| Basic metabolic panelCPT 80048 | $9 | $8 | 102% | ~$52 | 7 |
| CT abdomen and pelvis with contrastCPT 74177 | $504 | $435 | 116% | ~$2,232 | 13 |
| CT head without contrastCPT 70450 | $260 | $130 | 199% | ~$976 | 13 |
| CT pelvis with contrastCPT 72193 | $504 | $219 | 230% | ~$1,081 | 8 |
| Cardiac stress testCPT 93017 | $253 | $270 | 94% | $386 | 12 |
| Colonoscopy with biopsyCPT 45380 | $1,404 | $1,494 | 94% | $2,292 | 12 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,404 | $1,494 | 94% | $1,220 | 8 |
| Colonoscopy with polyp removalCPT 45385 | $1,404 | $1,494 | 94% | $2,479 | 12 |
| Colonoscopy, diagnosticCPT 45378 | $1,091 | $1,161 | 94% | $1,677 | 10 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 99% | ~$54 | 13 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 99% | ~$74 | 9 |
| Comprehensive metabolic panelCPT 80053 | $35 | $11 | 334% | ~$67 | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $173 | — | — | ~$372 | 14 |
| Diagnostic mammography, one breastCPT 77065 | $138 | — | — | ~$298 | 14 |
| ED visit, level 3CPT 99283 | $320 | $341 | 94% | $257 | 19 |
| ED visit, level 4CPT 99284 | $571 | $521 | 110% | $386 | 20 |
| ED visit, level 5CPT 99285 | $699 | $743 | 94% | $485 | 19 |
| Echocardiogram, completeCPT 93306 | $641 | $682 | 94% | $3,211 | 12 |
| Electrocardiogram with interpretationCPT 93000 | $27 | — | — | $91 | 1 |
| Excision of breast lesionCPT 19120 | $4,593 | $4,888 | 94% | $9,846 | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,200 | $4,469 | 94% | $8,067 | 8 |
| Kidney function panelCPT 80069 | $83 | $9 | 952% | ~$52 | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,838 | $4,084 | 94% | $4,833 | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $7,092 | $7,547 | 94% | $6,135 | 10 |
| Laparoscopic radical prostatectomyCPT 55866 | $12,470 | $13,269 | 94% | $8,268 | 8 |
| Lipid panelCPT 80061 | $13 | $13 | 100% | ~$137 | 19 |
| Liver function panelCPT 80076 | $8 | $8 | 101% | ~$52 | 5 |
| Lumbar epidural steroid injectionCPT 62323 | $828 | $881 | 94% | $700 | 7 |
| MRI brain with and without contrastCPT 70553 | $996 | $435 | 229% | ~$2,221 | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $618 | $298 | 207% | ~$1,798 | 10 |
| MRI lumbar spine without contrastCPT 72148 | $618 | $298 | 207% | ~$1,798 | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $123 | $130 | 94% | ~$426 | 12 |
| Office consultation, comprehensiveCPT 99244 | $156 | — | — | $233 | 1 |
| Office consultation, moderateCPT 99243 | $111 | — | — | $162 | 1 |
| Office visit, established patient, level 3CPT 99213 | $82 | — | — | $179 | 7 |
| Office visit, established patient, level 4CPT 99214 | $71 | — | — | $213 | 5 |
| Office visit, new patient, level 3CPT 99203 | $82 | — | — | $187 | 1 |
| Office visit, new patient, level 4CPT 99204 | $120 | — | — | $247 | 1 |
| Office visit, new patient, level 5CPT 99205 | $151 | — | — | $339 | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $19 | $18 | 102% | ~$115 | 7 |
| Partial thromboplastin timeCPT 85730 | $15 | $6 | 243% | ~$182 | 6 |
| Physical therapy, therapeutic exerciseCPT 97110 | $53 | — | — | $50 | 19 |
| Preventive visit, new patient, 18-39CPT 99385 | $76 | — | — | $170 | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $102 | — | — | $170 | 1 |
| Prothrombin timeCPT 85610 | $4 | $4 | 100% | ~$76 | 6 |
| Psychotherapy, 30 minutesCPT 90832 | $480 | $222 | 217% | $94 | 8 |
| Psychotherapy, 45 minutesCPT 90834 | $480 | $222 | 217% | $169 | 10 |
| Screening mammography, bilateralCPT 77067 | $195 | — | — | ~$280 | 19 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,177 | — | — | $8,712 | 1 |
| Sleep study (polysomnography)CPT 95810 | $1,007 | $1,072 | 94% | $2,313 | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 99% | ~$112 | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,944 | $7,390 | 94% | $4,632 | 8 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,038 | $1,104 | 94% | $3,827 | 8 |
| Ultrasound, abdomen, completeCPT 76700 | $345 | $130 | 264% | ~$398 | 12 |
| Ultrasound, transvaginalCPT 76830 | $123 | $130 | 94% | ~$426 | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $905 | $1,132 | 80% | $2,218 | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,064 | $1,132 | 94% | $1,935 | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 102% | ~$37 | 7 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 100% | ~$32 | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $2 | $3 | 60% | ~$32 | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $123 | $130 | 94% | ~$382 | 12 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $645 | $687 | 94% | $720 | 8 |