ED visit, level 3CPT 99283 | $345 | $279 | 124% | — | 6 |
| ED visit, level 4CPT 99284 | $575 | $426 | 135% | — | 6 |
| ED visit, level 5CPT 99285 | $770 | $608 | 127% | — | 6 |
| Echocardiogram, completeCPT 93306 | $803 | $558 | 144% | — | 5 |
| Electrocardiogram with interpretationCPT 93000 | $60 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $486 | $904 | 54% | — | 8 |
| Excision of breast lesionCPT 19120 | $1,839 | $4,000 | 46% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,850 | $3,658 | 51% | — | 8 |
| Kidney function panelCPT 80069 | $46 | $9 | 524% | — | 4 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,000 | $3,343 | 60% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $2,250 | $6,176 | 36% | — | 8 |
| Lipid panelCPT 80061 | $52 | $13 | 386% | — | 8 |
| Liver function panelCPT 80076 | $31 | $8 | 376% | — | 8 |
| MRI brain with and without contrastCPT 70553 | $1,928 | $356 | 541% | — | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $897 | $244 | 368% | — | 8 |
| MRI lumbar spine without contrastCPT 72148 | $963 | $244 | 395% | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $191 | $107 | 179% | — | 8 |
| Obstetric blood test panelCPT 80055 | $99 | $48 | 207% | — | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $71 | $18 | 386% | — | 8 |
| Partial thromboplastin timeCPT 85730 | $23 | $6 | 386% | — | 8 |
| Physical therapy, therapeutic exerciseCPT 97110 | $57 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $15 | $4 | 340% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $181 | — | — | — | 7 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,000 | — | — | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $610 | $877 | 70% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $65 | $17 | 386% | — | 8 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,010 | $904 | 112% | — | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $179 | $107 | 168% | — | 8 |
| Ultrasound, transvaginalCPT 76830 | $139 | $107 | 130% | — | 8 |
| Upper GI endoscopy with biopsyCPT 43239 | $673 | $927 | 73% | — | 8 |
| Upper GI endoscopy, diagnosticCPT 43235 | $691 | $927 | 75% | — | 8 |
| Urinalysis, automated, without microscopyCPT 81003 | $9 | $2 | 384% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 283% | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $83 | $107 | 78% | — | 8 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $538 | $562 | 96% | — | 8 |