| Basic metabolic panelCPT 80048 | $9 | $8 | 111% | ~$44 | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,039 | $350 | 297% | ~$1,561 | 16 |
| CT head without contrastCPT 70450 | $311 | $105 | 297% | ~$535 | 16 |
| CT pelvis with contrastCPT 72193 | $522 | $176 | 297% | ~$775 | 16 |
| Cardiac stress testCPT 93017 | $643 | $217 | 297% | $370 | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $6,872 | $2,315 | 297% | — | 1 |
| Complete blood count with differentialCPT 85025 | $9 | $8 | 111% | ~$37 | 16 |
| Complete blood count, automatedCPT 85027 | $7 | $6 | 111% | ~$29 | 16 |
| Comprehensive metabolic panelCPT 80053 | $12 | $11 | 111% | ~$51 | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $115 | — | — | ~$312 | 16 |
| Diagnostic mammography, one breastCPT 77065 | $90 | — | — | ~$241 | 16 |
| ED visit, level 3CPT 99283 | $795 | $274 | 290% | $331 | 16 |
| ED visit, level 4CPT 99284 | $1,243 | $419 | 297% | $747 | 16 |
| ED visit, level 5CPT 99285 | $1,773 | $597 | 297% | $1,073 | 16 |
| Echocardiogram, completeCPT 93306 | $1,627 | $548 | 297% | $1,147 | 16 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,788 | $887 | 201% | $713 | 16 |
| Family psychotherapy, with patientCPT 90847 | $469 | $178 | 263% | $196 | 14 |
| Family psychotherapy, without patientCPT 90846 | $472 | $178 | 265% | $199 | 14 |
| Group psychotherapyCPT 90853 | $269 | $102 | 264% | $116 | 16 |
| Kidney function panelCPT 80069 | $10 | $9 | 111% | ~$38 | 16 |
| Laparoscopic cholecystectomyCPT 47562 | $16,651 | $6,065 | 275% | — | 6 |
| Left heart catheterization, diagnosticCPT 93452 | $9,654 | $3,253 | 297% | $5,789 | 16 |
| Lipid panelCPT 80061 | $15 | $13 | 111% | ~$69 | 16 |
| Liver function panelCPT 80076 | $9 | $8 | 111% | ~$42 | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $1,788 | $708 | 252% | $713 | 16 |
| MRI brain with and without contrastCPT 70553 | $1,039 | $350 | 297% | ~$2,611 | 16 |
| MRI lower extremity joint (knee)CPT 73721 | $711 | $239 | 297% | ~$1,167 | 16 |
| MRI lumbar spine without contrastCPT 72148 | $711 | $239 | 297% | ~$1,305 | 16 |
| OB ultrasound, 14+ weeksCPT 76805 | $311 | $105 | 297% | ~$221 | 16 |
| Obstetric blood test panelCPT 80055 | $53 | $48 | 111% | ~$111 | 16 |
| Office consultation, comprehensiveCPT 99244 | $696 | — | — | $331 | 5 |
| Office consultation, moderateCPT 99243 | $479 | — | — | $227 | 5 |
| Office visit, established patient, level 3CPT 99213 | $93 | — | — | $81 | 13 |
| Office visit, established patient, level 4CPT 99214 | $133 | — | — | $122 | 13 |
| Office visit, new patient, level 3CPT 99203 | $115 | — | — | $154 | 13 |
| Office visit, new patient, level 4CPT 99204 | $174 | — | — | $221 | 13 |
| Office visit, new patient, level 5CPT 99205 | $231 | — | — | $288 | 13 |
| PSA (prostate specific antigen), totalCPT 84153 | $20 | $18 | 111% | ~$88 | 16 |
| Partial thromboplastin timeCPT 85730 | $7 | $6 | 111% | ~$28 | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $31 | — | — | $34 | 16 |
| Prostate biopsyCPT 55700 | $1,816 | — | — | $824 | 6 |
| Prothrombin timeCPT 85610 | $5 | $4 | 111% | ~$18 | 16 |
| Psychotherapy, 30 minutesCPT 90832 | $277 | $178 | 156% | $144 | 16 |
| Psychotherapy, 45 minutesCPT 90834 | $361 | $178 | 203% | $234 | 16 |
| Psychotherapy, 60 minutesCPT 90837 | $529 | $178 | 297% | $268 | 16 |
| Screening mammography, bilateralCPT 77067 | $95 | — | — | ~$256 | 16 |
| Sleep study (polysomnography)CPT 95810 | $2,557 | $862 | 297% | $1,420 | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $19 | $17 | 111% | ~$72 | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,315 | $887 | 148% | $525 | 16 |
| Ultrasound, abdomen, completeCPT 76700 | $311 | $105 | 297% | ~$345 | 16 |
| Ultrasound, transvaginalCPT 76830 | $311 | $105 | 297% | ~$233 | 16 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,618 | $910 | 178% | $646 | 16 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,265 | $910 | 249% | $904 | 16 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 111% | ~$26 | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 111% | ~$13 | 16 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 111% | ~$13 | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $290 | $105 | 277% | ~$120 | 16 |