| Basic metabolic panelCPT 80048 | $204 | $8 | 2411% | — | 7 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,748 | $356 | 1052% | — | 7 |
| CT head without contrastCPT 70450 | $1,751 | $107 | 1639% | — | 7 |
| CT pelvis with contrastCPT 72193 | $2,705 | $179 | 1509% | — | 7 |
| Cardiac stress testCPT 93017 | $433 | $221 | 196% | — | 7 |
| Colonoscopy with biopsyCPT 45380 | $4,029 | $1,223 | 330% | — | 7 |
| Colonoscopy with polyp removalCPT 45385 | $4,202 | $1,223 | 344% | — | 7 |
| Colonoscopy, diagnosticCPT 45378 | $3,505 | $950 | 369% | — | 7 |
| Complete blood count with differentialCPT 85025 | $133 | $8 | 1718% | — | 7 |
| Complete blood count, automatedCPT 85027 | $122 | $6 | 1892% | — | 7 |
| Comprehensive metabolic panelCPT 80053 | $225 | $11 | 2133% | — | 7 |
| Diagnostic mammography, both breastsCPT 77066 | $514 | — | — | — | 7 |
| Diagnostic mammography, one breastCPT 77065 | $421 | — | — | — | 7 |
| ED visit, level 3CPT 99283 | $89 | $279 | 32% | — | 10 |
| ED visit, level 4CPT 99284 | $162 | $426 | 38% | — | 10 |
| ED visit, level 5CPT 99285 | $235 | $608 | 39% | — | 10 |
| Echocardiogram, completeCPT 93306 | $2,434 | $558 | 436% | — | 10 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,940 | $904 | 215% | — | 7 |
| Excision of breast lesionCPT 19120 | $5,117 | $4,000 | 128% | — | 7 |
| Family psychotherapy, with patientCPT 90847 | $132 | $181 | 73% | — | 10 |
| Family psychotherapy, without patientCPT 90846 | $125 | $181 | 69% | — | 10 |
| Group psychotherapyCPT 90853 | $34 | $104 | 32% | — | 10 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,353 | $3,658 | 201% | — | 7 |
| Kidney function panelCPT 80069 | $190 | $9 | 2184% | — | 7 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,801 | $3,343 | 174% | — | 7 |
| Laparoscopic cholecystectomyCPT 47562 | $12,023 | $6,176 | 195% | — | 7 |
| Lipid panelCPT 80061 | $227 | $13 | 1695% | — | 7 |
| Liver function panelCPT 80076 | $166 | $8 | 2029% | — | 7 |
| Lumbar epidural steroid injectionCPT 62323 | $3,377 | $721 | 468% | — | 7 |
| MRI brain with and without contrastCPT 70553 | $5,475 | $356 | 1536% | — | 7 |
| MRI lower extremity joint (knee)CPT 73721 | $2,893 | $244 | 1187% | — | 7 |
| MRI lumbar spine without contrastCPT 72148 | $3,529 | $244 | 1448% | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $8,157 | — | — | — | 7 |
| OB global care, vaginal deliveryCPT 59400 | $8,157 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $858 | $107 | 803% | — | 7 |
| Office consultation, comprehensiveCPT 99244 | $264 | — | — | — | 5 |
| Office consultation, moderateCPT 99243 | $177 | — | — | — | 5 |
| Office visit, established patient, level 3CPT 99213 | $174 | — | — | — | 10 |
| Office visit, established patient, level 4CPT 99214 | $220 | — | — | — | 10 |
| Office visit, new patient, level 3CPT 99203 | $191 | — | — | — | 10 |
| Office visit, new patient, level 4CPT 99204 | $284 | — | — | — | 10 |
| Office visit, new patient, level 5CPT 99205 | $442 | — | — | — | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $76 | $18 | 411% | — | 7 |
| Partial thromboplastin timeCPT 85730 | $144 | $6 | 2404% | — | 7 |
| Physical therapy, therapeutic exerciseCPT 97110 | $190 | — | — | — | 7 |
| Preventive visit, new patient, 18-39CPT 99385 | $420 | — | — | — | 6 |
| Preventive visit, new patient, 40-64CPT 99386 | $455 | — | — | — | 6 |
| Prostate biopsyCPT 55700 | $913 | — | — | — | 7 |
| Prothrombin timeCPT 85610 | $119 | $4 | 2774% | — | 7 |
| Psychotherapy, 30 minutesCPT 90832 | $82 | $181 | 45% | — | 10 |
| Psychotherapy, 45 minutesCPT 90834 | $110 | $181 | 61% | — | 10 |
| Psychotherapy, 60 minutesCPT 90837 | $159 | $181 | 88% | — | 10 |
| Screening mammography, bilateralCPT 77067 | $380 | — | — | — | 7 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,554 | — | — | — | 7 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $164 | $17 | 976% | — | 7 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,830 | $6,048 | 30% | — | 7 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,926 | $904 | 545% | — | 7 |
| Ultrasound, abdomen, completeCPT 76700 | $1,167 | $107 | 1092% | — | 7 |
| Ultrasound, transvaginalCPT 76830 | $801 | $107 | 750% | — | 7 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,128 | $927 | 446% | — | 7 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,516 | $927 | 379% | — | 7 |
| Urinalysis, automated, with microscopyCPT 81001 | $99 | $3 | 3110% | — | 7 |
| Urinalysis, automated, without microscopyCPT 81003 | $82 | $2 | 3664% | — | 7 |
| Urinalysis, manual, with microscopyCPT 81000 | $99 | $4 | 2453% | — | 7 |
| Urinalysis, manual, without microscopyCPT 81002 | $89 | $3 | 2565% | — | 7 |
| X-ray, lower back, 4+ viewsCPT 72110 | $625 | $107 | 585% | — | 7 |