| Hospital observation (per hour) HCPCS Code: G0378 | $536 | — | $94 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,138 | — | $149 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,961 | — | $148 | unverified |
| Physical therapy (gait training) CPT Code: 97116 | $136 | — | $29 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,412 | — | $141 | unverified |
| X-ray, shoulder CPT Code: 73030 | $565 | — | — | — |
| Colonoscopy with biopsy CPT Code: 45380 | $2,756 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,994 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $539 | — | $97 | unverified |
| CT scan, sinuses CPT Code: 70486 | $2,850 | — | — | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $5,535 | — | — | — |
| Prosthetic fitting and training CPT Code: 97761 | $132 | — | $45 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $2,786 | — | $142 | unverified |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $148 | — | $8 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,112 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $435 | — | $105 | unverified |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $53 | — | $4 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $3,171 | — | $150 | unverified |
| X-ray, lower back CPT Code: 72110 | $863 | — | — | — |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $108,334 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $152 | — | $26 | unverified |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $339 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $256 | — | $57 | unverified |
| Hepatitis B immune globulin HCPCS Code: 90371 | $1,052 | — | $136 | unverified |
| Culture, blood CPT Code: 87040 | $317 | — | $10 | unverified |
| X-ray, hand CPT Code: 73130 | $509 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,400 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $30 | — | $7 | unverified |
| Blood test, liver function panel CPT Code: 80076 | $195 | — | $8 | unverified |
| Neurobehavioral status check CPT Code: 96116 | $1,097 | — | $284 | unverified |
| Culture, bacterial CPT Code: 87070 | $119 | — | $9 | unverified |
| Residential substance abuse treatment HCPCS Code: H2035 | $227 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $80 | — | $7 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,480 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $83 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $304 | — | $81 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $3,247 | — | $284 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $3,036 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $15 | — | $21 | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | $548 | — | $228 | unverified |
| X-ray, pelvis CPT Code: 72170 | $454 | — | — | — |
| X-ray, hip CPT Code: 73502 | $399 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $85 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $92 | — | $16 | unverified |
| Blood test, lipase CPT Code: 83690 | $82 | — | — | — |
| Rabies immune globulin HCPCS Code: 90375 | $3,498 | — | $297 | unverified |
| Psychological testing by technician CPT Code: 96138 | $163 | — | $492 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $2,722 | — | $286 | unverified |
| New patient office visit (30-44 min) CPT Code: 99203 | $345 | — | $90 | unverified |
| Blood test, creatinine (kidney) CPT Code: 82565 | $65 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $362 | — | $118 | unverified |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $146 | — | $39 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $112,140 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $134 | — | $34 | unverified |
| Blood test, hemoglobin CPT Code: 85018 | $29 | — | $3 | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $3,014 | — | $1,213 | unverified |
| Blood transfusion CPT Code: 36430 | $3,493 | — | $573 | unverified |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $526 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,016 | — | $119 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $4,309 | — | $727 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,562 | — | $415 | unverified |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $290 | — | $112 | unverified |
| Psychological testing evaluation CPT Code: 96136 | $368 | — | $136 | unverified |
| Orthotic fitting and training CPT Code: 97760 | $159 | — | $54 | unverified |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $109 | — | $14 | unverified |
| Speech therapy (language evaluation) CPT Code: 92507 | $279 | — | $82 | unverified |
| Blood test, basic metabolic panel CPT Code: 80048 | $264 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $80 | — | $5 | unverified |
| Blood antibody screen CPT Code: 86850 | $117 | — | $51 | unverified |
| Blood test, clotting time (PTT) CPT Code: 85730 | $53 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $169 | — | $34 | unverified |
| Blood test, vitamin D CPT Code: 82306 | $57 | — | $32 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $879 | — | $124 | unverified |
| Pneumococcal vaccine HCPCS Code: 90732 | $795 | — | $126 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,537 | — | $1,099 | unverified |
| Colorectal cancer screening HCPCS Code: G0010 | $68 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $1,312 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $172 | — | $38 | unverified |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $78 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $54 | — | $17 | unverified |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $629 | — | $63 | unverified |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $164 | — | $32 | unverified |
| Typhoid vaccine HCPCS Code: 90675 | $1,160 | — | $312 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $457 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $3,091 | — | $237 | unverified |
| Blood test, thyroid (TSH) CPT Code: 84443 | $90 | — | $17 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $2,870 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $533 | — | $96 | unverified |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $113 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $77 | — | — | — |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $105,640 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $75 | — | $4 | unverified |
| X-ray, foot CPT Code: 73630 | $530 | — | $97 | unverified |
| Hepatitis B vaccine HCPCS Code: 90744 | $124 | — | $40 | unverified |
| Pneumonia vaccine injection HCPCS Code: G0009 | $68 | — | — | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $750 | — | $185 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $37,642 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $68 | — | $53 | unverified |
| Physical therapy (manual therapy) CPT Code: 97140 | $167 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $52 | — | $4 | unverified |
| Physical therapy (functional capacity test) CPT Code: 97750 | $135 | — | $33 | unverified |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $65 | — | $10 | unverified |
| X-ray, neck (cervical spine) CPT Code: 72040 | $576 | — | $98 | unverified |