| Blood test, magnesium CPT Code: 83735 | $79 | $7 | $7 | 1.0× |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $76 | $8 | $8 | 1.0× |
| Blood test, potassium CPT Code: 84132 | $69 | $5 | $5 | 1.0× |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $146 | $11 | $11 | 1.0× |
| Blood test, sodium CPT Code: 84295 | $67 | $5 | $5 | 1.0× |
| Culture, bacterial CPT Code: 87070 | $119 | $9 | $9 | 1.0× |
| Drug screening test HCPCS Code: G0480 | $154 | $114 | $116 | 1.0× |
| Blood test, clotting time (PTT) CPT Code: 85730 | $76 | $6 | $6 | 1.0× |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $92 | $10 | $10 | 1.0× |
| Blood test, lipase CPT Code: 83690 | $101 | $7 | $7 | 1.0× |
| Blood test, calcium CPT Code: 82310 | $69 | $5 | $5 | 1.0× |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $52 | $4 | $4 | 1.0× |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $69 | $4 | $4 | 1.0× |
| Blood test, creatinine (kidney) CPT Code: 82565 | $52 | $5 | $5 | 1.0× |
| Culture, blood CPT Code: 87040 | $149 | $10 | $11 | 0.9× |
| Blood test, amylase CPT Code: 82150 | $70 | $6 | $7 | 0.9× |
| Blood test, liver function panel CPT Code: 80076 | $288 | $8 | $9 | 0.9× |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $96 | $14 | $15 | 0.9× |
| Blood test, basic metabolic panel CPT Code: 80048 | $134 | $8 | $9 | 0.9× |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $57 | $4 | $5 | 0.9× |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $105 | $13 | $15 | 0.9× |
| Blood test, vitamin B12 CPT Code: 82607 | $151 | $15 | $18 | 0.8× |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $138 | $19 | $23 | 0.8× |
| Blood test, thyroid (TSH) CPT Code: 84443 | $111 | $17 | $21 | 0.8× |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $177 | $18 | $24 | 0.7× |
| Blood test, vitamin D CPT Code: 82306 | $145 | $30 | $43 | 0.7× |
| Blood test, hemoglobin CPT Code: 85018 | $57 | $2 | $3 | 0.7× |
| Screening mammogram (both breasts) CPT Code: 77067 | $413 | $83 | $147 | 0.6× |
| Blood antibody screen CPT Code: 86850 | $63 | $10 | $22 | 0.5× |
| New patient office visit (30-44 min) CPT Code: 99203 | $240 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $215 | — | — | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $78 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $18 | — | — | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $193 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $87 | — | — | — |
| Typhoid vaccine HCPCS Code: 90675 | $1,225 | — | — | — |
| Hepatitis B vaccine HCPCS Code: 90744 | $38 | — | — | — |
| Family therapy session CPT Code: 90847 | $218 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,357 | — | — | — |
| Diagnostic procedure preparation HCPCS Code: G0279 | $60 | — | — | — |
| Injection procedure for pain management HCPCS Code: G0260 | $1,592 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $1,125 | — | — | — |
| Blood transfusion CPT Code: 36430 | $927 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $122 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $319 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,525 | — | — | — |
| X-ray, hand CPT Code: 73130 | $311 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $252 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,097 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $355 | — | — | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $43 | — | — | — |
| Group therapy session CPT Code: 90853 | $174 | — | — | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,827 | — | — | — |
| Hepatitis B immune globulin HCPCS Code: 90371 | $683 | — | — | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $53 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,998 | — | — | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $84 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,719 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $640 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $103 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $284 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $220 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $272 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $246 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,144 | — | — | — |
| Rabies immune globulin HCPCS Code: 90375 | $306 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,155 | — | — | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $440 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $676 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $323 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $1,043 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $158 | — | — | — |
| Prosthetic fitting and training CPT Code: 97761 | $125 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,224 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,551 | — | — | — |
| Colorectal cancer screening HCPCS Code: G0010 | $23 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $19 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $703 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $266 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $1,043 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $235 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $211 | — | — | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $283 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $3,025 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,840 | — | — | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $304 | — | — | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $82 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $67 | — | — | — |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $131 | — | — | — |
| X-ray, foot CPT Code: 73630 | $355 | — | — | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $106 | — | — | — |
| X-ray, hip CPT Code: 73502 | $420 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,840 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $255 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $789 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $174 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,878 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $394 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $410 | — | — | — |