| Basic metabolic panelCPT 80048 | $75 | $8 | 882% | ~$33 | 56 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,111 | $389 | 543% | ~$932 | 56 |
| CT head without contrastCPT 70450 | $702 | $116 | 602% | ~$310 | 56 |
| CT pelvis with contrastCPT 72193 | $1,339 | $195 | 685% | ~$591 | 56 |
| Cardiac stress testCPT 93017 | $376 | $241 | 156% | $166 | 56 |
| Colonoscopy with biopsyCPT 45380 | $265 | $1,333 | 20% | $366 | 42 |
| Colonoscopy with polyp removalCPT 45385 | $337 | $1,333 | 25% | $384 | 42 |
| Colonoscopy, diagnosticCPT 45378 | $245 | $1,036 | 24% | $285 | 42 |
| Complete blood count with differentialCPT 85025 | $90 | $8 | 1161% | ~$40 | 56 |
| Complete blood count, automatedCPT 85027 | $75 | $6 | 1153% | ~$33 | 56 |
| Comprehensive metabolic panelCPT 80053 | $96 | $11 | 909% | ~$42 | 56 |
| Diagnostic mammography, both breastsCPT 77066 | $228 | — | — | ~$101 | 56 |
| Diagnostic mammography, one breastCPT 77065 | $204 | — | — | ~$90 | 56 |
| ED visit, level 3CPT 99283 | $678 | $304 | 223% | $299 | 56 |
| ED visit, level 4CPT 99284 | $1,025 | $465 | 220% | $412 | 16 |
| Echocardiogram, completeCPT 93306 | $330 | $609 | 54% | $146 | 56 |
| Electrocardiogram with interpretationCPT 93000 | $69 | — | — | $28 | 56 |
| Excision of breast lesionCPT 19120 | $563 | $4,363 | 13% | $493 | 42 |
| Inguinal hernia repair, age 5+CPT 49505 | $709 | $3,990 | 18% | $451 | 42 |
| Kidney function panelCPT 80069 | $53 | $9 | 614% | ~$24 | 56 |
| Knee arthroscopy with meniscectomyCPT 29881 | $730 | $3,646 | 20% | $882 | 42 |
| Laparoscopic cholecystectomyCPT 47562 | $895 | $6,737 | 13% | $651 | 42 |
| Lipid panelCPT 80061 | $132 | $13 | 986% | ~$58 | 56 |
| Liver function panelCPT 80076 | $72 | $8 | 883% | ~$32 | 56 |
| Lumbar epidural steroid injectionCPT 62323 | $132 | $787 | 17% | $220 | 42 |
| MRI brain with and without contrastCPT 70553 | $1,836 | $389 | 472% | ~$811 | 56 |
| MRI lower extremity joint (knee)CPT 73721 | $1,146 | $266 | 431% | ~$506 | 56 |
| MRI lumbar spine without contrastCPT 72148 | $1,176 | $266 | 442% | ~$519 | 56 |
| OB global care, VBAC deliveryCPT 59610 | $4,985 | — | — | $2,005 | 16 |
| OB global care, cesarean deliveryCPT 59510 | $5,287 | — | — | $2,126 | 16 |
| OB global care, vaginal deliveryCPT 59400 | $4,786 | — | — | $1,925 | 16 |
| OB ultrasound, 14+ weeksCPT 76805 | $433 | $116 | 371% | ~$191 | 56 |
| Obstetric blood test panelCPT 80055 | $67 | $48 | 140% | ~$29 | 39 |
| Office consultation, moderateCPT 99243 | $235 | — | — | $94 | 16 |
| Office visit, established patient, level 3CPT 99213 | $115 | — | — | $63 | 42 |
| Office visit, established patient, level 4CPT 99214 | $162 | — | — | $93 | 42 |
| Office visit, new patient, level 3CPT 99203 | $142 | — | — | $94 | 42 |
| Office visit, new patient, level 4CPT 99204 | $211 | — | — | $136 | 42 |
| Office visit, new patient, level 5CPT 99205 | $280 | — | — | $151 | 42 |
| PSA (prostate specific antigen), totalCPT 84153 | $170 | $18 | 923% | ~$75 | 56 |
| Partial thromboplastin timeCPT 85730 | $68 | $6 | 1132% | ~$30 | 56 |
| Physical therapy, therapeutic exerciseCPT 97110 | $201 | — | — | $89 | 56 |
| Preventive visit, new patient, 18-39CPT 99385 | $191 | — | — | $93 | 42 |
| Preventive visit, new patient, 40-64CPT 99386 | $221 | — | — | $109 | 42 |
| Prostate biopsyCPT 55700 | $327 | — | — | $220 | 42 |
| Prothrombin timeCPT 85610 | $34 | $4 | 784% | ~$15 | 56 |
| Psychotherapy, 30 minutesCPT 90832 | $89 | $198 | 45% | $58 | 42 |
| Psychotherapy, 45 minutesCPT 90834 | $117 | $198 | 59% | $77 | 42 |
| Psychotherapy, 60 minutesCPT 90837 | $172 | $198 | 87% | $118 | 42 |
| Screening mammography, bilateralCPT 77067 | $382 | — | — | ~$169 | 56 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $231 | — | — | $152 | 42 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $86 | $17 | 512% | ~$38 | 56 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $148 | $986 | 15% | $199 | 42 |
| Ultrasound, abdomen, completeCPT 76700 | $396 | $116 | 340% | ~$175 | 56 |
| Ultrasound, transvaginalCPT 76830 | $460 | $116 | 395% | ~$203 | 56 |
| Upper GI endoscopy with biopsyCPT 43239 | $183 | $1,011 | 18% | $316 | 42 |
| Upper GI endoscopy, diagnosticCPT 43235 | $163 | $1,011 | 16% | $236 | 42 |
| Urinalysis, automated, with microscopyCPT 81001 | $31 | $3 | 983% | ~$14 | 56 |
| Urinalysis, automated, without microscopyCPT 81003 | $22 | $2 | 984% | ~$10 | 56 |
| Urinalysis, manual, without microscopyCPT 81002 | $31 | $3 | 895% | ~$14 | 56 |
| X-ray, lower back, 4+ viewsCPT 72110 | $273 | $116 | 234% | ~$120 | 56 |