| Basic metabolic panelCPT 80048 | $52 | $8 | 615% | ~$24 | 12 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,950 | $389 | 759% | ~$1,351 | 12 |
| CT head without contrastCPT 70450 | $1,424 | $116 | 1222% | ~$652 | 12 |
| CT pelvis with contrastCPT 72193 | $2,325 | $195 | 1190% | ~$1,065 | 12 |
| Cardiac stress testCPT 93017 | $779 | $241 | 324% | $357 | 12 |
| Colonoscopy with biopsyCPT 45380 | $5,300 | $1,333 | 397% | $2,427 | 12 |
| Colonoscopy with polyp removalCPT 45385 | $5,300 | $1,333 | 397% | $2,427 | 12 |
| Colonoscopy, diagnosticCPT 45378 | $3,600 | $1,036 | 347% | $1,649 | 12 |
| Complete blood count with differentialCPT 85025 | $47 | $8 | 605% | ~$22 | 12 |
| Complete blood count, automatedCPT 85027 | $38 | $6 | 587% | ~$17 | 12 |
| Comprehensive metabolic panelCPT 80053 | $68 | $11 | 644% | ~$31 | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $425 | — | — | ~$195 | 12 |
| Diagnostic mammography, one breastCPT 77065 | $415 | — | — | ~$190 | 12 |
| ED visit, level 3CPT 99283 | $913 | $304 | 300% | $418 | 12 |
| ED visit, level 4CPT 99284 | $1,291 | $465 | 278% | $591 | 12 |
| ED visit, level 5CPT 99285 | $1,663 | $664 | 251% | $762 | 12 |
| Echocardiogram, completeCPT 93306 | $1,976 | $609 | 325% | $905 | 12 |
| Electrocardiogram with interpretationCPT 93000 | $144 | — | — | $66 | 12 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,406 | $986 | 143% | $644 | 12 |
| Excision of breast lesionCPT 19120 | $10,500 | $4,363 | 241% | $4,809 | 12 |
| Inguinal hernia repair, age 5+CPT 49505 | $14,500 | $3,990 | 363% | $6,641 | 12 |
| Kidney function panelCPT 80069 | $60 | $9 | 691% | ~$27 | 12 |
| Knee arthroscopy with meniscectomyCPT 29881 | $10,500 | $3,646 | 288% | $4,809 | 12 |
| Laparoscopic cholecystectomyCPT 47562 | $21,100 | $6,737 | 313% | $9,664 | 12 |
| Lipid panelCPT 80061 | $76 | $13 | 568% | ~$35 | 12 |
| Liver function panelCPT 80076 | $49 | $8 | 600% | ~$22 | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $1,406 | $787 | 179% | $644 | 12 |
| MRI brain with and without contrastCPT 70553 | $3,940 | $389 | 1013% | ~$1,805 | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $2,095 | $266 | 788% | ~$960 | 12 |
| MRI lumbar spine without contrastCPT 72148 | $2,516 | $266 | 946% | ~$1,152 | 12 |
| OB global care, VBAC deliveryCPT 59610 | $6,337 | — | — | $2,902 | 12 |
| OB global care, cesarean deliveryCPT 59510 | $6,721 | — | — | $3,078 | 12 |
| OB global care, vaginal deliveryCPT 59400 | $6,044 | — | — | $2,768 | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $885 | $116 | 760% | ~$405 | 12 |
| Office visit, established patient, level 3CPT 99213 | $198 | — | — | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $113 | $18 | 614% | ~$52 | 12 |
| Partial thromboplastin timeCPT 85730 | $29 | $6 | 483% | ~$13 | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $115 | — | — | $53 | 12 |
| Preventive visit, new patient, 18-39CPT 99385 | $419 | — | — | $192 | 12 |
| Preventive visit, new patient, 40-64CPT 99386 | $454 | — | — | $208 | 12 |
| Prothrombin timeCPT 85610 | $38 | $4 | 886% | ~$17 | 12 |
| Psychotherapy, 30 minutesCPT 90832 | $135 | $198 | 68% | $62 | 12 |
| Psychotherapy, 45 minutesCPT 90834 | $135 | $198 | 68% | $62 | 12 |
| Psychotherapy, 60 minutesCPT 90837 | $135 | $198 | 68% | $62 | 12 |
| Screening mammography, bilateralCPT 77067 | $345 | — | — | ~$158 | 12 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $21,900 | — | — | $10,030 | 12 |
| Sleep study (polysomnography)CPT 95810 | $3,690 | $957 | 386% | $1,690 | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $63 | $17 | 375% | ~$29 | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,754 | $986 | 178% | $803 | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $1,025 | $116 | 880% | ~$469 | 12 |
| Ultrasound, transvaginalCPT 76830 | $540 | $116 | 464% | ~$247 | 12 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,000 | $1,011 | 396% | $1,832 | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,550 | $1,011 | 351% | $1,626 | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $32 | $3 | 1009% | ~$15 | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $19 | $2 | 844% | ~$9 | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $18 | $3 | 517% | ~$8 | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $538 | $116 | 462% | ~$246 | 12 |