| Basic metabolic panelCPT 80048 | $71 | $8 | 840% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,346 | $356 | 378% | — | 3 |
| CT head without contrastCPT 70450 | $1,308 | $107 | 1224% | — | 3 |
| CT pelvis with contrastCPT 72193 | $1,346 | $179 | 751% | — | 3 |
| Cardiac stress testCPT 93017 | $649 | $221 | 294% | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $2,265 | $1,223 | 185% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $2,456 | $1,223 | 201% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $2,265 | $950 | 238% | — | 3 |
| Complete blood count with differentialCPT 85025 | $68 | $8 | 869% | — | 3 |
| Complete blood count, automatedCPT 85027 | $59 | $6 | 918% | — | 3 |
| Comprehensive metabolic panelCPT 80053 | $74 | $11 | 699% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $273 | — | — | — | 3 |
| Diagnostic mammography, one breastCPT 77065 | $273 | — | — | — | 3 |
| ED visit, level 3CPT 99283 | $649 | $279 | 233% | — | 3 |
| ED visit, level 4CPT 99284 | $1,107 | $426 | 260% | — | 3 |
| ED visit, level 5CPT 99285 | $1,719 | $608 | 283% | — | 3 |
| Echocardiogram, completeCPT 93306 | $3,048 | $558 | 546% | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,048 | $904 | 116% | — | 3 |
| Excision of breast lesionCPT 19120 | $5,168 | $4,000 | 129% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,522 | $3,658 | 151% | — | 3 |
| Kidney function panelCPT 80069 | $161 | $9 | 1856% | — | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,593 | $3,343 | 167% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $8,756 | $6,176 | 142% | — | 3 |
| Lipid panelCPT 80061 | $94 | $13 | 699% | — | 3 |
| Liver function panelCPT 80076 | $103 | $8 | 1256% | — | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $1,530 | $721 | 212% | — | 3 |
| MRI brain with and without contrastCPT 70553 | $1,856 | $356 | 521% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $1,660 | $244 | 681% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $1,660 | $244 | 681% | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $688 | $107 | 644% | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $166 | — | — | — | 3 |
| Office visit, established patient, level 4CPT 99214 | $235 | — | — | — | 3 |
| Office visit, new patient, level 3CPT 99203 | $216 | — | — | — | 3 |
| Office visit, new patient, level 4CPT 99204 | $302 | — | — | — | 3 |
| Office visit, new patient, level 5CPT 99205 | $446 | — | — | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $201 | $18 | 1091% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $71 | $6 | 1183% | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $121 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $51 | $4 | 1196% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $273 | — | — | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $1,991 | $877 | 227% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $208 | $17 | 1240% | — | 3 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,967 | $6,048 | 132% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,453 | $904 | 161% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $688 | $107 | 644% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $688 | $107 | 644% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,905 | $927 | 206% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,706 | $927 | 184% | — | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $51 | $3 | 1618% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $36 | $2 | 1600% | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $494 | $107 | 463% | — | 3 |