| Basic metabolic panelCPT 80048 | $44 | $8 | 514% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,190 | $356 | 334% | — | 3 |
| CT head without contrastCPT 70450 | $887 | $107 | 830% | — | 3 |
| CT pelvis with contrastCPT 72193 | $905 | $179 | 505% | — | 3 |
| Cardiac stress testCPT 93017 | $353 | $221 | 160% | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $1,358 | $1,223 | 111% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $1,435 | $1,223 | 117% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $1,282 | $950 | 135% | — | 4 |
| Complete blood count with differentialCPT 85025 | $32 | $8 | 418% | — | 4 |
| Complete blood count, automatedCPT 85027 | $28 | $6 | 440% | — | 4 |
| Comprehensive metabolic panelCPT 80053 | $67 | $11 | 634% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $170 | — | — | — | 4 |
| Diagnostic mammography, one breastCPT 77065 | $178 | — | — | — | 4 |
| ED visit, level 3CPT 99283 | $820 | $279 | 294% | — | 3 |
| ED visit, level 4CPT 99284 | $1,398 | $426 | 328% | — | 3 |
| ED visit, level 5CPT 99285 | $2,172 | $608 | 357% | — | 3 |
| Echocardiogram, completeCPT 93306 | $2,254 | $558 | 404% | — | 3 |
| Electrocardiogram with interpretationCPT 93000 | $270 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $610 | $904 | 68% | — | 4 |
| Excision of breast lesionCPT 19120 | $2,700 | $4,000 | 68% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $126 | $181 | 69% | — | 4 |
| Family psychotherapy, without patientCPT 90846 | $109 | $181 | 60% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,996 | $3,658 | 109% | — | 4 |
| Kidney function panelCPT 80069 | $44 | $9 | 501% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $6,086 | $6,176 | 99% | — | 4 |
| Lipid panelCPT 80061 | $50 | $13 | 373% | — | 4 |
| Liver function panelCPT 80076 | $45 | $8 | 551% | — | 4 |
| Lumbar epidural steroid injectionCPT 62323 | $1,044 | $721 | 145% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $1,208 | $356 | 339% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $1,218 | $244 | 499% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $1,173 | $244 | 481% | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $359 | $107 | 336% | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $184 | — | — | — | 4 |
| Office visit, established patient, level 4CPT 99214 | $156 | — | — | — | 4 |
| Office visit, new patient, level 3CPT 99203 | $123 | — | — | — | 4 |
| Office visit, new patient, level 4CPT 99204 | $158 | — | — | — | 4 |
| Office visit, new patient, level 5CPT 99205 | $194 | — | — | — | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $64 | $18 | 349% | — | 4 |
| Partial thromboplastin timeCPT 85730 | $32 | $6 | 532% | — | 4 |
| Physical therapy, therapeutic exerciseCPT 97110 | $76 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $18 | $4 | 408% | — | 4 |
| Psychotherapy, 30 minutesCPT 90832 | $73 | $181 | 40% | — | 4 |
| Psychotherapy, 45 minutesCPT 90834 | $92 | $181 | 51% | — | 4 |
| Psychotherapy, 60 minutesCPT 90837 | $132 | $181 | 73% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $163 | — | — | — | 4 |
| Sleep study (polysomnography)CPT 95810 | $2,404 | $877 | 274% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $48 | $17 | 286% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $665 | $904 | 74% | — | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $501 | $107 | 469% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $292 | $107 | 273% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,128 | $927 | 122% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,098 | $927 | 118% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $14 | $3 | 457% | — | 4 |
| Urinalysis, automated, without microscopyCPT 81003 | $14 | $2 | 600% | — | 4 |
| Urinalysis, manual, with microscopyCPT 81000 | $11 | $4 | 274% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $9 | $3 | 266% | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $313 | $107 | 293% | — | 3 |