| Basic metabolic panelCPT 80048 | $31 | $8 | 372% | — | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,374 | $356 | 666% | — | 14 |
| CT head without contrastCPT 70450 | $1,651 | $107 | 1546% | — | 14 |
| CT pelvis with contrastCPT 72193 | $1,741 | $179 | 972% | — | 14 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $2,256 | $3,269 | 69% | — | 4 |
| Cardiac stress testCPT 93017 | $677 | $221 | 307% | — | 14 |
| Cellulitis, no MCCMS-DRG 603 | $4,003 | $5,675 | 71% | — | 4 |
| Chest painMS-DRG 313 | $3,145 | — | — | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $421 | $1,223 | 34% | — | 11 |
| Complete blood count with differentialCPT 85025 | $28 | $8 | 363% | — | 14 |
| Complete blood count, automatedCPT 85027 | $28 | $6 | 436% | — | 14 |
| Comprehensive metabolic panelCPT 80053 | $44 | $11 | 421% | — | 14 |
| Diagnostic mammography, both breastsCPT 77066 | $439 | — | — | — | 14 |
| Diagnostic mammography, one breastCPT 77065 | $354 | — | — | — | 14 |
| ED visit, level 3CPT 99283 | $342 | $279 | 123% | — | 14 |
| ED visit, level 4CPT 99284 | $557 | $426 | 131% | — | 14 |
| ED visit, level 5CPT 99285 | $811 | $608 | 133% | — | 14 |
| Echocardiogram, completeCPT 93306 | $2,391 | $558 | 428% | — | 14 |
| Electrocardiogram with interpretationCPT 93000 | $28 | — | — | — | 14 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $3,495 | $4,899 | 71% | — | 4 |
| Excision of breast lesionCPT 19120 | $5,842 | $4,000 | 146% | — | 14 |
| Family psychotherapy, without patientCPT 90846 | $163 | $181 | 90% | — | 13 |
| Heart failure and shock, with CCMS-DRG 292 | $4,670 | $5,927 | 79% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $5,814 | $8,962 | 65% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $4,035 | $5,238 | 77% | — | 4 |
| Kidney function panelCPT 80069 | $60 | $9 | 690% | — | 14 |
| Lipid panelCPT 80061 | $126 | $13 | 937% | — | 14 |
| Liver function panelCPT 80076 | $62 | $8 | 756% | — | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $1,557 | $721 | 216% | — | 14 |
| MRI brain with and without contrastCPT 70553 | $3,119 | $356 | 875% | — | 14 |
| MRI lower extremity joint (knee)CPT 73721 | $1,893 | $244 | 777% | — | 14 |
| MRI lumbar spine without contrastCPT 72148 | $2,271 | $244 | 932% | — | 14 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $10,421 | $13,045 | 80% | — | 4 |
| Medical back problems, no MCCMS-DRG 552 | $4,861 | $6,142 | 79% | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $4,560 | — | — | — | 13 |
| OB ultrasound, 14+ weeksCPT 76805 | $574 | $107 | 537% | — | 14 |
| Obstetric blood test panelCPT 80055 | $461 | $48 | 965% | — | 14 |
| Office visit, established patient, level 3CPT 99213 | $64 | — | — | — | 14 |
| Office visit, established patient, level 4CPT 99214 | $94 | — | — | — | 14 |
| Office visit, new patient, level 3CPT 99203 | $85 | — | — | — | 14 |
| Office visit, new patient, level 4CPT 99204 | $130 | — | — | — | 14 |
| Office visit, new patient, level 5CPT 99205 | $177 | — | — | — | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $123 | $18 | 671% | — | 14 |
| Partial thromboplastin timeCPT 85730 | $71 | $6 | 1189% | — | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $97 | — | — | — | 14 |
| Preventive visit, new patient, 18-39CPT 99385 | $230 | — | — | — | 14 |
| Preventive visit, new patient, 40-64CPT 99386 | $258 | — | — | — | 14 |
| Prothrombin timeCPT 85610 | $53 | $4 | 1233% | — | 14 |
| Screening mammography, bilateralCPT 77067 | $309 | — | — | — | 14 |
| Sepsis with MCCMS-DRG 871 | $7,942 | $13,837 | 57% | — | 4 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $4,194 | $5,177 | 81% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $5,877 | $6,559 | 90% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $72 | $17 | 429% | — | 14 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,361 | $904 | 151% | — | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $659 | $107 | 617% | — | 14 |
| Ultrasound, transvaginalCPT 76830 | $659 | $107 | 617% | — | 14 |
| Urinalysis, automated, with microscopyCPT 81001 | $43 | $3 | 1349% | — | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $25 | $2 | 1118% | — | 14 |
| X-ray, lower back, 4+ viewsCPT 72110 | $364 | $107 | 341% | — | 14 |