| Basic metabolic panelCPT 80048 | $97 | $8 | 1144% | — | 3 |
| COPD with MCCMS-DRG 190 | $103 | $7,377 | 1% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,462 | $356 | 971% | — | 19 |
| CT head without contrastCPT 70450 | $487 | $107 | 456% | — | 2 |
| CT pelvis with contrastCPT 72193 | $145 | $179 | 81% | — | 1 |
| Cardiac stress testCPT 93017 | $22 | $221 | 10% | — | 1 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $309 | — | — | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $315 | $2,358 | 13% | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $675 | $1,223 | 55% | — | 19 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $146 | $1,223 | 12% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $854 | $1,223 | 70% | — | 19 |
| Colonoscopy, diagnosticCPT 45378 | $636 | $950 | 67% | — | 19 |
| Complete blood count with differentialCPT 85025 | $128 | $8 | 1642% | — | 19 |
| Complete blood count, automatedCPT 85027 | $124 | $6 | 1913% | — | 19 |
| Comprehensive metabolic panelCPT 80053 | $198 | $11 | 1879% | — | 19 |
| Diagnostic mammography, both breastsCPT 77066 | $95 | — | — | — | 1 |
| Diagnostic mammography, one breastCPT 77065 | $76 | — | — | — | 1 |
| ED visit, level 3CPT 99283 | $628 | $279 | 225% | — | 19 |
| ED visit, level 4CPT 99284 | $1,242 | $426 | 291% | — | 19 |
| ED visit, level 5CPT 99285 | $1,983 | $608 | 326% | — | 19 |
| Echocardiogram, completeCPT 93306 | $642 | $558 | 115% | — | 3 |
| Electrocardiogram with interpretationCPT 93000 | $199 | — | — | — | 19 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $286 | $904 | 32% | — | 19 |
| Excision of breast lesionCPT 19120 | $1,355 | $4,000 | 34% | — | 19 |
| Family psychotherapy, with patientCPT 90847 | $70 | $181 | 39% | — | 1 |
| Family psychotherapy, without patientCPT 90846 | $67 | $181 | 37% | — | 1 |
| Group psychotherapyCPT 90853 | $19 | $104 | 18% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,710 | $3,658 | 47% | — | 19 |
| Kidney function panelCPT 80069 | $320 | $9 | 3691% | — | 19 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,781 | $3,343 | 53% | — | 19 |
| Laparoscopic cholecystectomyCPT 47562 | $2,162 | $6,176 | 35% | — | 19 |
| Laparoscopic radical prostatectomyCPT 55866 | $677 | $10,860 | 6% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $542 | $3,312 | 16% | — | 1 |
| Lipid panelCPT 80061 | $158 | $13 | 1179% | — | 19 |
| Liver function panelCPT 80076 | $199 | $8 | 2441% | — | 19 |
| Lumbar epidural steroid injectionCPT 62323 | $383 | $721 | 53% | — | 19 |
| MRI brain with and without contrastCPT 70553 | $200 | $356 | 56% | — | 1 |
| MRI lower extremity joint (knee)CPT 73721 | $650 | $244 | 267% | — | 2 |
| MRI lumbar spine without contrastCPT 72148 | $120 | $244 | 49% | — | 1 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $123 | $13,045 | 1% | — | 1 |
| OB global care, VBAC deliveryCPT 59610 | $7,156 | — | — | — | 19 |
| OB global care, cesarean deliveryCPT 59510 | $7,540 | — | — | — | 19 |
| OB global care, vaginal deliveryCPT 59400 | $6,804 | — | — | — | 19 |
| OB ultrasound, 14+ weeksCPT 76805 | $347 | $107 | 325% | — | 2 |
| Obstetric blood test panelCPT 80055 | $46 | $48 | 97% | — | 1 |
| Office consultation, comprehensiveCPT 99244 | $1,201 | — | — | — | 19 |
| Office consultation, moderateCPT 99243 | $415 | — | — | — | 19 |
| Office visit, established patient, level 3CPT 99213 | $166 | — | — | — | 19 |
| Office visit, established patient, level 4CPT 99214 | $255 | — | — | — | 19 |
| Office visit, new patient, level 3CPT 99203 | $351 | — | — | — | 19 |
| Office visit, new patient, level 4CPT 99204 | $532 | — | — | — | 19 |
| Office visit, new patient, level 5CPT 99205 | $672 | — | — | — | 19 |
| PSA (prostate specific antigen), totalCPT 84153 | $156 | $18 | 848% | — | 19 |
| Partial thromboplastin timeCPT 85730 | $147 | $6 | 2453% | — | 19 |
| Physical therapy, therapeutic exerciseCPT 97110 | $106 | — | — | — | 6 |
| Prostate biopsyCPT 55700 | $143 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $95 | $4 | 2225% | — | 19 |
| Psychotherapy, 30 minutesCPT 90832 | $53 | $181 | 29% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $643 | $181 | 354% | — | 19 |
| Psychotherapy, 60 minutesCPT 90837 | $104 | $181 | 57% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $377 | — | — | — | 19 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $578 | — | — | — | 19 |
| Sleep study (polysomnography)CPT 95810 | $367 | $877 | 42% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $155 | $17 | 922% | — | 19 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $944 | $6,048 | 16% | — | 19 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $798 | $904 | 88% | — | 19 |
| Ultrasound, abdomen, completeCPT 76700 | $71 | $107 | 66% | — | 1 |
| Ultrasound, transvaginalCPT 76830 | $438 | $107 | 410% | — | 2 |
| Upper GI endoscopy with biopsyCPT 43239 | $465 | $927 | 50% | — | 19 |
| Upper GI endoscopy, diagnosticCPT 43235 | $415 | $927 | 45% | — | 19 |
| Urinalysis, automated, with microscopyCPT 81001 | $83 | $3 | 2623% | — | 19 |
| Urinalysis, automated, without microscopyCPT 81003 | $65 | $2 | 2898% | — | 19 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 97% | — | 1 |
| Urinalysis, manual, without microscopyCPT 81002 | $50 | $3 | 1426% | — | 19 |
| X-ray, lower back, 4+ viewsCPT 72110 | $31 | $107 | 29% | — | 1 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $197 | $562 | 35% | — | 1 |