| CT scan, chest (no contrast) CPT Code: 71250 | $1,621 | $650 | $213 | 3.0× |
| CT scan, sinuses CPT Code: 70486 | $741 | $650 | $215 | 3.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,802 | $650 | $225 | 2.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,621 | $650 | $225 | 2.9× |
| Physical therapy (manual therapy) CPT Code: 97140 | $120 | $90 | $37 | 2.4× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $81 | $90 | $39 | 2.3× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $75 | $90 | $43 | 2.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,611 | $850 | $416 | 2.0× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,518 | $850 | $419 | 2.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,376 | $850 | $420 | 2.0× |
| CT scan, head (with contrast) CPT Code: 70460 | $977 | $650 | $329 | 2.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $832 | $650 | $344 | 1.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $5,813 | $650 | $411 | 1.6× |
| Orthotic fitting and training CPT Code: 97760 | $86 | $90 | $60 | 1.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,285 | $850 | $615 | 1.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $7,342 | $650 | $596 | 1.1× |
| Speech therapy (language evaluation) CPT Code: 92507 | $150 | $90 | $91 | 1.0× |
| X-ray, ankle CPT Code: 73610 | $191 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $29 | — | $36 | — |
| Prosthetic fitting and training CPT Code: 97761 | $63 | — | $51 | — |
| X-ray, foot CPT Code: 73630 | $417 | — | — | — |
| X-ray, hip CPT Code: 73502 | $223 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $360 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $176 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $312 | — | $217 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $17 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $49 | — | $45 | — |
| Rabies immune globulin HCPCS Code: 90375 | $1,222 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $79 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,104 | — | — | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $641 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $14 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $281 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $871 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $314 | — | $222 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $25 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $417 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $20 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $36 | — | $43 | — |
| Ultrasound, pelvis CPT Code: 76856 | $357 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $8 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $65 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $23 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $390 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $357 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $96 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $500 | — | — | — |
| X-ray, hand CPT Code: 73130 | $195 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $43 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $75 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $35 | — | $41 | — |
| Blood test, calcium CPT Code: 82310 | $12 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $484 | — | — | — |