| Blood antibody screen CPT Code: 86850 | $69 | — | $38 | — |
| Colorectal cancer screening HCPCS Code: G0010 | $8 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $104 | — | $50 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $2,828 | — | $2,649 | — |
| Blood test, hemoglobin CPT Code: 85018 | $24 | — | $8 | — |
| Blood test, potassium CPT Code: 84132 | $31 | — | $16 | — |
| Ultrasound, pelvis CPT Code: 76856 | $413 | — | — | — |
| Colonoscopy with biopsy CPT Code: 45380 | $956 | — | $279 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,312 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $45 | — | $47 | — |
| X-ray, pelvis CPT Code: 72170 | $153 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $37 | — | $15 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $262 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $251 | — | — | — |
| Psychological testing evaluation CPT Code: 96136 | $115 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $618 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $103 | — | $48 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,548 | — | — | — |
| X-ray, hip CPT Code: 73502 | $153 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $45 | — | $21 | — |
| Blood test, sodium CPT Code: 84295 | $29 | — | $18 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $562 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $153 | — | — | — |
| Total knee replacement CPT Code: 27447 | $2,590 | — | $1,631 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $170 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $63 | — | $96 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,087 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $58 | — | $27 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $183 | — | — | — |
| X-ray, foot CPT Code: 73630 | $173 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,012 | — | — | — |
| Bunion correction surgery CPT Code: 28296 | $1,344 | — | $669 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $139 | — | $95 | — |
| X-ray, lower back CPT Code: 72110 | $219 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $64 | — | $112 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $96 | — | $92 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $74 | — | $29 | unverified |
| Extended office visit (prolonged) HCPCS Code: G2212 | $27 | — | $39 | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $52 | — | — | — |
| Rabies immune globulin HCPCS Code: 90375 | $2,690 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $56 | — | $75 | — |
| Culture, bacterial CPT Code: 87070 | $75 | — | $29 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,798 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $70 | — | $91 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $88 | — | $37 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,873 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $40 | — | $47 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $91 | — | $44 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $300 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $27 | — | $21 | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $9 | — | — | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $36 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,922 | — | — | — |
| Care planning with family CPT Code: 90887 | $166 | — | — | — |
| Breast lump removal CPT Code: 19120 | $870 | — | $507 | — |
| Typhoid vaccine HCPCS Code: 90675 | $784 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $69 | — | $24 | unverified |
| Blood test, vitamin D CPT Code: 82306 | $107 | — | $91 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $113 | — | $40 | unverified |
| X-ray, chest (two views) CPT Code: 71046 | $202 | — | — | — |
| Trauma team activation HCPCS Code: G0390 | $1,102 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $139 | — | $103 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,228 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $173 | — | — | — |
| Neurobehavioral status check CPT Code: 96116 | $197 | — | — | — |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $160 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $89 | — | $42 | unverified |
| Physical therapy (manual therapy) CPT Code: 97140 | $66 | — | $85 | — |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,967 | — | $663 | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $92 | — | — | — |
| Culture, blood CPT Code: 87040 | $85 | — | $36 | unverified |
| Blood test, vitamin B12 CPT Code: 82607 | $100 | — | $46 | unverified |
| Blood test, liver function panel CPT Code: 80076 | $50 | — | $38 | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $140 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $39 | — | $26 | — |
| Blood test, amylase CPT Code: 82150 | $58 | — | $22 | unverified |
| Total hip replacement CPT Code: 27130 | $3,305 | — | $1,583 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $41 | — | $13 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $103 | — | $78 | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $76 | — | $31 | — |
| CT scan, sinuses CPT Code: 70486 | $1,008 | — | — | — |
| Blood transfusion CPT Code: 36430 | $701 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $33 | — | $17 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $49 | — | $18 | unverified |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $61 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $33 | — | $20 | — |
| Hepatitis C antibody test CPT Code: 86803 | $84 | — | $39 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $63 | — | $94 | — |
| X-ray, chest (single view) CPT Code: 71045 | $179 | — | — | — |
| Family therapy session CPT Code: 90847 | $184 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $113 | — | — | — |
| Review of medical records for care CPT Code: 90889 | $93 | — | — | — |
| Behavioral health living support HCPCS Code: H2019 | $15 | — | — | — |
| X-ray, hand CPT Code: 73130 | $163 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,023 | — | — | — |
| Psychological testing by technician CPT Code: 96138 | $71 | — | — | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $847 | — | $265 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,657 | — | — | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $184 | — | — | — |
| Hepatitis B vaccine HCPCS Code: 90744 | $46 | — | — | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,032 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $347 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $1,078 | — | — | — |
| Inguinal hernia repair CPT Code: 49505 | $1,292 | — | $602 | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $24 | — | — | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $2,382 | — | $875 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,199 | — | — | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $203 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $56 | — | — | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $129 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $1,050 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,024 | — | — | — |
| C-section delivery (full package) CPT Code: 59510 | $3,559 | — | $2,671 | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $674 | — | $233 | — |
| Physical therapy (gait training) CPT Code: 97116 | $60 | — | $74 | — |