| MRI, lower back (no contrast) CPT Code: 72148 | $2,809 | — | $446 | unverified |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $96 | — | $35 | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $514 | — | $29 | unverified |
| Blood test, potassium CPT Code: 84132 | $24 | — | $6 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $108 | — | $21 | unverified |
| X-ray, pelvis CPT Code: 72170 | $205 | — | $113 | — |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $28,934 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $201 | — | $80 | — |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $29,138 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $3,593 | — | $323 | unverified |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $295 | — | $53 | unverified |
| Blood test, clotting time (PTT) CPT Code: 85730 | $35 | — | $8 | unverified |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $93 | — | $48 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $4,906 | — | $220 | unverified |
| Blood test, vitamin B12 CPT Code: 82607 | $85 | — | $18 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $477 | — | $109 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,571 | — | $342 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,881 | — | $613 | unverified |
| Blood test, basic metabolic panel CPT Code: 80048 | $251 | — | $11 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $686 | — | $227 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $211 | — | $141 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $250 | — | $94 | — |
| Blood antibody screen CPT Code: 86850 | $106 | — | $36 | — |
| Blood test, calcium CPT Code: 82310 | $69 | — | $7 | unverified |
| X-ray, hand CPT Code: 73130 | $255 | — | $75 | unverified |
| Blood test, amylase CPT Code: 82150 | $129 | — | $8 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $11,694 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $40 | — | $10 | unverified |
| Blood test, creatinine (kidney) CPT Code: 82565 | $70 | — | $7 | unverified |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $42 | — | $6 | unverified |
| Blood test, sodium CPT Code: 84295 | $78 | — | $7 | unverified |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $11 | — | $5 | — |
| CT scan, pelvis CPT Code: 72192 | $1,505 | — | $218 | unverified |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $75 | — | $17 | unverified |
| X-ray, chest (two views) CPT Code: 71046 | $222 | — | $79 | — |
| Ultrasound, pelvis CPT Code: 76856 | $875 | — | $143 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $3,776 | — | $218 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $643 | — | $431 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $36 | — | $12 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $50 | — | $5 | unverified |
| Orthotic fitting and training CPT Code: 97760 | $118 | — | $47 | — |
| Blood test, lipase CPT Code: 83690 | $93 | — | $8 | unverified |
| Blood test, magnesium CPT Code: 83735 | $37 | — | $9 | unverified |
| X-ray, hip CPT Code: 73502 | $240 | — | $82 | — |
| Culture, bacterial CPT Code: 87070 | $117 | — | $12 | unverified |
| Hepatitis C antibody test CPT Code: 86803 | $49 | — | $18 | — |
| X-ray, lower back CPT Code: 72110 | $569 | — | $127 | unverified |
| X-ray, shoulder CPT Code: 73030 | $279 | — | $75 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,097 | — | $153 | unverified |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $33 | — | $25 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $165 | — | $20 | unverified |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $767 | — | $142 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,192 | — | $426 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $222 | — | $78 | — |
| Speech therapy (group session) CPT Code: 92508 | $249 | — | $24 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $378 | — | $159 | — |
| Prosthetic fitting and training CPT Code: 97761 | $91 | — | $51 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $175 | — | $99 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $290 | — | $215 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $481 | — | $175 | unverified |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $105 | — | $30 | — |
| Blood test, liver function panel CPT Code: 80076 | $26 | — | $11 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $117 | — | $35 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $3,057 | — | $220 | unverified |
| Blood transfusion CPT Code: 36430 | $834 | — | $458 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,582 | — | $517 | unverified |
| Occupational therapy (self-care training) CPT Code: 97535 | $86 | — | $33 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,062 | — | $383 | unverified |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $48,456 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $17 | — | $3 | — |
| X-ray, ankle CPT Code: 73610 | $279 | — | $76 | unverified |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $60 | — | $5 | unverified |
| Culture, blood CPT Code: 87040 | $72 | — | $13 | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | $92 | — | $98 | — |
| Physical therapy (gait training) CPT Code: 97116 | $100 | — | $30 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $95 | — | $30 | — |
| Blood test, vitamin D CPT Code: 82306 | $141 | — | $35 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,684 | — | $342 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $26,445 | — | — | — |
| X-ray, foot CPT Code: 73630 | $299 | — | $77 | unverified |
| CT scan, sinuses CPT Code: 70486 | $3,277 | — | $222 | unverified |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $53 | — | $14 | unverified |