| Basic metabolic panelCPT 80048 | $148 | $8 | 1753% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,696 | $345 | 781% | — | 3 |
| CT head without contrastCPT 70450 | $695 | $104 | 671% | — | 3 |
| CT pelvis with contrastCPT 72193 | $1,370 | $174 | 789% | — | 3 |
| Cardiac stress testCPT 93017 | $1,635 | $214 | 765% | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $13,999 | $2,285 | 613% | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $4,030 | $1,185 | 340% | — | 3 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,137 | $1,185 | 265% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $3,087 | $1,185 | 261% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $2,179 | $921 | 237% | — | 3 |
| Complete blood count with differentialCPT 85025 | $97 | $8 | 1254% | — | 3 |
| Complete blood count, automatedCPT 85027 | $66 | $6 | 1028% | — | 3 |
| Comprehensive metabolic panelCPT 80053 | $157 | $11 | 1487% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $284 | — | — | — | 3 |
| Diagnostic mammography, one breastCPT 77065 | $229 | — | — | — | 3 |
| ED visit, level 3CPT 99283 | $378 | $270 | 140% | — | 1 |
| ED visit, level 4CPT 99284 | $578 | $413 | 140% | — | 1 |
| ED visit, level 5CPT 99285 | $825 | $590 | 140% | — | 1 |
| Echocardiogram, completeCPT 93306 | $949 | $541 | 175% | — | 3 |
| Electrocardiogram with interpretationCPT 93000 | $105 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,007 | $876 | 229% | — | 3 |
| Excision of breast lesionCPT 19120 | $12,791 | $3,876 | 330% | — | 3 |
| Family psychotherapy, with patientCPT 90847 | $837 | $176 | 477% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $837 | $176 | 477% | — | 3 |
| Group psychotherapyCPT 90853 | $351 | $101 | 349% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,905 | $3,544 | 279% | — | 3 |
| Kidney function panelCPT 80069 | $57 | $9 | 659% | — | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $13,110 | $3,239 | 405% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $20,098 | $5,985 | 336% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,239 | $10,523 | 107% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $14,643 | $3,209 | 456% | — | 3 |
| Lipid panelCPT 80061 | $143 | $13 | 1071% | — | 3 |
| Liver function panelCPT 80076 | $143 | $8 | 1746% | — | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $2,007 | $699 | 287% | — | 3 |
| MRI brain with and without contrastCPT 70553 | $1,599 | $345 | 463% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $926 | $236 | 392% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $1,028 | $236 | 435% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $9,373 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $10,073 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $8,894 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $442 | $104 | 427% | — | 3 |
| Obstetric blood test panelCPT 80055 | $137 | $48 | 286% | — | 3 |
| Office consultation, comprehensiveCPT 99244 | $807 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $511 | — | — | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $121 | $18 | 660% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $82 | $6 | 1357% | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $180 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $2,924 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $59 | $4 | 1373% | — | 3 |
| Psychotherapy, 30 minutesCPT 90832 | $445 | $176 | 253% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $592 | $176 | 337% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $592 | $176 | 337% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $235 | — | — | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,742 | — | — | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $2,876 | $850 | 338% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $119 | $17 | 708% | — | 3 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $12,601 | $5,860 | 215% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,730 | $876 | 312% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $583 | $104 | 564% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $455 | $104 | 440% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,710 | $898 | 413% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,594 | $898 | 400% | — | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $85 | $3 | 2696% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $60 | $2 | 2661% | — | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $25 | $4 | 618% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $46 | $3 | 1315% | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $468 | $104 | 452% | — | 3 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,844 | $544 | 339% | — | 3 |