| Basic metabolic panelCPT 80048 | $15 | $8 | 175% | — | 11 |
| CT abdomen and pelvis with contrastCPT 74177 | $833 | $435 | 191% | — | 12 |
| CT head without contrastCPT 70450 | $273 | $130 | 209% | — | 12 |
| CT pelvis with contrastCPT 72193 | $636 | $219 | 290% | — | 12 |
| Cardiac stress testCPT 93017 | $258 | $270 | 96% | — | 10 |
| Cataract surgery with IOL insertionCPT 66984 | $3,549 | $2,881 | 123% | — | 14 |
| Colonoscopy with biopsyCPT 45380 | $3,162 | $1,494 | 212% | — | 14 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,162 | $1,494 | 212% | — | 14 |
| Colonoscopy with polyp removalCPT 45385 | $3,162 | $1,494 | 212% | — | 14 |
| Colonoscopy, diagnosticCPT 45378 | $2,572 | $1,161 | 222% | — | 14 |
| Complete blood count with differentialCPT 85025 | $14 | $8 | 175% | — | 11 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 175% | — | 11 |
| Comprehensive metabolic panelCPT 80053 | $18 | $11 | 175% | — | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $346 | — | — | — | 12 |
| Diagnostic mammography, one breastCPT 77065 | $271 | — | — | — | 12 |
| ED visit, level 3CPT 99283 | $358 | $341 | 105% | — | 8 |
| ED visit, level 4CPT 99284 | $609 | $521 | 117% | — | 8 |
| ED visit, level 5CPT 99285 | $886 | $743 | 119% | — | 8 |
| Echocardiogram, completeCPT 93306 | $819 | $682 | 120% | — | 10 |
| Electrocardiogram with interpretationCPT 93000 | $74 | — | — | — | 7 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,379 | $1,104 | 215% | — | 14 |
| Excision of breast lesionCPT 19120 | $3,544 | $4,888 | 73% | — | 14 |
| Family psychotherapy, with patientCPT 90847 | $467 | $222 | 211% | — | 8 |
| Family psychotherapy, without patientCPT 90846 | $467 | $222 | 211% | — | 8 |
| Group psychotherapyCPT 90853 | $228 | $127 | 180% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,320 | $4,469 | 97% | — | 14 |
| Kidney function panelCPT 80069 | $15 | $9 | 175% | — | 11 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,320 | $4,084 | 106% | — | 14 |
| Laparoscopic cholecystectomyCPT 47562 | $5,528 | $7,547 | 73% | — | 14 |
| Laparoscopic radical prostatectomyCPT 55866 | $6,643 | $13,269 | 50% | — | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $5,056 | $4,047 | 125% | — | 14 |
| Lipid panelCPT 80061 | $23 | $13 | 175% | — | 11 |
| Liver function panelCPT 80076 | $14 | $8 | 175% | — | 11 |
| Lumbar epidural steroid injectionCPT 62323 | $2,005 | $881 | 227% | — | 14 |
| MRI brain with and without contrastCPT 70553 | $917 | $435 | 211% | — | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $678 | $298 | 228% | — | 12 |
| MRI lumbar spine without contrastCPT 72148 | $631 | $298 | 212% | — | 12 |
| OB global care, VBAC deliveryCPT 59610 | $9,364 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $9,233 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $9,027 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $291 | $130 | 223% | — | 12 |
| Obstetric blood test panelCPT 80055 | $61 | $48 | 128% | — | 11 |
| Office consultation, comprehensiveCPT 99244 | $412 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $256 | — | — | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $233 | — | — | — | 5 |
| Office visit, established patient, level 4CPT 99214 | $343 | — | — | — | 5 |
| Office visit, new patient, level 3CPT 99203 | $292 | — | — | — | 5 |
| Office visit, new patient, level 4CPT 99204 | $474 | — | — | — | 5 |
| Office visit, new patient, level 5CPT 99205 | $646 | — | — | — | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $32 | $18 | 175% | — | 11 |
| Partial thromboplastin timeCPT 85730 | $11 | $6 | 175% | — | 11 |
| Physical therapy, therapeutic exerciseCPT 97110 | $91 | — | — | — | 10 |
| Preventive visit, new patient, 18-39CPT 99385 | $264 | — | — | — | 3 |
| Preventive visit, new patient, 40-64CPT 99386 | $322 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $3,262 | — | — | — | 11 |
| Prothrombin timeCPT 85610 | $8 | $4 | 175% | — | 11 |
| Psychotherapy, 30 minutesCPT 90832 | $346 | $222 | 156% | — | 8 |
| Psychotherapy, 45 minutesCPT 90834 | $448 | $222 | 202% | — | 8 |
| Psychotherapy, 60 minutesCPT 90837 | $561 | $222 | 253% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $286 | — | — | — | 12 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,739 | — | — | — | 11 |
| Sleep study (polysomnography)CPT 95810 | $2,345 | $1,072 | 219% | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $29 | $17 | 175% | — | 11 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $3,544 | $7,390 | 48% | — | 14 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,379 | $1,104 | 215% | — | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $275 | $130 | 211% | — | 12 |
| Ultrasound, transvaginalCPT 76830 | $289 | $130 | 221% | — | 12 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,542 | $1,132 | 225% | — | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,407 | $1,132 | 213% | — | 14 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 175% | — | 11 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 175% | — | 11 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 175% | — | 11 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 175% | — | 11 |
| X-ray, lower back, 4+ viewsCPT 72110 | $189 | $130 | 144% | — | 12 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,160 | $687 | 315% | — | 14 |