| Basic metabolic panelCPT 80048 | $57 | $8 | 672% | — | 12 |
| COPD with MCCMS-DRG 190 | $195 | $7,377 | 3% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,275 | $356 | 638% | — | 12 |
| CT head without contrastCPT 70450 | $744 | $107 | 696% | — | 12 |
| CT pelvis with contrastCPT 72193 | $1,142 | $179 | 637% | — | 12 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $584 | — | — | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $238 | $1,223 | 19% | — | 6 |
| Colonoscopy with polyp removalCPT 45385 | $301 | $1,223 | 25% | — | 6 |
| Colonoscopy, diagnosticCPT 45378 | $225 | $950 | 24% | — | 7 |
| Complete blood count with differentialCPT 85025 | $44 | $8 | 568% | — | 12 |
| Complete blood count, automatedCPT 85027 | $41 | $6 | 636% | — | 12 |
| Comprehensive metabolic panelCPT 80053 | $70 | $11 | 663% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $364 | — | — | — | 12 |
| Diagnostic mammography, one breastCPT 77065 | $285 | — | — | — | 12 |
| ED visit, level 3CPT 99283 | $484 | $279 | 174% | — | 12 |
| ED visit, level 4CPT 99284 | $786 | $426 | 184% | — | 12 |
| ED visit, level 5CPT 99285 | $1,147 | $608 | 189% | — | 12 |
| Echocardiogram, completeCPT 93306 | $817 | $558 | 146% | — | 12 |
| Excision of breast lesionCPT 19120 | $512 | $4,000 | 13% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $616 | $3,658 | 17% | — | 6 |
| Kidney function panelCPT 80069 | $59 | $9 | 675% | — | 12 |
| Knee arthroscopy with meniscectomyCPT 29881 | $660 | $3,343 | 20% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $773 | $6,176 | 13% | — | 6 |
| Lipid panelCPT 80061 | $106 | $13 | 791% | — | 12 |
| Liver function panelCPT 80076 | $55 | $8 | 675% | — | 12 |
| MRI brain with and without contrastCPT 70553 | $3,056 | $356 | 857% | — | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $1,969 | $244 | 808% | — | 12 |
| MRI lumbar spine without contrastCPT 72148 | $2,068 | $244 | 848% | — | 12 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $234 | $13,045 | 2% | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $2,820 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $2,555 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $546 | $107 | 511% | — | 12 |
| Office visit, established patient, level 3CPT 99213 | $75 | — | — | — | 11 |
| Office visit, established patient, level 4CPT 99214 | $110 | — | — | — | 11 |
| Office visit, new patient, level 3CPT 99203 | $92 | — | — | — | 9 |
| Office visit, new patient, level 4CPT 99204 | $152 | — | — | — | 9 |
| Office visit, new patient, level 5CPT 99205 | $196 | — | — | — | 6 |
| PSA (prostate specific antigen), totalCPT 84153 | $130 | $18 | 704% | — | 12 |
| Partial thromboplastin timeCPT 85730 | $41 | $6 | 684% | — | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $123 | — | — | — | 12 |
| Prothrombin timeCPT 85610 | $28 | $4 | 653% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $308 | — | — | — | 12 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $201 | — | — | — | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $114 | $17 | 677% | — | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $491 | $107 | 460% | — | 12 |
| Ultrasound, transvaginalCPT 76830 | $521 | $107 | 487% | — | 12 |
| Upper GI endoscopy with biopsyCPT 43239 | $165 | $927 | 18% | — | 6 |
| Upper GI endoscopy, diagnosticCPT 43235 | $147 | $927 | 16% | — | 6 |
| Urinalysis, automated, with microscopyCPT 81001 | $24 | $3 | 745% | — | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $15 | $2 | 661% | — | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 201% | — | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $262 | $107 | 246% | — | 12 |