| Basic metabolic panelCPT 80048 | $68 | $8 | 798% | ~$25 | 11 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,459 | $397 | 367% | ~$1,159 | 11 |
| CT head without contrastCPT 70450 | $708 | $119 | 594% | ~$428 | 11 |
| CT pelvis with contrastCPT 72193 | $1,094 | $200 | 548% | ~$732 | 11 |
| Cardiac stress testCPT 93017 | $942 | $246 | 383% | $325 | 11 |
| Cellulitis, no MCCMS-DRG 603 | $12,382 | $5,675 | 218% | $6,727 | 1 |
| Chest painMS-DRG 313 | $8,339 | — | — | $6,246 | 1 |
| Colonoscopy with biopsyCPT 45380 | $1,276 | $1,363 | 94% | $391 | 11 |
| Colonoscopy with polyp removalCPT 45385 | $1,887 | $1,363 | 138% | $626 | 11 |
| Colonoscopy, diagnosticCPT 45378 | $1,568 | $1,059 | 148% | $541 | 11 |
| Complete blood count with differentialCPT 85025 | $81 | $8 | 1042% | ~$30 | 11 |
| Complete blood count, automatedCPT 85027 | $52 | $6 | 811% | ~$19 | 11 |
| Comprehensive metabolic panelCPT 80053 | $86 | $11 | 810% | ~$31 | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $374 | — | — | ~$140 | 10 |
| Diagnostic mammography, one breastCPT 77065 | $369 | — | — | ~$131 | 10 |
| ED visit, level 3CPT 99283 | $913 | $311 | 294% | $328 | 11 |
| ED visit, level 4CPT 99284 | $1,588 | $475 | 334% | $585 | 11 |
| ED visit, level 5CPT 99285 | $2,437 | $678 | 359% | $983 | 11 |
| Echocardiogram, completeCPT 93306 | $1,875 | $622 | 301% | $651 | 11 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $19,369 | $4,899 | 395% | $11,251 | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,948 | $5,238 | 152% | $8,400 | 1 |
| Kidney function panelCPT 80069 | $78 | $9 | 901% | ~$29 | 10 |
| Lipid panelCPT 80061 | $97 | $13 | 721% | ~$37 | 11 |
| Liver function panelCPT 80076 | $71 | $8 | 871% | ~$27 | 11 |
| Lumbar epidural steroid injectionCPT 62323 | $1,386 | $804 | 172% | $478 | 11 |
| MRI brain with and without contrastCPT 70553 | $1,948 | $397 | 490% | ~$1,162 | 11 |
| MRI lower extremity joint (knee)CPT 73721 | $1,252 | $272 | 461% | ~$769 | 11 |
| MRI lumbar spine without contrastCPT 72148 | $1,252 | $272 | 461% | ~$814 | 11 |
| OB ultrasound, 14+ weeksCPT 76805 | $417 | $119 | 350% | ~$272 | 11 |
| Office consultation, moderateCPT 99243 | $213 | — | — | $73 | 9 |
| Office visit, established patient, level 3CPT 99213 | $213 | — | — | $73 | 8 |
| Office visit, established patient, level 4CPT 99214 | $246 | — | — | $85 | 8 |
| Office visit, new patient, level 3CPT 99203 | $246 | — | — | $85 | 8 |
| Office visit, new patient, level 4CPT 99204 | $306 | — | — | $106 | 8 |
| Office visit, new patient, level 5CPT 99205 | $392 | — | — | $135 | 7 |
| PSA (prostate specific antigen), totalCPT 84153 | $108 | $18 | 588% | ~$41 | 11 |
| Partial thromboplastin timeCPT 85730 | $60 | $6 | 995% | ~$22 | 10 |
| Physical therapy, therapeutic exerciseCPT 97110 | $100 | — | — | $36 | 10 |
| Prostate biopsyCPT 55700 | $3,306 | — | — | $1,141 | 11 |
| Prothrombin timeCPT 85610 | $42 | $4 | 979% | ~$15 | 11 |
| Screening mammography, bilateralCPT 77067 | $555 | — | — | ~$208 | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $128 | $17 | 759% | ~$47 | 11 |
| Ultrasound, abdomen, completeCPT 76700 | $417 | $119 | 350% | ~$247 | 11 |
| Ultrasound, transvaginalCPT 76830 | $417 | $119 | 350% | ~$190 | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,225 | $1,033 | 119% | $376 | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,180 | $1,033 | 114% | $362 | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $49 | $3 | 1538% | ~$18 | 11 |
| Urinalysis, automated, without microscopyCPT 81003 | $40 | $2 | 1800% | ~$15 | 11 |
| Urinalysis, manual, with microscopyCPT 81000 | $41 | $4 | 1028% | ~$15 | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $28 | $3 | 806% | ~$10 | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $417 | $119 | 350% | ~$230 | 11 |