| Basic metabolic panelCPT 80048 | $13 | $8 | 150% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $609 | $370 | 165% | — | 5 |
| CT head without contrastCPT 70450 | $184 | $111 | 166% | — | 5 |
| CT pelvis with contrastCPT 72193 | $467 | $186 | 251% | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $4,223 | $2,448 | 173% | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $4,119 | $1,269 | 325% | — | 6 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,119 | $1,269 | 325% | — | 6 |
| Colonoscopy with polyp removalCPT 45385 | $4,119 | $1,269 | 325% | — | 6 |
| Colonoscopy, diagnosticCPT 45378 | $2,428 | $986 | 246% | — | 6 |
| Complete blood count with differentialCPT 85025 | $12 | $8 | 150% | — | 9 |
| Complete blood count, automatedCPT 85027 | $10 | $6 | 150% | — | 9 |
| Comprehensive metabolic panelCPT 80053 | $16 | $11 | 150% | — | 9 |
| Diagnostic mammography, both breastsCPT 77066 | $285 | — | — | — | 6 |
| Diagnostic mammography, one breastCPT 77065 | $223 | — | — | — | 6 |
| ED visit, level 3CPT 99283 | $449 | $290 | 155% | — | 3 |
| ED visit, level 4CPT 99284 | $686 | $443 | 155% | — | 3 |
| ED visit, level 5CPT 99285 | $979 | $632 | 155% | — | 3 |
| Echocardiogram, completeCPT 93306 | $898 | $580 | 155% | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,428 | $938 | 259% | — | 6 |
| Excision of breast lesionCPT 19120 | $6,440 | $4,153 | 155% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,440 | $3,798 | 170% | — | 6 |
| Kidney function panelCPT 80069 | $13 | $9 | 150% | — | 9 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,440 | $3,470 | 186% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $11,402 | $6,412 | 178% | — | 6 |
| Laparoscopic radical prostatectomyCPT 55866 | $27,608 | $11,274 | 245% | — | 6 |
| Left heart catheterization, diagnosticCPT 93452 | $6,440 | $3,439 | 187% | — | 6 |
| Lipid panelCPT 80061 | $20 | $13 | 150% | — | 9 |
| Liver function panelCPT 80076 | $12 | $8 | 150% | — | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $2,383 | $749 | 318% | — | 6 |
| MRI brain with and without contrastCPT 70553 | $591 | $370 | 160% | — | 5 |
| MRI lower extremity joint (knee)CPT 73721 | $392 | $253 | 155% | — | 5 |
| MRI lumbar spine without contrastCPT 72148 | $392 | $253 | 155% | — | 5 |
| OB global care, VBAC deliveryCPT 59610 | $6,440 | — | — | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $6,440 | — | — | — | 4 |
| OB global care, vaginal deliveryCPT 59400 | $6,440 | — | — | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $266 | $111 | 240% | — | 6 |
| Obstetric blood test panelCPT 80055 | $72 | $48 | 150% | — | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $28 | $18 | 150% | — | 9 |
| Partial thromboplastin timeCPT 85730 | $9 | $6 | 150% | — | 9 |
| Physical therapy, therapeutic exerciseCPT 97110 | $50 | — | — | — | 4 |
| Prostate biopsyCPT 55700 | $4,223 | — | — | — | 4 |
| Prothrombin timeCPT 85610 | $6 | $4 | 150% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $236 | — | — | — | 6 |
| Sleep study (polysomnography)CPT 95810 | $1,412 | $911 | 155% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $25 | $17 | 150% | — | 9 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,340 | $6,279 | 133% | — | 6 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,428 | $938 | 259% | — | 6 |
| Ultrasound, abdomen, completeCPT 76700 | $246 | $111 | 221% | — | 6 |
| Ultrasound, transvaginalCPT 76830 | $264 | $111 | 238% | — | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,428 | $962 | 252% | — | 6 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,428 | $962 | 252% | — | 6 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 150% | — | 9 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 150% | — | 9 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 150% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 150% | — | 9 |
| X-ray, lower back, 4+ viewsCPT 72110 | $163 | $111 | 147% | — | 6 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,259 | $583 | 387% | — | 6 |