| X-ray, hand CPT Code: 73130 | $270 | — | $69 | — |
| Blood test, liver function panel CPT Code: 80076 | $93 | — | $25 | — |
| X-ray, lower back CPT Code: 72110 | $569 | — | $105 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $116 | — | $33 | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $117 | — | $26 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,139 | — | $910 | unverified |
| Physical therapy (gait training) CPT Code: 97116 | $142 | — | $45 | — |
| Blood test, potassium CPT Code: 84132 | $18 | — | $12 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $239 | — | $83 | — |
| X-ray, hip CPT Code: 73502 | $293 | — | $73 | — |
| Blood transfusion CPT Code: 36430 | $795 | — | $379 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $84 | — | $35 | — |
| Culture, blood CPT Code: 87040 | $160 | — | $26 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $78 | — | $239 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $230 | — | $95 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $211 | — | $150 | — |
| X-ray, foot CPT Code: 73630 | $321 | — | $68 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $3,593 | — | $334 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $492 | — | $251 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $21 | — | $11 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $24 | — | $10 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $6,665 | — | $248 | unverified |
| X-ray, pelvis CPT Code: 72170 | $374 | — | $94 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $121 | — | $99 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $267 | — | $90 | — |
| CT scan, pelvis CPT Code: 72192 | $300 | — | $243 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $666 | — | $490 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $25 | — | $15 | — |
| Prosthetic fitting and training CPT Code: 97761 | $156 | — | $61 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $99 | — | $33 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $239 | — | $84 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $129 | — | $46 | — |
| X-ray, ankle CPT Code: 73610 | $332 | — | $71 | — |
| X-ray, chest (two views) CPT Code: 71046 | $267 | — | $72 | — |
| Blood test, amylase CPT Code: 82150 | $110 | — | $18 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,663 | — | $494 | — |
| Speech therapy (group session) CPT Code: 92508 | $71 | — | $39 | — |
| Blood test, calcium CPT Code: 82310 | $71 | — | $12 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $239 | — | $75 | — |
| Blood test, lipase CPT Code: 83690 | $129 | — | $16 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,097 | — | $160 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $364 | — | $245 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $40 | — | $10 | — |
| X-ray, chest (single view) CPT Code: 71045 | $269 | — | $70 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $29 | — | $9 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $98 | — | $50 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $214 | — | $58 | — |
| CT scan, sinuses CPT Code: 70486 | $4,155 | — | $246 | unverified |
| Physical therapy (functional capacity test) CPT Code: 97750 | $127 | — | $49 | — |
| Blood test, hemoglobin CPT Code: 85018 | $9 | — | $6 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $7,844 | — | $239 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $666 | — | $466 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,594 | — | $337 | — |
| Blood test, sodium CPT Code: 84295 | $18 | — | $14 | — |
| X-ray, shoulder CPT Code: 73030 | $318 | — | $68 | — |
| Hepatitis C antibody test CPT Code: 86803 | $109 | — | $35 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $95 | — | $13 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $209 | — | $29 | unverified |
| Blood antibody screen CPT Code: 86850 | $157 | — | $39 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $374 | — | $182 | — |
| Orthotic fitting and training CPT Code: 97760 | $239 | — | $88 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $70 | — | $23 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $251 | — | $25 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $4,379 | — | $318 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $358 | — | $122 | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $514 | — | $43 | unverified |
| Culture, bacterial CPT Code: 87070 | $117 | — | $25 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $95 | — | $47 | — |
| Blood test, vitamin D CPT Code: 82306 | $104 | — | $52 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $57 | — | $31 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,684 | — | $373 | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | $101 | — | $67 | — |
| Blood test, magnesium CPT Code: 83735 | $31 | — | $16 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,231 | — | $592 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $767 | — | $145 | unverified |
| Blood test, thyroid (TSH) CPT Code: 84443 | $139 | — | $30 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $27 | — | $20 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $264 | — | $661 | — |
| Drug screening test HCPCS Code: G0480 | $260 | — | $116 | — |
| Ultrasound, pelvis CPT Code: 76856 | $875 | — | $176 | — |