| Basic metabolic panelCPT 80048 | $78 | $8 | 923% | ~$90 | 12 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,075 | $389 | 791% | ~$3,530 | 12 |
| CT head without contrastCPT 70450 | $1,009 | $116 | 866% | ~$1,158 | 12 |
| CT pelvis with contrastCPT 72193 | $1,706 | $195 | 873% | ~$1,958 | 12 |
| Cardiac stress testCPT 93017 | $385 | $241 | 160% | $420 | 12 |
| Colonoscopy with biopsyCPT 45380 | $1,409 | $1,333 | 106% | $1,617 | 12 |
| Colonoscopy with polyp removalCPT 45385 | $1,409 | $1,333 | 106% | $1,617 | 12 |
| Colonoscopy, diagnosticCPT 45378 | $1,078 | $1,036 | 104% | $1,237 | 12 |
| Complete blood count with differentialCPT 85025 | $66 | $8 | 843% | ~$75 | 12 |
| Complete blood count, automatedCPT 85027 | $55 | $6 | 858% | ~$64 | 12 |
| Comprehensive metabolic panelCPT 80053 | $129 | $11 | 1224% | ~$148 | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $391 | — | — | ~$426 | 12 |
| Diagnostic mammography, one breastCPT 77065 | $189 | — | — | ~$206 | 12 |
| ED visit, level 3CPT 99283 | $321 | $304 | 106% | $350 | 11 |
| ED visit, level 4CPT 99284 | $554 | $465 | 119% | $604 | 11 |
| ED visit, level 5CPT 99285 | $1,477 | $664 | 223% | $1,610 | 11 |
| Echocardiogram, completeCPT 93306 | $1,228 | $609 | 202% | $1,338 | 12 |
| Electrocardiogram with interpretationCPT 93000 | $26 | — | — | $19 | 10 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $689 | $986 | 70% | $328 | 10 |
| Excision of breast lesionCPT 19120 | $1,321 | $4,363 | 30% | $637 | 10 |
| Family psychotherapy, with patientCPT 90847 | $163 | $198 | 83% | $94 | 10 |
| Family psychotherapy, without patientCPT 90846 | $163 | $198 | 83% | $91 | 10 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,358 | $3,990 | 59% | $729 | 10 |
| Kidney function panelCPT 80069 | $55 | $9 | 631% | ~$63 | 12 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,225 | $3,646 | 61% | $1,072 | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $3,141 | $6,737 | 47% | $1,483 | 10 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,484 | $11,845 | 21% | $514 | 10 |
| Left heart catheterization, diagnosticCPT 93452 | $12,582 | $3,613 | 348% | $16,231 | 12 |
| Lipid panelCPT 80061 | $123 | $13 | 917% | ~$141 | 12 |
| Liver function panelCPT 80076 | $43 | $8 | 521% | ~$49 | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $436 | $787 | 55% | $210 | 12 |
| MRI brain with and without contrastCPT 70553 | $617 | $389 | 159% | ~$673 | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $398 | $266 | 150% | ~$434 | 12 |
| MRI lumbar spine without contrastCPT 72148 | $544 | $266 | 205% | ~$593 | 12 |
| OB global care, cesarean deliveryCPT 59510 | $3,028 | — | — | $1,902 | 8 |
| OB global care, vaginal deliveryCPT 59400 | $2,892 | — | — | $1,817 | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $398 | $116 | 342% | ~$434 | 12 |
| Obstetric blood test panelCPT 80055 | $57 | $48 | 119% | ~$62 | 12 |
| Office consultation, comprehensiveCPT 99244 | $173 | — | — | $91 | 5 |
| Office visit, established patient, level 3CPT 99213 | $222 | — | — | $148 | 9 |
| Office visit, established patient, level 4CPT 99214 | $233 | — | — | $155 | 9 |
| Office visit, new patient, level 3CPT 99203 | $189 | — | — | $127 | 9 |
| Office visit, new patient, level 4CPT 99204 | $238 | — | — | $125 | 9 |
| Office visit, new patient, level 5CPT 99205 | $223 | — | — | $140 | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $170 | $18 | 925% | ~$195 | 12 |
| Partial thromboplastin timeCPT 85730 | $38 | $6 | 631% | ~$44 | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $68 | — | — | $74 | 12 |
| Preventive visit, new patient, 18-39CPT 99385 | $200 | — | — | $105 | 5 |
| Preventive visit, new patient, 40-64CPT 99386 | $256 | — | — | $135 | 5 |
| Prothrombin timeCPT 85610 | $18 | $4 | 430% | ~$21 | 12 |
| Psychotherapy, 30 minutesCPT 90832 | $118 | $198 | 60% | $57 | 10 |
| Psychotherapy, 45 minutesCPT 90834 | $149 | $198 | 75% | $76 | 10 |
| Psychotherapy, 60 minutesCPT 90837 | $176 | $198 | 89% | $111 | 10 |
| Screening mammography, bilateralCPT 77067 | $197 | — | — | ~$215 | 12 |
| Sleep study (polysomnography)CPT 95810 | $2,841 | $957 | 297% | $3,366 | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $46 | $17 | 272% | ~$50 | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,189 | $6,597 | 18% | $270 | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $934 | $986 | 95% | $568 | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $434 | $116 | 373% | ~$473 | 12 |
| Ultrasound, transvaginalCPT 76830 | $303 | $116 | 260% | ~$331 | 12 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,098 | $1,011 | 109% | $1,261 | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,157 | $1,011 | 114% | $1,261 | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $21 | $3 | 666% | ~$24 | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $15 | $2 | 668% | ~$17 | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $51 | $3 | 1471% | ~$59 | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $897 | $116 | 770% | ~$1,030 | 12 |