| Basic metabolic panelCPT 80048 | $155 | $8 | 1837% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,491 | $356 | 1260% | — | 5 |
| CT head without contrastCPT 70450 | $1,633 | $107 | 1529% | — | 5 |
| CT pelvis with contrastCPT 72193 | $1,832 | $179 | 1022% | — | 5 |
| Cardiac stress testCPT 93017 | $1,328 | $221 | 602% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $454 | $1,223 | 37% | — | 5 |
| Colonoscopy with polyp removalCPT 45385 | $247 | $1,223 | 20% | — | 5 |
| Colonoscopy, diagnosticCPT 45378 | $121 | $950 | 13% | — | 5 |
| Complete blood count with differentialCPT 85025 | $54 | $8 | 701% | — | 5 |
| Complete blood count, automatedCPT 85027 | $47 | $6 | 732% | — | 5 |
| Comprehensive metabolic panelCPT 80053 | $94 | $11 | 888% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $629 | — | — | — | 5 |
| Diagnostic mammography, one breastCPT 77065 | $483 | — | — | — | 5 |
| ED visit, level 3CPT 99283 | $301 | $279 | 108% | — | 5 |
| ED visit, level 4CPT 99284 | $522 | $426 | 123% | — | 5 |
| ED visit, level 5CPT 99285 | $725 | $608 | 119% | — | 5 |
| Echocardiogram, completeCPT 93306 | $2,143 | $558 | 384% | — | 5 |
| Electrocardiogram with interpretationCPT 93000 | $196 | — | — | — | 5 |
| Excision of breast lesionCPT 19120 | $1,340 | $4,000 | 33% | — | 5 |
| Family psychotherapy, with patientCPT 90847 | $298 | $181 | 164% | — | 5 |
| Family psychotherapy, without patientCPT 90846 | $287 | $181 | 158% | — | 5 |
| Group psychotherapyCPT 90853 | $111 | $104 | 107% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,429 | $3,658 | 39% | — | 5 |
| Kidney function panelCPT 80069 | $74 | $9 | 854% | — | 5 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,751 | $3,343 | 112% | — | 5 |
| Laparoscopic cholecystectomyCPT 47562 | $647 | $6,176 | 10% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,558 | $10,860 | 24% | — | 5 |
| Lipid panelCPT 80061 | $112 | $13 | 834% | — | 5 |
| Liver function panelCPT 80076 | $66 | $8 | 809% | — | 5 |
| MRI brain with and without contrastCPT 70553 | $3,746 | $356 | 1051% | — | 5 |
| MRI lower extremity joint (knee)CPT 73721 | $2,138 | $244 | 877% | — | 5 |
| MRI lumbar spine without contrastCPT 72148 | $2,040 | $244 | 837% | — | 5 |
| OB global care, VBAC deliveryCPT 59610 | $4,970 | — | — | — | 5 |
| OB global care, cesarean deliveryCPT 59510 | $7,756 | — | — | — | 5 |
| OB global care, vaginal deliveryCPT 59400 | $5,140 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $554 | $107 | 518% | — | 5 |
| Obstetric blood test panelCPT 80055 | $237 | $48 | 495% | — | 5 |
| Office consultation, comprehensiveCPT 99244 | $361 | — | — | — | 5 |
| Office consultation, moderateCPT 99243 | $255 | — | — | — | 5 |
| Office visit, established patient, level 3CPT 99213 | $214 | — | — | — | 5 |
| Office visit, established patient, level 4CPT 99214 | $321 | — | — | — | 5 |
| Office visit, new patient, level 3CPT 99203 | $295 | — | — | — | 5 |
| Office visit, new patient, level 4CPT 99204 | $455 | — | — | — | 5 |
| Office visit, new patient, level 5CPT 99205 | $589 | — | — | — | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $138 | $18 | 748% | — | 5 |
| Partial thromboplastin timeCPT 85730 | $109 | $6 | 1813% | — | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $136 | — | — | — | 5 |
| Preventive visit, new patient, 18-39CPT 99385 | $269 | — | — | — | 5 |
| Preventive visit, new patient, 40-64CPT 99386 | $313 | — | — | — | 5 |
| Prostate biopsyCPT 55700 | $943 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $53 | $4 | 1228% | — | 5 |
| Psychotherapy, 30 minutesCPT 90832 | $235 | $181 | 130% | — | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $375 | $181 | 207% | — | 5 |
| Psychotherapy, 60 minutesCPT 90837 | $457 | $181 | 252% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $382 | — | — | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,032 | — | — | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $4,702 | $877 | 536% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $115 | $17 | 686% | — | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $554 | $107 | 518% | — | 5 |
| Ultrasound, transvaginalCPT 76830 | $554 | $107 | 518% | — | 5 |
| Upper GI endoscopy with biopsyCPT 43239 | $135 | $927 | 15% | — | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $120 | $927 | 13% | — | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $58 | $3 | 1831% | — | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $57 | $2 | 2540% | — | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $47 | $3 | 1360% | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $554 | $107 | 518% | — | 5 |