| Basic metabolic panelCPT 80048 | $65 | $8 | 765% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,270 | $356 | 356% | — | 9 |
| CT head without contrastCPT 70450 | $1,194 | $107 | 1117% | — | 9 |
| CT pelvis with contrastCPT 72193 | $1,511 | $179 | 843% | — | 9 |
| Cardiac stress testCPT 93017 | $466 | $221 | 211% | — | 9 |
| Cataract surgery with IOL insertionCPT 66984 | $3,199 | $2,358 | 136% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $4,327 | — | — | — | 1 |
| Cesarean section, with CCMS-DRG 787 | $4,327 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $1,929 | $1,223 | 158% | — | 9 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,834 | $1,223 | 150% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $1,929 | $1,223 | 158% | — | 9 |
| Colonoscopy, diagnosticCPT 45378 | $1,253 | $950 | 132% | — | 9 |
| Complete blood count with differentialCPT 85025 | $32 | $8 | 411% | — | 9 |
| Complete blood count, automatedCPT 85027 | $55 | $6 | 850% | — | 9 |
| Comprehensive metabolic panelCPT 80053 | $91 | $11 | 857% | — | 9 |
| Diagnostic mammography, both breastsCPT 77066 | $171 | — | — | — | 9 |
| Diagnostic mammography, one breastCPT 77065 | $171 | — | — | — | 9 |
| ED visit, level 3CPT 99283 | $232 | $279 | 83% | — | 9 |
| ED visit, level 4CPT 99284 | $297 | $426 | 70% | — | 9 |
| ED visit, level 5CPT 99285 | $404 | $608 | 66% | — | 9 |
| Echocardiogram, completeCPT 93306 | $2,006 | $558 | 359% | — | 9 |
| Electrocardiogram with interpretationCPT 93000 | $44 | — | — | — | 9 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $972 | $904 | 108% | — | 2 |
| Excision of breast lesionCPT 19120 | $6,266 | $4,000 | 157% | — | 9 |
| Family psychotherapy, with patientCPT 90847 | $200 | $181 | 110% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $272 | $181 | 150% | — | 1 |
| Group psychotherapyCPT 90853 | $93 | $104 | 89% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,774 | $3,658 | 158% | — | 9 |
| Kidney function panelCPT 80069 | $66 | $9 | 764% | — | 9 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,535 | $3,343 | 136% | — | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $9,546 | $6,176 | 155% | — | 9 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,652 | $10,860 | 135% | — | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $5,545 | $3,312 | 167% | — | 2 |
| Lipid panelCPT 80061 | $60 | $13 | 447% | — | 9 |
| Liver function panelCPT 80076 | $69 | $8 | 841% | — | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $1,112 | $721 | 154% | — | 2 |
| MRI brain with and without contrastCPT 70553 | $2,683 | $356 | 753% | — | 9 |
| MRI lower extremity joint (knee)CPT 73721 | $1,790 | $244 | 734% | — | 9 |
| MRI lumbar spine without contrastCPT 72148 | $1,790 | $244 | 734% | — | 9 |
| OB global care, VBAC deliveryCPT 59610 | $1,326 | — | — | — | 9 |
| OB global care, cesarean deliveryCPT 59510 | $1,780 | — | — | — | 9 |
| OB global care, vaginal deliveryCPT 59400 | $1,900 | — | — | — | 9 |
| OB ultrasound, 14+ weeksCPT 76805 | $254 | $107 | 238% | — | 9 |
| Obstetric blood test panelCPT 80055 | $89 | $48 | 187% | — | 1 |
| Office consultation, comprehensiveCPT 99244 | $196 | — | — | — | 9 |
| Office consultation, moderateCPT 99243 | $140 | — | — | — | 9 |
| Office visit, established patient, level 3CPT 99213 | $76 | — | — | — | 9 |
| Office visit, established patient, level 4CPT 99214 | $88 | — | — | — | 9 |
| Office visit, new patient, level 3CPT 99203 | $98 | — | — | — | 9 |
| Office visit, new patient, level 4CPT 99204 | $75 | — | — | — | 9 |
| Office visit, new patient, level 5CPT 99205 | $109 | — | — | — | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $94 | $18 | 512% | — | 9 |
| Partial thromboplastin timeCPT 85730 | $31 | $6 | 519% | — | 9 |
| Physical therapy, therapeutic exerciseCPT 97110 | $57 | — | — | — | 3 |
| Preventive visit, new patient, 18-39CPT 99385 | $144 | — | — | — | 9 |
| Preventive visit, new patient, 40-64CPT 99386 | $148 | — | — | — | 9 |
| Prostate biopsyCPT 55700 | $2,561 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $43 | $4 | 993% | — | 9 |
| Psychotherapy, 30 minutesCPT 90832 | $178 | $181 | 98% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $186 | $181 | 103% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $212 | $181 | 117% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $211 | — | — | — | 9 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,056 | — | — | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $1,294 | $877 | 147% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $61 | $17 | 362% | — | 9 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,233 | $6,048 | 136% | — | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,234 | $904 | 137% | — | 2 |
| Ultrasound, abdomen, completeCPT 76700 | $335 | $107 | 314% | — | 9 |
| Ultrasound, transvaginalCPT 76830 | $268 | $107 | 251% | — | 9 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,534 | $927 | 166% | — | 9 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,534 | $927 | 166% | — | 9 |
| Urinalysis, automated, with microscopyCPT 81001 | $19 | $3 | 586% | — | 9 |
| Urinalysis, automated, without microscopyCPT 81003 | $12 | $2 | 550% | — | 9 |
| Urinalysis, manual, with microscopyCPT 81000 | $21 | $4 | 521% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $14 | $3 | 412% | — | 9 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $2,704 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $2,704 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $325 | $107 | 304% | — | 9 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $876 | $562 | 156% | — | 2 |