| Basic metabolic panelCPT 80048 | $41 | $8 | 484% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,218 | $356 | 622% | — | 16 |
| CT head without contrastCPT 70450 | $721 | $107 | 675% | — | 16 |
| CT pelvis with contrastCPT 72193 | $1,107 | $179 | 618% | — | 16 |
| Cardiac stress testCPT 93017 | $857 | $221 | 389% | — | 16 |
| Complete blood count with differentialCPT 85025 | $34 | $8 | 441% | — | 16 |
| Complete blood count, automatedCPT 85027 | $27 | $6 | 416% | — | 16 |
| Comprehensive metabolic panelCPT 80053 | $47 | $11 | 447% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $401 | — | — | — | 16 |
| Diagnostic mammography, one breastCPT 77065 | $310 | — | — | — | 16 |
| ED visit, level 3CPT 99283 | $768 | $279 | 275% | — | 16 |
| ED visit, level 4CPT 99284 | $1,732 | $426 | 406% | — | 16 |
| ED visit, level 5CPT 99285 | $2,486 | $608 | 409% | — | 16 |
| Echocardiogram, completeCPT 93306 | $2,658 | $558 | 476% | — | 16 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,654 | $904 | 183% | — | 16 |
| Kidney function panelCPT 80069 | $35 | $9 | 399% | — | 16 |
| Lipid panelCPT 80061 | $63 | $13 | 474% | — | 16 |
| Liver function panelCPT 80076 | $39 | $8 | 478% | — | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $1,654 | $721 | 229% | — | 16 |
| MRI brain with and without contrastCPT 70553 | $3,353 | $356 | 941% | — | 16 |
| MRI lower extremity joint (knee)CPT 73721 | $1,601 | $244 | 657% | — | 16 |
| MRI lumbar spine without contrastCPT 72148 | $1,717 | $244 | 705% | — | 16 |
| OB ultrasound, 14+ weeksCPT 76805 | $513 | $107 | 481% | — | 16 |
| Obstetric blood test panelCPT 80055 | $103 | $48 | 215% | — | 16 |
| Office visit, established patient, level 3CPT 99213 | $115 | — | — | — | 16 |
| Office visit, established patient, level 4CPT 99214 | $170 | — | — | — | 16 |
| Office visit, new patient, level 3CPT 99203 | $198 | — | — | — | 16 |
| Office visit, new patient, level 4CPT 99204 | $284 | — | — | — | 16 |
| PSA (prostate specific antigen), totalCPT 84153 | $148 | $18 | 807% | — | 16 |
| Partial thromboplastin timeCPT 85730 | $25 | $6 | 423% | — | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $44 | — | — | — | 16 |
| Prothrombin timeCPT 85610 | $17 | $4 | 395% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $233 | — | — | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $3,293 | $877 | 375% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $67 | $17 | 397% | — | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,216 | $904 | 135% | — | 16 |
| Ultrasound, abdomen, completeCPT 76700 | $561 | $107 | 525% | — | 16 |
| Ultrasound, transvaginalCPT 76830 | $537 | $107 | 503% | — | 16 |
| Urinalysis, automated, with microscopyCPT 81001 | $24 | $3 | 768% | — | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $12 | $2 | 524% | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $278 | $107 | 261% | — | 16 |