| Basic metabolic panelCPT 80048 | $57 | $8 | 674% | — | 12 |
| COPD with MCCMS-DRG 190 | $7,488 | $7,377 | 101% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $633 | $356 | 178% | — | 12 |
| CT head without contrastCPT 70450 | $630 | $107 | 590% | — | 12 |
| CT pelvis with contrastCPT 72193 | $630 | $179 | 351% | — | 12 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $3,861 | $3,269 | 118% | — | 3 |
| Cardiac stress testCPT 93017 | $432 | $221 | 196% | — | 12 |
| Cataract surgery with IOL insertionCPT 66984 | $3,902 | $2,358 | 165% | — | 12 |
| Cesarean section, no CC/MCCMS-DRG 788 | $7,135 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $531 | $1,223 | 43% | — | 12 |
| Colonoscopy with polyp removalCPT 45385 | $688 | $1,223 | 56% | — | 12 |
| Colonoscopy, diagnosticCPT 45378 | $488 | $950 | 51% | — | 12 |
| Complete blood count with differentialCPT 85025 | $43 | $8 | 550% | — | 12 |
| Complete blood count, automatedCPT 85027 | $39 | $6 | 602% | — | 12 |
| Comprehensive metabolic panelCPT 80053 | $62 | $11 | 585% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $216 | — | — | — | 12 |
| Diagnostic mammography, one breastCPT 77065 | $189 | — | — | — | 12 |
| ED visit, level 3CPT 99283 | $130 | $279 | 47% | — | 12 |
| ED visit, level 4CPT 99284 | $535 | $426 | 126% | — | 12 |
| ED visit, level 5CPT 99285 | $414 | $608 | 68% | — | 12 |
| Echocardiogram, completeCPT 93306 | $1,899 | $558 | 340% | — | 12 |
| Electrocardiogram with interpretationCPT 93000 | $257 | — | — | — | 12 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $1,997 | $4,899 | 41% | — | 3 |
| Excision of breast lesionCPT 19120 | $555 | $4,000 | 14% | — | 12 |
| Heart failure and shock, with CCMS-DRG 292 | $6,310 | $5,927 | 106% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,200 | $3,658 | 33% | — | 12 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $3,581 | $5,238 | 68% | — | 3 |
| Kidney function panelCPT 80069 | $38 | $9 | 438% | — | 12 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,510 | $3,343 | 45% | — | 12 |
| Laparoscopic cholecystectomyCPT 47562 | $1,455 | $6,176 | 24% | — | 12 |
| Lipid panelCPT 80061 | $65 | $13 | 488% | — | 12 |
| Liver function panelCPT 80076 | $57 | $8 | 698% | — | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $154 | $721 | 21% | — | 12 |
| MRI brain with and without contrastCPT 70553 | $1,387 | $356 | 389% | — | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $1,189 | $244 | 488% | — | 12 |
| MRI lumbar spine without contrastCPT 72148 | $1,150 | $244 | 472% | — | 12 |
| Medical back problems, no MCCMS-DRG 552 | $5,674 | $6,142 | 92% | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $3,145 | — | — | — | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $306 | $107 | 287% | — | 12 |
| Office consultation, comprehensiveCPT 99244 | $266 | — | — | — | 12 |
| Office consultation, moderateCPT 99243 | $157 | — | — | — | 12 |
| Office visit, established patient, level 3CPT 99213 | $131 | — | — | — | 12 |
| Office visit, established patient, level 4CPT 99214 | $123 | — | — | — | 12 |
| Office visit, new patient, level 3CPT 99203 | $136 | — | — | — | 12 |
| Office visit, new patient, level 4CPT 99204 | $143 | — | — | — | 12 |
| Office visit, new patient, level 5CPT 99205 | $275 | — | — | — | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $102 | $18 | 553% | — | 12 |
| Partial thromboplastin timeCPT 85730 | $40 | $6 | 672% | — | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $66 | — | — | — | 12 |
| Preventive visit, new patient, 18-39CPT 99385 | $223 | — | — | — | 11 |
| Preventive visit, new patient, 40-64CPT 99386 | $279 | — | — | — | 11 |
| Prothrombin timeCPT 85610 | $26 | $4 | 598% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $189 | — | — | — | 12 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $707 | — | — | — | 12 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $8,174 | $5,177 | 158% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $1,543 | $3,679 | 42% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $70 | $17 | 418% | — | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $9,209 | $6,048 | 152% | — | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $175 | $904 | 19% | — | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $458 | $107 | 428% | — | 12 |
| Ultrasound, transvaginalCPT 76830 | $206 | $107 | 193% | — | 12 |
| Upper GI endoscopy with biopsyCPT 43239 | $630 | $927 | 68% | — | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $329 | $927 | 35% | — | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $24 | $3 | 749% | — | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $17 | $2 | 760% | — | 12 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,864 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $328 | $107 | 307% | — | 12 |