| Basic metabolic panelCPT 80048 | $9 | $8 | 111% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $318 | $435 | 73% | — | 19 |
| CT head without contrastCPT 70450 | $174 | $130 | 133% | — | 19 |
| CT pelvis with contrastCPT 72193 | $349 | $219 | 159% | — | 19 |
| Cardiac stress testCPT 93017 | $404 | $270 | 150% | — | 6 |
| Cataract surgery with IOL insertionCPT 66984 | $4,832 | $2,881 | 168% | — | 14 |
| Colonoscopy with biopsyCPT 45380 | $3,731 | $1,494 | 250% | — | 14 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,731 | $1,494 | 250% | — | 14 |
| Colonoscopy with polyp removalCPT 45385 | $3,731 | $1,494 | 250% | — | 14 |
| Colonoscopy, diagnosticCPT 45378 | $3,685 | $1,161 | 317% | — | 14 |
| Complete blood count with differentialCPT 85025 | $9 | $8 | 111% | — | 16 |
| Complete blood count, automatedCPT 85027 | $7 | $6 | 111% | — | 16 |
| Comprehensive metabolic panelCPT 80053 | $12 | $11 | 111% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $132 | — | — | — | 17 |
| Diagnostic mammography, one breastCPT 77065 | $103 | — | — | — | 17 |
| ED visit, level 3CPT 99283 | $861 | $341 | 253% | — | 4 |
| ED visit, level 4CPT 99284 | $1,317 | $521 | 253% | — | 4 |
| ED visit, level 5CPT 99285 | $1,879 | $743 | 253% | — | 4 |
| Echocardiogram, completeCPT 93306 | $414 | $682 | 61% | — | 8 |
| Electrocardiogram with interpretationCPT 93000 | $48 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,820 | $1,104 | 255% | — | 14 |
| Excision of breast lesionCPT 19120 | $4,387 | $4,888 | 90% | — | 14 |
| Family psychotherapy, with patientCPT 90847 | $560 | $222 | 253% | — | 4 |
| Family psychotherapy, without patientCPT 90846 | $560 | $222 | 253% | — | 4 |
| Group psychotherapyCPT 90853 | $321 | $127 | 253% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,092 | $4,469 | 136% | — | 14 |
| Kidney function panelCPT 80069 | $10 | $9 | 111% | — | 16 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,092 | $4,084 | 149% | — | 14 |
| Laparoscopic cholecystectomyCPT 47562 | $6,939 | $7,547 | 92% | — | 14 |
| Laparoscopic radical prostatectomyCPT 55866 | $9,571 | $13,269 | 72% | — | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $6,142 | $4,047 | 152% | — | 14 |
| Lipid panelCPT 80061 | $15 | $13 | 111% | — | 16 |
| Liver function panelCPT 80076 | $9 | $8 | 111% | — | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $2,820 | $881 | 320% | — | 14 |
| MRI brain with and without contrastCPT 70553 | $581 | $435 | 133% | — | 19 |
| MRI lower extremity joint (knee)CPT 73721 | $378 | $298 | 127% | — | 19 |
| MRI lumbar spine without contrastCPT 72148 | $336 | $298 | 113% | — | 19 |
| OB global care, VBAC deliveryCPT 59610 | $3,000 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $3,000 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $3,000 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $114 | $130 | 88% | — | 17 |
| Obstetric blood test panelCPT 80055 | $53 | $48 | 111% | — | 16 |
| PSA (prostate specific antigen), totalCPT 84153 | $20 | $18 | 111% | — | 16 |
| Partial thromboplastin timeCPT 85730 | $7 | $6 | 111% | — | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $41 | — | — | — | 6 |
| Preventive visit, new patient, 18-39CPT 99385 | $134 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $157 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $2,309 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $4 | $4 | 102% | — | 16 |
| Psychotherapy, 30 minutesCPT 90832 | $560 | $222 | 253% | — | 4 |
| Psychotherapy, 45 minutesCPT 90834 | $560 | $222 | 253% | — | 4 |
| Psychotherapy, 60 minutesCPT 90837 | $560 | $222 | 253% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $109 | — | — | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,078 | — | — | — | 11 |
| Sleep study (polysomnography)CPT 95810 | $2,064 | $1,072 | 193% | — | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $19 | $17 | 111% | — | 16 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,387 | $7,390 | 59% | — | 14 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,820 | $1,104 | 255% | — | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $199 | $130 | 152% | — | 21 |
| Ultrasound, transvaginalCPT 76830 | $217 | $130 | 167% | — | 21 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,685 | $1,132 | 325% | — | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,685 | $1,132 | 325% | — | 14 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 111% | — | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 111% | — | 16 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 90% | — | 16 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 90% | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $114 | $130 | 88% | — | 17 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,820 | $687 | 411% | — | 14 |