| Breathing treatment (nebulizer) CPT Code: 94640 | $121 | $136 | $207 | 0.7× |
| Bunion correction surgery CPT Code: 28296 | $2,014 | $2,052 | $3,403 | 0.6× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $2,358 | $2,052 | $3,924 | 0.5× |
| Blood transfusion CPT Code: 36430 | $726 | $288 | $674 | 0.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,917 | $752 | $1,762 | 0.4× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,989 | $350 | $858 | 0.4× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,319 | $575 | $1,473 | 0.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,298 | $167 | $432 | 0.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,046 | $587 | $1,524 | 0.4× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $892 | $79 | $230 | 0.3× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $175 | $26 | $119 | 0.2× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $165 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $784 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,391 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,628 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,858 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $143 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $444 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $145 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $145 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $166 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $110 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $1,562 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $136 | — | — | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $855 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,059 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $62 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $143 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $95 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $674 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $150 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $992 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $2,225 | — | — | — |
| Typhoid vaccine HCPCS Code: 90675 | $387 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,668 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $1,612 | — | — | — |
| Drug screening test HCPCS Code: G0480 | $144 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $61 | — | — | — |
| X-ray, foot CPT Code: 73630 | $370 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,560 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $2,422 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $140 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $158 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $64 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $180 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $441 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $282 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $103 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $190 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $267 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $312 | — | — | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $332 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $138 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,585 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $84 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $38 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $117 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $90 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $55 | — | — | — |
| Prosthetic fitting and training CPT Code: 97761 | $141 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $554 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $202 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $53 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $369 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $61 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $210 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $271 | — | — | — |
| Culture, blood CPT Code: 87040 | $126 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $1,033 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $662 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $141 | — | — | — |
| Trauma team activation HCPCS Code: G0390 | $1,307 | — | — | — |
| X-ray, hip CPT Code: 73502 | $462 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $57 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $185 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,359 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $929 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $50 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $302 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $145 | — | — | — |
| X-ray, hand CPT Code: 73130 | $370 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $67 | — | — | — |