| Basic metabolic panelCPT 80048 | $161 | $8 | 1902% | — | 13 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,040 | $356 | 572% | — | 13 |
| CT head without contrastCPT 70450 | $904 | $107 | 846% | — | 13 |
| CT pelvis with contrastCPT 72193 | $1,098 | $179 | 613% | — | 13 |
| Cardiac stress testCPT 93017 | $984 | $221 | 446% | — | 12 |
| Cataract surgery with IOL insertionCPT 66984 | $2,100 | $2,358 | 89% | — | 12 |
| Colonoscopy with biopsyCPT 45380 | $652 | $1,223 | 53% | — | 12 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $382 | $1,223 | 31% | — | 12 |
| Colonoscopy with polyp removalCPT 45385 | $770 | $1,223 | 63% | — | 12 |
| Colonoscopy, diagnosticCPT 45378 | $580 | $950 | 61% | — | 12 |
| Complete blood count with differentialCPT 85025 | $108 | $8 | 1384% | — | 13 |
| Complete blood count, automatedCPT 85027 | $74 | $6 | 1137% | — | 13 |
| Comprehensive metabolic panelCPT 80053 | $252 | $11 | 2382% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $330 | — | — | — | 13 |
| Diagnostic mammography, one breastCPT 77065 | $262 | — | — | — | 13 |
| ED visit, level 3CPT 99283 | $292 | $279 | 105% | — | 12 |
| ED visit, level 4CPT 99284 | $431 | $426 | 101% | — | 12 |
| ED visit, level 5CPT 99285 | $635 | $608 | 104% | — | 12 |
| Echocardiogram, completeCPT 93306 | $217 | $558 | 39% | — | 12 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $355 | $904 | 39% | — | 12 |
| Excision of breast lesionCPT 19120 | $726 | $4,000 | 18% | — | 12 |
| Family psychotherapy, with patientCPT 90847 | $126 | $181 | 69% | — | 12 |
| Family psychotherapy, without patientCPT 90846 | $107 | $181 | 59% | — | 12 |
| Group psychotherapyCPT 90853 | $42 | $104 | 40% | — | 12 |
| Inguinal hernia repair, age 5+CPT 49505 | $840 | $3,658 | 23% | — | 12 |
| Kidney function panelCPT 80069 | $193 | $9 | 2219% | — | 13 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,729 | $3,343 | 52% | — | 12 |
| Laparoscopic cholecystectomyCPT 47562 | $1,260 | $6,176 | 20% | — | 12 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,408 | $10,860 | 22% | — | 12 |
| Left heart catheterization, diagnosticCPT 93452 | $990 | $3,312 | 30% | — | 12 |
| Lipid panelCPT 80061 | $234 | $13 | 1746% | — | 13 |
| Liver function panelCPT 80076 | $143 | $8 | 1749% | — | 13 |
| Lumbar epidural steroid injectionCPT 62323 | $406 | $721 | 56% | — | 12 |
| MRI brain with and without contrastCPT 70553 | $1,759 | $356 | 493% | — | 13 |
| MRI lower extremity joint (knee)CPT 73721 | $1,406 | $244 | 577% | — | 13 |
| MRI lumbar spine without contrastCPT 72148 | $1,309 | $244 | 537% | — | 13 |
| OB global care, VBAC deliveryCPT 59610 | $2,562 | — | — | — | 12 |
| OB global care, cesarean deliveryCPT 59510 | $2,711 | — | — | — | 12 |
| OB global care, vaginal deliveryCPT 59400 | $2,438 | — | — | — | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $364 | $107 | 341% | — | 13 |
| Office visit, established patient, level 3CPT 99213 | $65 | — | — | — | 12 |
| Office visit, established patient, level 4CPT 99214 | $83 | — | — | — | 12 |
| Office visit, new patient, level 3CPT 99203 | $126 | — | — | — | 12 |
| Office visit, new patient, level 4CPT 99204 | $190 | — | — | — | 12 |
| Office visit, new patient, level 5CPT 99205 | $239 | — | — | — | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $129 | $18 | 700% | — | 13 |
| Partial thromboplastin timeCPT 85730 | $77 | $6 | 1285% | — | 13 |
| Physical therapy, therapeutic exerciseCPT 97110 | $89 | — | — | — | 12 |
| Preventive visit, new patient, 18-39CPT 99385 | $77 | — | — | — | 12 |
| Preventive visit, new patient, 40-64CPT 99386 | $86 | — | — | — | 12 |
| Prostate biopsyCPT 55700 | $312 | — | — | — | 12 |
| Prothrombin timeCPT 85610 | $63 | $4 | 1463% | — | 13 |
| Psychotherapy, 30 minutesCPT 90832 | $73 | $181 | 40% | — | 12 |
| Psychotherapy, 45 minutesCPT 90834 | $106 | $181 | 59% | — | 12 |
| Psychotherapy, 60 minutesCPT 90837 | $157 | $181 | 87% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $286 | — | — | — | 13 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,694 | — | — | — | 12 |
| Sleep study (polysomnography)CPT 95810 | $667 | $877 | 76% | — | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $190 | $17 | 1130% | — | 13 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $500 | $6,048 | 8% | — | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $408 | $904 | 45% | — | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $616 | $107 | 576% | — | 13 |
| Ultrasound, transvaginalCPT 76830 | $414 | $107 | 388% | — | 13 |
| Upper GI endoscopy with biopsyCPT 43239 | $535 | $927 | 58% | — | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $439 | $927 | 47% | — | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $70 | $3 | 2208% | — | 13 |
| Urinalysis, automated, without microscopyCPT 81003 | $48 | $2 | 2117% | — | 13 |
| X-ray, lower back, 4+ viewsCPT 72110 | $330 | $107 | 309% | — | 13 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $770 | $562 | 137% | — | 12 |