| Basic metabolic panelCPT 80048 | $97 | $8 | 1150% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,134 | $356 | 318% | — | 10 |
| CT head without contrastCPT 70450 | $899 | $107 | 842% | — | 10 |
| CT pelvis with contrastCPT 72193 | $2,146 | $179 | 1198% | — | 10 |
| Cardiac stress testCPT 93017 | $808 | $221 | 366% | — | 9 |
| Cataract surgery with IOL insertionCPT 66984 | $1,449 | $2,358 | 61% | — | 9 |
| Colonoscopy with biopsyCPT 45380 | $881 | $1,223 | 72% | — | 10 |
| Colonoscopy with polyp removalCPT 45385 | $730 | $1,223 | 60% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $312 | $950 | 33% | — | 10 |
| Complete blood count with differentialCPT 85025 | $86 | $8 | 1102% | — | 9 |
| Complete blood count, automatedCPT 85027 | $77 | $6 | 1196% | — | 9 |
| Comprehensive metabolic panelCPT 80053 | $125 | $11 | 1179% | — | 9 |
| Diagnostic mammography, both breastsCPT 77066 | $268 | — | — | — | 10 |
| Diagnostic mammography, one breastCPT 77065 | $349 | — | — | — | 10 |
| ED visit, level 3CPT 99283 | $481 | $279 | 172% | — | 10 |
| ED visit, level 4CPT 99284 | $808 | $426 | 189% | — | 10 |
| ED visit, level 5CPT 99285 | $1,190 | $608 | 196% | — | 10 |
| Echocardiogram, completeCPT 93306 | $963 | $558 | 173% | — | 10 |
| Electrocardiogram with interpretationCPT 93000 | $433 | — | — | — | 9 |
| Excision of breast lesionCPT 19120 | $323 | $4,000 | 8% | — | 10 |
| Family psychotherapy, with patientCPT 90847 | $294 | $181 | 162% | — | 9 |
| Family psychotherapy, without patientCPT 90846 | $283 | $181 | 156% | — | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $321 | $3,658 | 9% | — | 10 |
| Kidney function panelCPT 80069 | $103 | $9 | 1190% | — | 9 |
| Knee arthroscopy with meniscectomyCPT 29881 | $885 | $3,343 | 26% | — | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $402 | $6,176 | 7% | — | 10 |
| Lipid panelCPT 80061 | $163 | $13 | 1214% | — | 9 |
| Liver function panelCPT 80076 | $100 | $8 | 1228% | — | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $98 | $721 | 14% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $3,221 | $356 | 904% | — | 10 |
| MRI lower extremity joint (knee)CPT 73721 | $2,077 | $244 | 852% | — | 10 |
| MRI lumbar spine without contrastCPT 72148 | $2,325 | $244 | 954% | — | 10 |
| OB ultrasound, 14+ weeksCPT 76805 | $635 | $107 | 594% | — | 10 |
| Obstetric blood test panelCPT 80055 | $398 | $48 | 832% | — | 9 |
| Office consultation, moderateCPT 99243 | $382 | — | — | — | 9 |
| Office visit, established patient, level 3CPT 99213 | $116 | — | — | — | 10 |
| Office visit, established patient, level 4CPT 99214 | $172 | — | — | — | 10 |
| Office visit, new patient, level 3CPT 99203 | $173 | — | — | — | 10 |
| Office visit, new patient, level 4CPT 99204 | $187 | — | — | — | 10 |
| Office visit, new patient, level 5CPT 99205 | $265 | — | — | — | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $210 | $18 | 1144% | — | 9 |
| Partial thromboplastin timeCPT 85730 | $70 | $6 | 1160% | — | 9 |
| Physical therapy, therapeutic exerciseCPT 97110 | $106 | — | — | — | 9 |
| Preventive visit, new patient, 18-39CPT 99385 | $290 | — | — | — | 10 |
| Preventive visit, new patient, 40-64CPT 99386 | $342 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $49 | $4 | 1149% | — | 9 |
| Psychotherapy, 30 minutesCPT 90832 | $195 | $181 | 107% | — | 9 |
| Psychotherapy, 45 minutesCPT 90834 | $259 | $181 | 143% | — | 9 |
| Psychotherapy, 60 minutesCPT 90837 | $388 | $181 | 214% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $351 | — | — | — | 10 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $103 | — | — | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $192 | $17 | 1143% | — | 9 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $182 | $6,048 | 3% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $68 | $904 | 8% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $769 | $107 | 720% | — | 10 |
| Ultrasound, transvaginalCPT 76830 | $716 | $107 | 671% | — | 10 |
| Upper GI endoscopy with biopsyCPT 43239 | $226 | $927 | 24% | — | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $543 | $927 | 59% | — | 10 |
| Urinalysis, automated, without microscopyCPT 81003 | $33 | $2 | 1473% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $21 | $3 | 611% | — | 9 |
| X-ray, lower back, 4+ viewsCPT 72110 | $349 | $107 | 326% | — | 10 |