| Basic metabolic panelCPT 80048 | $16 | $8 | 195% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,146 | $397 | 288% | — | 11 |
| CT head without contrastCPT 70450 | $328 | $119 | 275% | — | 11 |
| CT pelvis with contrastCPT 72193 | $547 | $200 | 274% | — | 11 |
| Cardiac stress testCPT 93017 | $783 | $246 | 318% | — | 10 |
| Cataract surgery with IOL insertionCPT 66984 | $6,943 | $2,628 | 264% | — | 11 |
| Colonoscopy with biopsyCPT 45380 | $3,516 | $1,363 | 258% | — | 11 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,516 | $1,363 | 258% | — | 11 |
| Colonoscopy with polyp removalCPT 45385 | $3,516 | $1,363 | 258% | — | 11 |
| Colonoscopy, diagnosticCPT 45378 | $2,886 | $1,059 | 273% | — | 11 |
| Complete blood count with differentialCPT 85025 | $15 | $8 | 195% | — | 9 |
| Complete blood count, automatedCPT 85027 | $13 | $6 | 195% | — | 9 |
| Comprehensive metabolic panelCPT 80053 | $21 | $11 | 195% | — | 9 |
| Diagnostic mammography, both breastsCPT 77066 | $350 | — | — | — | 9 |
| Diagnostic mammography, one breastCPT 77065 | $274 | — | — | — | 9 |
| ED visit, level 3CPT 99283 | $899 | $311 | 289% | — | 8 |
| ED visit, level 4CPT 99284 | $1,384 | $475 | 291% | — | 8 |
| ED visit, level 5CPT 99285 | $1,991 | $678 | 294% | — | 8 |
| Echocardiogram, completeCPT 93306 | $1,612 | $622 | 259% | — | 10 |
| Electrocardiogram with interpretationCPT 93000 | $23 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,716 | $1,007 | 270% | — | 11 |
| Excision of breast lesionCPT 19120 | $11,326 | $4,459 | 254% | — | 11 |
| Family psychotherapy, with patientCPT 90847 | $552 | $202 | 273% | — | 8 |
| Family psychotherapy, without patientCPT 90846 | $552 | $202 | 273% | — | 8 |
| Group psychotherapyCPT 90853 | $323 | $116 | 279% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $10,308 | $4,077 | 253% | — | 11 |
| Kidney function panelCPT 80069 | $17 | $9 | 195% | — | 9 |
| Knee arthroscopy with meniscectomyCPT 29881 | $9,464 | $3,726 | 254% | — | 11 |
| Laparoscopic cholecystectomyCPT 47562 | $17,487 | $6,885 | 254% | — | 11 |
| Laparoscopic radical prostatectomyCPT 55866 | $30,671 | $12,105 | 253% | — | 11 |
| Left heart catheterization, diagnosticCPT 93452 | $9,543 | $3,692 | 258% | — | 10 |
| Lipid panelCPT 80061 | $26 | $13 | 195% | — | 9 |
| Liver function panelCPT 80076 | $16 | $8 | 195% | — | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $2,192 | $804 | 273% | — | 11 |
| MRI brain with and without contrastCPT 70553 | $1,146 | $397 | 288% | — | 11 |
| MRI lower extremity joint (knee)CPT 73721 | $730 | $272 | 269% | — | 11 |
| MRI lumbar spine without contrastCPT 72148 | $730 | $272 | 269% | — | 11 |
| OB global care, VBAC deliveryCPT 59610 | $5,552 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $5,552 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $5,552 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $342 | $119 | 288% | — | 11 |
| Obstetric blood test panelCPT 80055 | $93 | $48 | 195% | — | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $36 | $18 | 195% | — | 9 |
| Partial thromboplastin timeCPT 85730 | $12 | $6 | 195% | — | 9 |
| Physical therapy, therapeutic exerciseCPT 97110 | $60 | — | — | — | 9 |
| Prostate biopsyCPT 55700 | $6,069 | — | — | — | 7 |
| Prothrombin timeCPT 85610 | $8 | $4 | 195% | — | 9 |
| Psychotherapy, 30 minutesCPT 90832 | $552 | $202 | 273% | — | 8 |
| Psychotherapy, 45 minutesCPT 90834 | $552 | $202 | 273% | — | 8 |
| Psychotherapy, 60 minutesCPT 90837 | $552 | $202 | 273% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $289 | — | — | — | 9 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,210 | — | — | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $3,048 | $978 | 312% | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $33 | $17 | 195% | — | 9 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $17,123 | $6,742 | 254% | — | 11 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,716 | $1,007 | 270% | — | 11 |
| Ultrasound, abdomen, completeCPT 76700 | $328 | $119 | 275% | — | 11 |
| Ultrasound, transvaginalCPT 76830 | $342 | $119 | 288% | — | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,886 | $1,033 | 279% | — | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,701 | $1,033 | 261% | — | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 195% | — | 9 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 195% | — | 9 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 195% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 195% | — | 9 |
| X-ray, lower back, 4+ viewsCPT 72110 | $328 | $119 | 275% | — | 11 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,225 | $626 | 355% | — | 11 |