| Flu vaccine (high dose) HCPCS Code: 90656 | $115 | $57 | $33 | 1.7× |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $132 | $81 | $51 | 1.6× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $250 | $172 | $108 | 1.6× |
| New patient office visit (30-44 min) CPT Code: 99203 | $250 | $172 | $117 | 1.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,865 | $345 | $243 | 1.4× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $314 | $172 | $127 | 1.4× |
| Prosthetic fitting and training CPT Code: 97761 | $125 | $73 | $55 | 1.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,856 | $125 | $97 | 1.3× |
| Physical therapy (manual therapy) CPT Code: 97140 | $134 | $52 | $41 | 1.3× |
| Orthotic fitting and training CPT Code: 97760 | $125 | $73 | $59 | 1.2× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $126 | $54 | $45 | 1.2× |
| Blood antibody screen CPT Code: 86850 | $115 | $45 | $38 | 1.2× |
| Occupational therapy (self-care training) CPT Code: 97535 | $78 | $60 | $50 | 1.2× |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $155 | $57 | $48 | 1.2× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $327 | $156 | $133 | 1.2× |
| Physical therapy (gait training) CPT Code: 97116 | $125 | $54 | $46 | 1.2× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $139 | $61 | $52 | 1.2× |
| Family therapy session CPT Code: 90847 | $234 | $156 | $139 | 1.1× |
| Hepatitis B vaccine HCPCS Code: 90744 | $95 | $57 | $52 | 1.1× |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $687 | $231 | $209 | 1.1× |
| Culture, blood CPT Code: 87040 | $287 | $11 | $10 | 1.1× |
| Blood test, amylase CPT Code: 82150 | $155 | $7 | $7 | 1.1× |
| Blood test, basic metabolic panel CPT Code: 80048 | $171 | $9 | $9 | 1.0× |
| Blood test, potassium CPT Code: 84132 | $45 | $5 | $5 | 1.0× |
| Blood test, magnesium CPT Code: 83735 | $100 | $7 | $7 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,640 | $327 | $319 | 1.0× |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $270 | $14 | $14 | 1.0× |
| Culture, bacterial CPT Code: 87070 | $150 | $9 | $9 | 1.0× |
| Rabies immune globulin HCPCS Code: 90375 | $2,006 | $286 | $279 | 1.0× |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $224 | $11 | $11 | 1.0× |
| Hepatitis C antibody test CPT Code: 86803 | $492 | $15 | $15 | 1.0× |
| Blood test, sodium CPT Code: 84295 | $58 | $5 | $5 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $314 | $77 | $76 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $455 | $92 | $91 | 1.0× |
| Speech therapy (language evaluation) CPT Code: 92507 | $245 | $85 | $84 | 1.0× |
| Group therapy session CPT Code: 90853 | $129 | $89 | $88 | 1.0× |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $93 | $10 | $10 | 1.0× |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $44 | $8 | $8 | 1.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,704 | $93 | $92 | 1.0× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $579 | $93 | $92 | 1.0× |
| X-ray, hip CPT Code: 73502 | $331 | $77 | $77 | 1.0× |
| CT scan, pelvis CPT Code: 72192 | $1,527 | $93 | $93 | 1.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $413 | $77 | $77 | 1.0× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $456 | $141 | $141 | 1.0× |
| Ultrasound, pelvis CPT Code: 76856 | $550 | $93 | $93 | 1.0× |
| X-ray, ankle CPT Code: 73610 | $313 | $77 | $77 | 1.0× |
| X-ray, foot CPT Code: 73630 | $309 | $77 | $77 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,790 | $483 | $482 | 1.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,527 | $211 | $211 | 1.0× |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $70 | $4 | $4 | 1.0× |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $64 | $4 | $4 | 1.0× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $234 | $99 | $99 | 1.0× |
| Typhoid vaccine HCPCS Code: 90675 | $1,334 | $326 | $326 | 1.0× |
| X-ray, hand CPT Code: 73130 | $309 | $77 | $77 | 1.0× |
| X-ray, pelvis CPT Code: 72170 | $403 | $92 | $92 | 1.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $408 | $92 | $92 | 1.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,046 | $308 | $309 | 1.0× |
| Blood test, lipase CPT Code: 83690 | $99 | $7 | $7 | 1.0× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,832 | $156 | $157 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $353 | $77 | $77 | 1.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,046 | $91 | $91 | 1.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,965 | $156 | $157 | 1.0× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $509 | $92 | $93 | 1.0× |
| CT scan, sinuses CPT Code: 70486 | $1,645 | $91 | $92 | 1.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $891 | $211 | $213 | 1.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,356 | $93 | $94 | 1.0× |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $224 | $14 | $14 | 1.0× |
| Hospital observation (per hour) HCPCS Code: G0378 | $88 | $88 | $89 | 1.0× |
| X-ray, shoulder CPT Code: 73030 | $437 | $77 | $78 | 1.0× |
| Blood test, clotting time (PTT) CPT Code: 85730 | $113 | $6 | $6 | 1.0× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $436 | $156 | $159 | 1.0× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,865 | $208 | $213 | 1.0× |
| Blood transfusion CPT Code: 36430 | $679 | $390 | $400 | 1.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,865 | $212 | $218 | 1.0× |
| Drug screening test HCPCS Code: G0480 | $271 | $99 | $103 | 1.0× |
| Blood test, liver function panel CPT Code: 80076 | $165 | $8 | $8 | 1.0× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $207 | $52 | $54 | 1.0× |
| Blood test, creatinine (kidney) CPT Code: 82565 | $64 | $5 | $5 | 1.0× |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $126 | $20 | $21 | 1.0× |
| Blood test, calcium CPT Code: 82310 | $106 | $5 | $5 | 0.9× |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $294 | $57 | $61 | 0.9× |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $30 | $3 | $3 | 0.9× |
| Blood test, vitamin B12 CPT Code: 82607 | $176 | $15 | $16 | 0.9× |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $78 | $4 | $4 | 0.9× |
| Screening mammogram (both breasts) CPT Code: 77067 | $210 | $81 | $89 | 0.9× |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $138 | $19 | $21 | 0.9× |
| Blood test, thyroid (TSH) CPT Code: 84443 | $141 | $17 | $19 | 0.9× |
| Blood test, vitamin D CPT Code: 82306 | $395 | $30 | $35 | 0.8× |
| Blood test, hemoglobin CPT Code: 85018 | $47 | $2 | $2 | 0.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,305 | $740 | $933 | 0.8× |
| Speech therapy (group session) CPT Code: 92508 | $54 | $23 | $31 | 0.7× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $44 | $32 | $49 | 0.7× |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $330 | $57 | $107 | 0.5× |
| Pneumococcal vaccine HCPCS Code: 90732 | $521 | $57 | $145 | 0.4× |
| Trauma team activation HCPCS Code: G0390 | $1,700 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $103 | — | $165 | — |