| Basic metabolic panelCPT 80048 | $42 | $8 | 494% | — | 24 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,472 | $356 | 694% | — | 25 |
| CT head without contrastCPT 70450 | $1,706 | $107 | 1597% | — | 25 |
| CT pelvis with contrastCPT 72193 | $803 | $179 | 448% | — | 25 |
| Cardiac stress testCPT 93017 | $221 | $221 | 100% | — | 7 |
| Cataract surgery with IOL insertionCPT 66984 | $2,358 | $2,358 | 100% | — | 7 |
| Colonoscopy with biopsyCPT 45380 | $1,223 | $1,223 | 100% | — | 7 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,223 | $1,223 | 100% | — | 7 |
| Colonoscopy with polyp removalCPT 45385 | $1,223 | $1,223 | 100% | — | 7 |
| Colonoscopy, diagnosticCPT 45378 | $950 | $950 | 100% | — | 7 |
| Complete blood count with differentialCPT 85025 | $41 | $8 | 532% | — | 24 |
| Complete blood count, automatedCPT 85027 | $30 | $6 | 463% | — | 24 |
| Comprehensive metabolic panelCPT 80053 | $73 | $11 | 691% | — | 24 |
| Diagnostic mammography, both breastsCPT 77066 | $368 | — | — | — | 25 |
| Diagnostic mammography, one breastCPT 77065 | $230 | — | — | — | 25 |
| ED visit, level 3CPT 99283 | $564 | $279 | 202% | — | 25 |
| ED visit, level 4CPT 99284 | $753 | $426 | 177% | — | 25 |
| ED visit, level 5CPT 99285 | $941 | $608 | 155% | — | 25 |
| Echocardiogram, completeCPT 93306 | $661 | $558 | 118% | — | 25 |
| Electrocardiogram with interpretationCPT 93000 | $15 | — | — | — | 7 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $904 | $904 | 100% | — | 7 |
| Excision of breast lesionCPT 19120 | $4,000 | $4,000 | 100% | — | 7 |
| Family psychotherapy, with patientCPT 90847 | $213 | $181 | 117% | — | 25 |
| Family psychotherapy, without patientCPT 90846 | $205 | $181 | 113% | — | 25 |
| Group psychotherapyCPT 90853 | $58 | $104 | 55% | — | 25 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,658 | $3,658 | 100% | — | 7 |
| Kidney function panelCPT 80069 | $42 | $9 | 483% | — | 24 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,343 | $3,343 | 100% | — | 7 |
| Laparoscopic cholecystectomyCPT 47562 | $6,176 | $6,176 | 100% | — | 7 |
| Laparoscopic radical prostatectomyCPT 55866 | $10,860 | $10,860 | 100% | — | 7 |
| Left heart catheterization, diagnosticCPT 93452 | $3,312 | $3,312 | 100% | — | 7 |
| Lipid panelCPT 80061 | $54 | $13 | 405% | — | 24 |
| Liver function panelCPT 80076 | $56 | $8 | 689% | — | 24 |
| Lumbar epidural steroid injectionCPT 62323 | $721 | $721 | 100% | — | 7 |
| MRI brain with and without contrastCPT 70553 | $356 | $356 | 100% | — | 7 |
| MRI lower extremity joint (knee)CPT 73721 | $244 | $244 | 100% | — | 7 |
| MRI lumbar spine without contrastCPT 72148 | $244 | $244 | 100% | — | 7 |
| OB global care, VBAC deliveryCPT 59610 | $2,176 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $2,311 | — | — | — | 7 |
| OB global care, vaginal deliveryCPT 59400 | $2,079 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $454 | $107 | 425% | — | 25 |
| Obstetric blood test panelCPT 80055 | $44 | $48 | 93% | — | 12 |
| Office consultation, comprehensiveCPT 99244 | $156 | — | — | — | 6 |
| Office consultation, moderateCPT 99243 | $109 | — | — | — | 6 |
| Office visit, established patient, level 3CPT 99213 | $182 | — | — | — | 25 |
| Office visit, established patient, level 4CPT 99214 | $233 | — | — | — | 25 |
| Office visit, new patient, level 3CPT 99203 | $236 | — | — | — | 25 |
| Office visit, new patient, level 4CPT 99204 | $489 | — | — | — | 25 |
| Office visit, new patient, level 5CPT 99205 | $646 | — | — | — | 25 |
| PSA (prostate specific antigen), totalCPT 84153 | $72 | $18 | 392% | — | 24 |
| Partial thromboplastin timeCPT 85730 | $21 | $6 | 342% | — | 24 |
| Physical therapy, therapeutic exerciseCPT 97110 | $59 | — | — | — | 25 |
| Preventive visit, new patient, 18-39CPT 99385 | $196 | — | — | — | 24 |
| Preventive visit, new patient, 40-64CPT 99386 | $196 | — | — | — | 24 |
| Prostate biopsyCPT 55700 | $121 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $20 | $4 | 468% | — | 24 |
| Psychotherapy, 30 minutesCPT 90832 | $127 | $181 | 70% | — | 25 |
| Psychotherapy, 45 minutesCPT 90834 | $192 | $181 | 106% | — | 25 |
| Psychotherapy, 60 minutesCPT 90837 | $254 | $181 | 140% | — | 25 |
| Screening mammography, bilateralCPT 77067 | $235 | — | — | — | 25 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $140 | — | — | — | 7 |
| Sleep study (polysomnography)CPT 95810 | $877 | $877 | 100% | — | 7 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $66 | $17 | 391% | — | 24 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,048 | $6,048 | 100% | — | 7 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $904 | $904 | 100% | — | 7 |
| Ultrasound, abdomen, completeCPT 76700 | $412 | $107 | 386% | — | 25 |
| Ultrasound, transvaginalCPT 76830 | $424 | $107 | 397% | — | 25 |
| Upper GI endoscopy with biopsyCPT 43239 | $927 | $927 | 100% | — | 7 |
| Upper GI endoscopy, diagnosticCPT 43235 | $927 | $927 | 100% | — | 7 |
| Urinalysis, automated, with microscopyCPT 81001 | $27 | $3 | 841% | — | 24 |
| Urinalysis, automated, without microscopyCPT 81003 | $19 | $2 | 830% | — | 24 |
| Urinalysis, manual, with microscopyCPT 81000 | $27 | $4 | 677% | — | 24 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 279% | — | 24 |
| X-ray, lower back, 4+ viewsCPT 72110 | $330 | $107 | 309% | — | 25 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $562 | $562 | 100% | — | 7 |