| Basic metabolic panelCPT 80048 | $8 | $8 | 98% | — | 5 |
| Cardiac stress testCPT 93017 | $44 | $221 | 20% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $254 | $1,223 | 21% | — | 8 |
| Colonoscopy with polyp removalCPT 45385 | $328 | $1,223 | 27% | — | 8 |
| Colonoscopy, diagnosticCPT 45378 | $242 | $950 | 25% | — | 8 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 148% | — | 5 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 177% | — | 5 |
| Comprehensive metabolic panelCPT 80053 | $10 | $11 | 98% | — | 5 |
| ED visit, level 3CPT 99283 | $84 | $279 | 30% | — | 8 |
| ED visit, level 4CPT 99284 | $137 | $426 | 32% | — | 8 |
| ED visit, level 5CPT 99285 | $207 | $608 | 34% | — | 8 |
| Echocardiogram, completeCPT 93306 | $91 | $558 | 16% | — | 7 |
| Electrocardiogram with interpretationCPT 93000 | $38 | — | — | — | 8 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $87 | $904 | 10% | — | 7 |
| Excision of breast lesionCPT 19120 | $531 | $4,000 | 13% | — | 8 |
| Family psychotherapy, with patientCPT 90847 | $147 | $181 | 81% | — | 8 |
| Family psychotherapy, without patientCPT 90846 | $148 | $181 | 81% | — | 5 |
| Group psychotherapyCPT 90853 | $35 | $104 | 34% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $676 | $3,658 | 18% | — | 8 |
| Kidney function panelCPT 80069 | $9 | $9 | 98% | — | 5 |
| Knee arthroscopy with meniscectomyCPT 29881 | $717 | $3,343 | 21% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $840 | $6,176 | 14% | — | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $492 | $3,312 | 15% | — | 7 |
| Lipid panelCPT 80061 | $6 | $13 | 46% | — | 5 |
| Liver function panelCPT 80076 | $8 | $8 | 98% | — | 5 |
| Lumbar epidural steroid injectionCPT 62323 | $106 | $721 | 15% | — | 7 |
| OB global care, VBAC deliveryCPT 59610 | $3,751 | — | — | — | 5 |
| OB global care, cesarean deliveryCPT 59510 | $3,962 | — | — | — | 5 |
| OB global care, vaginal deliveryCPT 59400 | $3,575 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $90 | $107 | 85% | — | 8 |
| Obstetric blood test panelCPT 80055 | $31 | $48 | 66% | — | 5 |
| Office consultation, comprehensiveCPT 99244 | $142 | — | — | — | 8 |
| Office consultation, moderateCPT 99243 | $90 | — | — | — | 8 |
| Office visit, established patient, level 3CPT 99213 | $60 | — | — | — | 8 |
| Office visit, established patient, level 4CPT 99214 | $93 | — | — | — | 8 |
| Office visit, new patient, level 3CPT 99203 | $85 | — | — | — | 8 |
| Office visit, new patient, level 4CPT 99204 | $137 | — | — | — | 8 |
| Office visit, new patient, level 5CPT 99205 | $186 | — | — | — | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $13 | $18 | 72% | — | 5 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 98% | — | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $34 | — | — | — | 8 |
| Preventive visit, new patient, 18-39CPT 99385 | $127 | — | — | — | 5 |
| Preventive visit, new patient, 40-64CPT 99386 | $136 | — | — | — | 8 |
| Prostate biopsyCPT 55700 | $148 | — | — | — | 8 |
| Prothrombin timeCPT 85610 | $4 | $4 | 89% | — | 5 |
| Psychotherapy, 30 minutesCPT 90832 | $98 | $181 | 54% | — | 7 |
| Psychotherapy, 45 minutesCPT 90834 | $130 | $181 | 71% | — | 7 |
| Psychotherapy, 60 minutesCPT 90837 | $190 | $181 | 105% | — | 7 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $430 | — | — | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $265 | $877 | 30% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $16 | $17 | 98% | — | 5 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $367 | $6,048 | 6% | — | 8 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $140 | $904 | 16% | — | 8 |
| Ultrasound, abdomen, completeCPT 76700 | $82 | $107 | 77% | — | 8 |
| Ultrasound, transvaginalCPT 76830 | $72 | $107 | 67% | — | 8 |
| Upper GI endoscopy with biopsyCPT 43239 | $250 | $927 | 27% | — | 8 |
| Upper GI endoscopy, diagnosticCPT 43235 | $227 | $927 | 25% | — | 8 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 180% | — | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 194% | — | 5 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 130% | — | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 149% | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $38 | $107 | 35% | — | 8 |