| Basic metabolic panelCPT 80048 | $10 | $8 | 113% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $614 | $435 | 141% | — | 4 |
| CT head without contrastCPT 70450 | $185 | $130 | 142% | — | 4 |
| CT pelvis with contrastCPT 72193 | $485 | $219 | 222% | — | 4 |
| Cardiac stress testCPT 93017 | $246 | $270 | 91% | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $7,839 | $2,881 | 272% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $6,829 | $1,494 | 457% | — | 5 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $6,829 | $1,494 | 457% | — | 5 |
| Colonoscopy with polyp removalCPT 45385 | $6,829 | $1,494 | 457% | — | 5 |
| Colonoscopy, diagnosticCPT 45378 | $6,829 | $1,161 | 588% | — | 5 |
| Complete blood count with differentialCPT 85025 | $9 | $8 | 113% | — | 3 |
| Complete blood count, automatedCPT 85027 | $7 | $6 | 113% | — | 3 |
| Comprehensive metabolic panelCPT 80053 | $12 | $11 | 113% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $300 | — | — | — | 4 |
| Diagnostic mammography, one breastCPT 77065 | $235 | — | — | — | 4 |
| ED visit, level 3CPT 99283 | $464 | $341 | 136% | — | 1 |
| ED visit, level 4CPT 99284 | $791 | $521 | 152% | — | 1 |
| ED visit, level 5CPT 99285 | $1,147 | $743 | 154% | — | 1 |
| Echocardiogram, completeCPT 93306 | $813 | $682 | 119% | — | 1 |
| Electrocardiogram with interpretationCPT 93000 | $93 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $6,829 | $1,104 | 619% | — | 5 |
| Excision of breast lesionCPT 19120 | $7,839 | $4,888 | 160% | — | 5 |
| Family psychotherapy, with patientCPT 90847 | $710 | $222 | 320% | — | 1 |
| Family psychotherapy, without patientCPT 90846 | $681 | $222 | 307% | — | 1 |
| Group psychotherapyCPT 90853 | $168 | $127 | 132% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,839 | $4,469 | 175% | — | 5 |
| Kidney function panelCPT 80069 | $10 | $9 | 113% | — | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,839 | $4,084 | 192% | — | 5 |
| Laparoscopic cholecystectomyCPT 47562 | $8,412 | $7,547 | 111% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $9,358 | $13,269 | 71% | — | 5 |
| Left heart catheterization, diagnosticCPT 93452 | $9,358 | $4,047 | 231% | — | 5 |
| Lipid panelCPT 80061 | $15 | $13 | 113% | — | 3 |
| Liver function panelCPT 80076 | $9 | $8 | 113% | — | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $6,829 | $881 | 775% | — | 5 |
| MRI brain with and without contrastCPT 70553 | $620 | $435 | 142% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $400 | $298 | 134% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $354 | $298 | 119% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $9,358 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $9,358 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $9,358 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $233 | $130 | 179% | — | 4 |
| Obstetric blood test panelCPT 80055 | $54 | $48 | 113% | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $433 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $638 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $537 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $876 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $1,190 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $21 | $18 | 113% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $7 | $6 | 113% | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $196 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $6,829 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $5 | $4 | 114% | — | 3 |
| Psychotherapy, 30 minutesCPT 90832 | $477 | $222 | 215% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $630 | $222 | 284% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $932 | $222 | 421% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $248 | — | — | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $7,839 | — | — | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $3,288 | $1,072 | 307% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $19 | $17 | 113% | — | 3 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,839 | $7,390 | 106% | — | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $6,829 | $1,104 | 619% | — | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $211 | $130 | 162% | — | 4 |
| Ultrasound, transvaginalCPT 76830 | $230 | $130 | 176% | — | 4 |
| Upper GI endoscopy with biopsyCPT 43239 | $6,829 | $1,132 | 603% | — | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $6,829 | $1,132 | 603% | — | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 114% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 113% | — | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 113% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 114% | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $99 | $130 | 76% | — | 4 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $6,829 | $687 | 995% | — | 5 |