| Basic metabolic panelCPT 80048 | $18 | $8 | 209% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,112 | $405 | 275% | — | 10 |
| CT head without contrastCPT 70450 | $318 | $121 | 262% | — | 10 |
| CT pelvis with contrastCPT 72193 | $624 | $204 | 306% | — | 10 |
| Cardiac stress testCPT 93017 | $832 | $251 | 332% | — | 9 |
| Cataract surgery with IOL insertionCPT 66984 | $8,085 | $2,680 | 302% | — | 10 |
| Colonoscopy with biopsyCPT 45380 | $4,666 | $1,390 | 336% | — | 10 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,666 | $1,390 | 336% | — | 10 |
| Colonoscopy with polyp removalCPT 45385 | $4,666 | $1,390 | 336% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $3,587 | $1,080 | 332% | — | 10 |
| Complete blood count with differentialCPT 85025 | $16 | $8 | 208% | — | 8 |
| Complete blood count, automatedCPT 85027 | $14 | $6 | 209% | — | 8 |
| Comprehensive metabolic panelCPT 80053 | $22 | $11 | 208% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $244 | — | — | — | 8 |
| Diagnostic mammography, one breastCPT 77065 | $190 | — | — | — | 8 |
| ED visit, level 3CPT 99283 | $907 | $317 | 286% | — | 8 |
| ED visit, level 4CPT 99284 | $1,396 | $485 | 288% | — | 8 |
| ED visit, level 5CPT 99285 | $2,005 | $692 | 290% | — | 8 |
| Echocardiogram, completeCPT 93306 | $1,474 | $635 | 232% | — | 9 |
| Electrocardiogram with interpretationCPT 93000 | $64 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,031 | $1,027 | 295% | — | 10 |
| Excision of breast lesionCPT 19120 | $10,697 | $4,547 | 235% | — | 10 |
| Family psychotherapy, with patientCPT 90847 | $537 | $206 | 261% | — | 8 |
| Family psychotherapy, without patientCPT 90846 | $537 | $206 | 261% | — | 8 |
| Group psychotherapyCPT 90853 | $316 | $118 | 267% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,028 | $4,158 | 265% | — | 10 |
| Kidney function panelCPT 80069 | $18 | $9 | 208% | — | 8 |
| Knee arthroscopy with meniscectomyCPT 29881 | $10,628 | $3,800 | 280% | — | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $17,045 | $7,020 | 243% | — | 10 |
| Laparoscopic radical prostatectomyCPT 55866 | $27,452 | $12,344 | 222% | — | 10 |
| Left heart catheterization, diagnosticCPT 93452 | $12,493 | $3,765 | 332% | — | 9 |
| Lipid panelCPT 80061 | $26 | $13 | 192% | — | 8 |
| Liver function panelCPT 80076 | $17 | $8 | 209% | — | 8 |
| Lumbar epidural steroid injectionCPT 62323 | $2,829 | $820 | 345% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $1,112 | $405 | 275% | — | 10 |
| MRI lower extremity joint (knee)CPT 73721 | $709 | $277 | 256% | — | 10 |
| MRI lumbar spine without contrastCPT 72148 | $709 | $277 | 256% | — | 10 |
| OB global care, VBAC deliveryCPT 59610 | $17,257 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $17,257 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $17,257 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $352 | $121 | 290% | — | 10 |
| Obstetric blood test panelCPT 80055 | $100 | $48 | 209% | — | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $38 | $18 | 208% | — | 8 |
| Partial thromboplastin timeCPT 85730 | $13 | $6 | 209% | — | 8 |
| Physical therapy, therapeutic exerciseCPT 97110 | $56 | — | — | — | 8 |
| Prostate biopsyCPT 55700 | $7,952 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $9 | $4 | 209% | — | 8 |
| Psychotherapy, 30 minutesCPT 90832 | $537 | $206 | 261% | — | 8 |
| Psychotherapy, 45 minutesCPT 90834 | $537 | $206 | 261% | — | 8 |
| Psychotherapy, 60 minutesCPT 90837 | $537 | $206 | 261% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $201 | — | — | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $9,244 | — | — | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $2,793 | $997 | 280% | — | 9 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $35 | $17 | 209% | — | 8 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $15,453 | $6,874 | 225% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,612 | $1,027 | 352% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $332 | $121 | 273% | — | 10 |
| Ultrasound, transvaginalCPT 76830 | $348 | $121 | 287% | — | 10 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,594 | $1,053 | 341% | — | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,594 | $1,053 | 341% | — | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 209% | — | 8 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 208% | — | 8 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 208% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 209% | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $318 | $121 | 262% | — | 10 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,251 | $639 | 352% | — | 10 |