| Rabies immune globulin HCPCS Code: 90375 | $3,214 | $533 | $347 | 1.5× |
| Hepatitis B vaccine HCPCS Code: 90744 | $99 | $32 | $29 | 1.1× |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $88 | $30 | $28 | 1.1× |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $555 | $183 | $176 | 1.0× |
| Pneumococcal vaccine HCPCS Code: 90732 | $407 | $133 | $129 | 1.0× |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $273 | $95 | $93 | 1.0× |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $174 | $40 | $40 | 1.0× |
| Flu vaccine (high dose) HCPCS Code: 90656 | $61 | $23 | $23 | 1.0× |
| Typhoid vaccine HCPCS Code: 90675 | $1,541 | $312 | $311 | 1.0× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $446 | $142 | $143 | 1.0× |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $58 | $9 | $10 | 0.9× |
| Screening mammogram (both breasts) CPT Code: 77067 | $384 | $115 | $126 | 0.9× |
| Hepatitis C antibody test CPT Code: 86803 | $127 | $21 | $23 | 0.9× |
| Blood test, sodium CPT Code: 84295 | $40 | $10 | $11 | 0.9× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $118 | $60 | $75 | 0.8× |
| Blood test, calcium CPT Code: 82310 | $64 | $9 | $11 | 0.8× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $168 | $89 | $114 | 0.8× |
| Blood test, clotting time (PTT) CPT Code: 85730 | — | $9 | $12 | 0.8× |
| New patient office visit (30-44 min) CPT Code: 99203 | $164 | $75 | $106 | 0.7× |
| Blood test, basic metabolic panel CPT Code: 80048 | — | $9 | $16 | 0.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,052 | — | — | — |
| Cataract surgery with lens implant CPT Code: 66984 | $5,699 | — | $779 | unverified |
| X-ray, shoulder CPT Code: 73030 | $322 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $129 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $1,291 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $70 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $340 | — | — | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $491 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $252 | — | — | — |
| Hepatitis B immune globulin HCPCS Code: 90371 | $1,768 | — | $161 | — |
| X-ray, lower back CPT Code: 72110 | $369 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $44 | — | — | — |
| Diagnostic procedure preparation HCPCS Code: G0279 | $185 | — | — | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $75 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $126 | — | — | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $501 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $36 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $129 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $83 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $1,275 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $35 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $94 | — | — | — |
| X-ray, hip CPT Code: 73502 | $222 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $86 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $129 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $95 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $72 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $111 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $207 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,517 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $198 | — | — | — |
| Culture, blood CPT Code: 87040 | $119 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $111 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | — | — | $8 | — |
| Orthotic fitting and training CPT Code: 97760 | $129 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $246 | — | — | — |
| Colonoscopy with biopsy CPT Code: 45380 | $3,873 | — | $277 | unverified |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $122 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $227 | — | — | — |
| Trauma team activation HCPCS Code: G0390 | $2,518 | — | — | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $4,942 | — | $259 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,506 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $73 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $107 | — | — | — |
| X-ray, hand CPT Code: 73130 | $254 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $92 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $175 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $129 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $70 | — | — | — |
| Colorectal cancer screening HCPCS Code: G0010 | $35 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,664 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $129 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $42 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $95 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $159 | — | $37 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $1,368 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $125 | — | — | — |
| X-ray, foot CPT Code: 73630 | $283 | — | — | — |
| Group therapy session CPT Code: 90853 | $502 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $44 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $168 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $42 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,442 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $79 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $35 | — | — | — |