| Colorectal cancer screening HCPCS Code: G0010 | $43 | — | $50 | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $43 | — | $47 | — |
| Orthotic fitting and training CPT Code: 97760 | $72 | — | $108 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $38 | — | $22 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $125 | — | $114 | — |
| Blood test, amylase CPT Code: 82150 | $41 | — | $23 | — |
| Hepatitis B vaccine HCPCS Code: 90744 | $61 | — | $46 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $94 | — | $35 | — |
| Hepatitis C antibody test CPT Code: 86803 | $66 | — | $42 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $79 | — | $107 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $558 | — | $389 | — |
| Blood test, magnesium CPT Code: 83735 | $34 | — | $22 | — |
| Rabies immune globulin HCPCS Code: 90375 | $928 | — | $480 | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $328 | — | $74 | unverified |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $72 | — | $107 | — |
| Blood test, liver function panel CPT Code: 80076 | $83 | — | $33 | — |
| Flu vaccine injection HCPCS Code: G0008 | $43 | — | $42 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $66 | — | $44 | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $56 | — | $45 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $59 | — | $85 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $72 | — | $91 | — |
| Blood test, sodium CPT Code: 84295 | $35 | — | $18 | — |
| Blood test, vitamin D CPT Code: 82306 | $121 | — | $83 | — |
| Blood transfusion CPT Code: 36430 | $315 | — | $485 | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $140 | — | $164 | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $156 | — | $138 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $29 | — | $18 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $72 | — | $110 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $72 | — | $115 | — |
| Blood test, potassium CPT Code: 84132 | $28 | — | $17 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $68 | — | $45 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $54 | — | $46 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $48 | — | $29 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $35 | — | $9 | — |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $160 | — | $229 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $97 | — | $50 | — |
| Culture, bacterial CPT Code: 87070 | $69 | — | $30 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $118 | — | $40 | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $39 | — | $53 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $66 | — | $44 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $25 | — | $15 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $86 | — | $83 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $33 | — | $28 | — |
| Blood antibody screen CPT Code: 86850 | $86 | — | $43 | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $116 | — | $158 | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $21 | — | $34 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $72 | — | $113 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,528 | — | $554 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $72 | — | $100 | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $775 | — | $310 | — |
| Extended office visit (prolonged) HCPCS Code: G2212 | $29 | — | $44 | — |
| Blood test, lipase CPT Code: 83690 | $44 | — | $23 | — |
| Culture, blood CPT Code: 87040 | $72 | — | $34 | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $77 | — | $68 | — |
| Blood test, hemoglobin CPT Code: 85018 | $17 | — | $10 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $29 | — | $15 | — |
| Drug screening test HCPCS Code: G0480 | $120 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $97 | — | $50 | — |
| Vaginal delivery (full package) CPT Code: 59400 | $2,995 | — | $2,786 | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $97 | — | $102 | — |
| Blood test, calcium CPT Code: 82310 | $28 | — | $18 | — |
| Typhoid vaccine HCPCS Code: 90675 | $483 | — | $402 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $27 | — | $12 | — |