| Blood test, average blood sugar (A1c) CPT Code: 83036 | $61 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $51 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $100 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $784 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $57 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,182 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $96 | — | — | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,770 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $50 | — | — | — |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $74 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $38 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $31 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $840 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $151 | — | — | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $1,140 | — | — | — |
| Family therapy session CPT Code: 90847 | $1,062 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $112 | — | — | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,135 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,400 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $121 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $50 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $76 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $170 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $61 | — | — | — |
| Neurobehavioral status check CPT Code: 96116 | $357 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $86 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $25 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $376 | — | — | — |
| Inguinal hernia repair CPT Code: 49505 | $4,420 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $50 | — | — | — |
| X-ray, hand CPT Code: 73130 | $210 | — | — | — |
| Blood transfusion CPT Code: 36430 | $623 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $61 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $139 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $601 | — | — | — |
| Colonoscopy with biopsy CPT Code: 45380 | $1,258 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $42 | — | — | — |
| X-ray, foot CPT Code: 73630 | $207 | — | — | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $49 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $481 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $129 | — | — | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $942 | — | — | — |
| Group therapy session CPT Code: 90853 | $1,140 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $230 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $119 | — | — | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,258 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $802 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $75 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $128 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $548 | — | — | — |
| Breast lump removal CPT Code: 19120 | $3,424 | — | — | — |
| Culture, blood CPT Code: 87040 | $122 | — | — | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $184 | — | — | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $1,065 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $53 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $30 | — | — | — |
| Trauma team activation HCPCS Code: G0390 | $1,597 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $46 | — | — | — |
| X-ray, hip CPT Code: 73502 | $286 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $137 | — | — | — |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $79 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $28 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $100 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $60 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $214 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $53 | — | — | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $6,434 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $89 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $301 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $67 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $149 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,716 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,848 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $99 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $215 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $178 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $65 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $352 | — | — | — |