| Basic metabolic panelCPT 80048 | $47 | $8 | 557% | — | 11 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,829 | $356 | 513% | — | 11 |
| CT head without contrastCPT 70450 | $893 | $107 | 836% | — | 11 |
| CT pelvis with contrastCPT 72193 | $1,396 | $179 | 779% | — | 11 |
| Cardiac stress testCPT 93017 | $714 | $221 | 324% | — | 11 |
| Colonoscopy with biopsyCPT 45380 | $2,487 | $1,223 | 203% | — | 11 |
| Colonoscopy with polyp removalCPT 45385 | $2,770 | $1,223 | 227% | — | 11 |
| Colonoscopy, diagnosticCPT 45378 | $2,301 | $950 | 242% | — | 11 |
| Complete blood count with differentialCPT 85025 | $68 | $8 | 877% | — | 11 |
| Complete blood count, automatedCPT 85027 | $103 | $6 | 1598% | — | 11 |
| Comprehensive metabolic panelCPT 80053 | $45 | $11 | 423% | — | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $337 | — | — | — | 11 |
| Diagnostic mammography, one breastCPT 77065 | $280 | — | — | — | 11 |
| ED visit, level 3CPT 99283 | $90 | $279 | 32% | — | 11 |
| ED visit, level 4CPT 99284 | $154 | $426 | 36% | — | 11 |
| ED visit, level 5CPT 99285 | $223 | $608 | 37% | — | 11 |
| Echocardiogram, completeCPT 93306 | $1,156 | $558 | 207% | — | 11 |
| Electrocardiogram with interpretationCPT 93000 | $81 | — | — | — | 11 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $97 | $904 | 11% | — | 9 |
| Excision of breast lesionCPT 19120 | $530 | $4,000 | 13% | — | 9 |
| Family psychotherapy, with patientCPT 90847 | $116 | $181 | 64% | — | 9 |
| Family psychotherapy, without patientCPT 90846 | $111 | $181 | 61% | — | 9 |
| Group psychotherapyCPT 90853 | $27 | $104 | 26% | — | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $10,066 | $3,658 | 275% | — | 11 |
| Kidney function panelCPT 80069 | $95 | $9 | 1098% | — | 11 |
| Knee arthroscopy with meniscectomyCPT 29881 | $9,610 | $3,343 | 287% | — | 11 |
| Laparoscopic cholecystectomyCPT 47562 | $9,142 | $6,176 | 148% | — | 11 |
| Lipid panelCPT 80061 | $48 | $13 | 362% | — | 11 |
| Liver function panelCPT 80076 | $26 | $8 | 318% | — | 11 |
| Lumbar epidural steroid injectionCPT 62323 | $135 | $721 | 19% | — | 9 |
| MRI brain with and without contrastCPT 70553 | $2,576 | $356 | 723% | — | 11 |
| MRI lower extremity joint (knee)CPT 73721 | $1,405 | $244 | 576% | — | 11 |
| MRI lumbar spine without contrastCPT 72148 | $1,537 | $244 | 631% | — | 11 |
| OB ultrasound, 14+ weeksCPT 76805 | $403 | $107 | 377% | — | 11 |
| Obstetric blood test panelCPT 80055 | $239 | $48 | 499% | — | 11 |
| Office consultation, comprehensiveCPT 99244 | $150 | — | — | — | 6 |
| Office consultation, moderateCPT 99243 | $97 | — | — | — | 6 |
| Office visit, established patient, level 3CPT 99213 | $75 | — | — | — | 11 |
| Office visit, established patient, level 4CPT 99214 | $111 | — | — | — | 11 |
| Office visit, new patient, level 3CPT 99203 | $102 | — | — | — | 11 |
| Office visit, new patient, level 4CPT 99204 | $170 | — | — | — | 11 |
| Office visit, new patient, level 5CPT 99205 | $226 | — | — | — | 11 |
| PSA (prostate specific antigen), totalCPT 84153 | $53 | $18 | 290% | — | 11 |
| Partial thromboplastin timeCPT 85730 | $24 | $6 | 404% | — | 11 |
| Physical therapy, therapeutic exerciseCPT 97110 | $135 | — | — | — | 11 |
| Preventive visit, new patient, 18-39CPT 99385 | $154 | — | — | — | 10 |
| Preventive visit, new patient, 40-64CPT 99386 | $389 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $36 | $4 | 849% | — | 11 |
| Psychotherapy, 30 minutesCPT 90832 | $79 | $181 | 43% | — | 9 |
| Psychotherapy, 45 minutesCPT 90834 | $93 | $181 | 51% | — | 11 |
| Psychotherapy, 60 minutesCPT 90837 | $137 | $181 | 76% | — | 11 |
| Screening mammography, bilateralCPT 77067 | $408 | — | — | — | 11 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,830 | — | — | — | 11 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $36 | $17 | 217% | — | 11 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $342 | $6,048 | 6% | — | 9 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $145 | $904 | 16% | — | 9 |
| Ultrasound, abdomen, completeCPT 76700 | $487 | $107 | 456% | — | 11 |
| Ultrasound, transvaginalCPT 76830 | $458 | $107 | 429% | — | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,158 | $927 | 233% | — | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,914 | $927 | 207% | — | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $47 | $3 | 1476% | — | 11 |
| Urinalysis, automated, without microscopyCPT 81003 | $30 | $2 | 1346% | — | 11 |
| Urinalysis, manual, without microscopyCPT 81002 | $26 | $3 | 739% | — | 11 |
| X-ray, lower back, 4+ viewsCPT 72110 | $485 | $107 | 454% | — | 11 |