| Basic metabolic panelCPT 80048 | $8 | $8 | 94% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $320 | $435 | 74% | — | 1 |
| CT head without contrastCPT 70450 | $99 | $130 | 76% | — | 1 |
| CT pelvis with contrastCPT 72193 | $255 | $219 | 117% | — | 1 |
| Complete blood count with differentialCPT 85025 | $7 | $8 | 95% | — | 4 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 96% | — | 4 |
| Comprehensive metabolic panelCPT 80053 | $10 | $11 | 96% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $164 | — | — | — | 1 |
| Diagnostic mammography, one breastCPT 77065 | $128 | — | — | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $129 | $222 | 58% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $112 | $222 | 51% | — | 2 |
| Group psychotherapyCPT 90853 | $69 | $127 | 55% | — | 2 |
| Kidney function panelCPT 80069 | $8 | $9 | 96% | — | 4 |
| Lipid panelCPT 80061 | $13 | $13 | 96% | — | 4 |
| Liver function panelCPT 80076 | $8 | $8 | 95% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $313 | $435 | 72% | — | 1 |
| MRI lower extremity joint (knee)CPT 73721 | $210 | $298 | 70% | — | 1 |
| MRI lumbar spine without contrastCPT 72148 | $182 | $298 | 61% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $131 | $130 | 101% | — | 1 |
| Obstetric blood test panelCPT 80055 | $44 | $48 | 92% | — | 4 |
| Office visit, established patient, level 3CPT 99213 | $72 | — | — | — | 2 |
| Office visit, established patient, level 4CPT 99214 | $77 | — | — | — | 2 |
| Office visit, new patient, level 3CPT 99203 | $72 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $72 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $72 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 96% | — | 4 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 96% | — | 4 |
| Physical therapy, therapeutic exerciseCPT 97110 | $43 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $4 | $4 | 94% | — | 4 |
| Psychotherapy, 30 minutesCPT 90832 | $88 | $222 | 40% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $117 | $222 | 53% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $129 | $222 | 58% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $135 | — | — | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $16 | $17 | 96% | — | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $114 | $130 | 87% | — | 1 |
| Ultrasound, transvaginalCPT 76830 | $126 | $130 | 97% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 96% | — | 4 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 96% | — | 4 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 92% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 92% | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $60 | $130 | 46% | — | 1 |