| Basic metabolic panelCPT 80048 | $12 | $8 | 136% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,500 | $340 | 734% | — | 4 |
| CT head without contrastCPT 70450 | $640 | $102 | 627% | — | 4 |
| CT pelvis with contrastCPT 72193 | $770 | $171 | 450% | — | 4 |
| Cardiac stress testCPT 93017 | $911 | $211 | 432% | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $10,605 | $2,252 | 471% | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $4,809 | $1,168 | 412% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,809 | $1,168 | 412% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $4,809 | $1,168 | 412% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $4,320 | $907 | 476% | — | 4 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 136% | — | 4 |
| Complete blood count, automatedCPT 85027 | $9 | $6 | 136% | — | 4 |
| Comprehensive metabolic panelCPT 80053 | $14 | $11 | 136% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $508 | — | — | — | 2 |
| Diagnostic mammography, one breastCPT 77065 | $407 | — | — | — | 2 |
| ED visit, level 3CPT 99283 | $982 | $266 | 369% | — | 2 |
| ED visit, level 4CPT 99284 | $1,501 | $407 | 369% | — | 2 |
| ED visit, level 5CPT 99285 | $2,142 | $581 | 369% | — | 2 |
| Echocardiogram, completeCPT 93306 | $1,581 | $533 | 297% | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,373 | $863 | 391% | — | 4 |
| Excision of breast lesionCPT 19120 | $13,955 | $3,820 | 365% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $15,165 | $3,493 | 434% | — | 4 |
| Kidney function panelCPT 80069 | $12 | $9 | 136% | — | 4 |
| Knee arthroscopy with meniscectomyCPT 29881 | $14,599 | $3,192 | 457% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $24,365 | $5,899 | 413% | — | 4 |
| Laparoscopic radical prostatectomyCPT 55866 | $36,374 | $10,371 | 351% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $16,770 | $3,163 | 530% | — | 4 |
| Lipid panelCPT 80061 | $18 | $13 | 136% | — | 4 |
| Liver function panelCPT 80076 | $11 | $8 | 136% | — | 4 |
| Lumbar epidural steroid injectionCPT 62323 | $3,045 | $689 | 442% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $1,585 | $340 | 466% | — | 4 |
| MRI lower extremity joint (knee)CPT 73721 | $1,159 | $233 | 498% | — | 4 |
| MRI lumbar spine without contrastCPT 72148 | $1,232 | $233 | 529% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $483 | $102 | 474% | — | 4 |
| Obstetric blood test panelCPT 80055 | $60 | $48 | 125% | — | 4 |
| Office visit, established patient, level 3CPT 99213 | $64 | — | — | — | 2 |
| Office visit, established patient, level 4CPT 99214 | $99 | — | — | — | 2 |
| Office visit, new patient, level 3CPT 99203 | $96 | — | — | — | 2 |
| Office visit, new patient, level 4CPT 99204 | $163 | — | — | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $25 | $18 | 136% | — | 4 |
| Partial thromboplastin timeCPT 85730 | $8 | $6 | 136% | — | 4 |
| Physical therapy, therapeutic exerciseCPT 97110 | $41 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $5,508 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $6 | $4 | 129% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $259 | — | — | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,504 | — | — | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $2,470 | $838 | 295% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $23 | $17 | 136% | — | 4 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $17,486 | $5,776 | 303% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,373 | $863 | 391% | — | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $458 | $102 | 449% | — | 4 |
| Ultrasound, transvaginalCPT 76830 | $374 | $102 | 367% | — | 4 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,278 | $885 | 483% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,278 | $885 | 483% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 136% | — | 4 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 136% | — | 4 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 118% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 113% | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $421 | $102 | 413% | — | 4 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,759 | $537 | 514% | — | 4 |