| Flu vaccine (high dose) HCPCS Code: 90656 | $32 | $40 | $25 | 1.6× |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $45 | $56 | $40 | 1.4× |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $51 | $64 | $65 | 1.0× |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $144 | $180 | $205 | 0.9× |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $80 | $100 | $114 | 0.9× |
| Pneumococcal vaccine HCPCS Code: 90732 | $104 | $130 | $159 | 0.8× |
| Typhoid vaccine HCPCS Code: 90675 | $320 | $400 | $525 | 0.8× |
| Flu vaccine injection HCPCS Code: G0008 | $16 | — | $42 | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $16 | — | $43 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $614 | — | $633 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $27 | — | $53 | — |
| Blood transfusion CPT Code: 36430 | $576 | — | $512 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $168 | — | $205 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $50 | — | $46 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $146 | — | $164 | — |
| X-ray, chest (two views) CPT Code: 71046 | $168 | — | $151 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $92 | — | $90 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $66 | — | $65 | — |
| Culture, bacterial CPT Code: 87070 | $50 | — | $30 | — |
| Blood test, hemoglobin CPT Code: 85018 | $11 | — | $9 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $33 | — | $10 | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $188 | — | $178 | — |
| Physical therapy (gait training) CPT Code: 97116 | $76 | — | $54 | — |
| Blood test, potassium CPT Code: 84132 | $12 | — | $11 | — |
| Blood test, vitamin D CPT Code: 82306 | $242 | — | $118 | — |
| Ultrasound, pelvis CPT Code: 76856 | $137 | — | $173 | — |
| Colorectal cancer screening HCPCS Code: G0010 | $60 | — | $48 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $49 | — | $35 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $614 | — | $635 | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $14 | — | $37 | — |
| Hepatitis C antibody test CPT Code: 86803 | $70 | — | $46 | — |
| Colonoscopy with biopsy CPT Code: 45380 | $1,516 | — | $1,100 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $139 | — | $132 | — |
| X-ray, foot CPT Code: 73630 | $150 | — | $142 | — |
| X-ray, chest (single view) CPT Code: 71045 | $138 | — | $123 | — |
| X-ray, hip CPT Code: 73502 | $193 | — | $162 | — |
| X-ray, pelvis CPT Code: 72170 | $141 | — | $131 | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $112 | — | $154 | — |
| CT scan, sinuses CPT Code: 70486 | $534 | — | $476 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $179 | — | $161 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $534 | — | $482 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $109 | — | $105 | — |
| X-ray, ankle CPT Code: 73610 | $155 | — | $144 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $614 | — | $633 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $678 | — | $796 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $534 | — | $481 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $534 | — | $569 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,701 | — | $907 | — |
| Blood test, calcium CPT Code: 82310 | $27 | — | $14 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $160 | — | $172 | — |
| Blood test, amylase CPT Code: 82150 | $29 | — | $23 | — |
| Orthotic fitting and training CPT Code: 97760 | $44 | — | $66 | — |
| X-ray, lower back CPT Code: 72110 | $276 | — | $227 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $21 | — | $14 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $534 | — | $486 | — |
| Blood test, sodium CPT Code: 84295 | $13 | — | $11 | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $35 | — | $76 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $66 | — | $58 | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $34 | — | $34 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $26 | — | $30 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $106 | — | $70 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $598 | — | $549 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $22 | — | $10 | — |
| Blood test, liver function panel CPT Code: 80076 | $37 | — | $31 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $24 | — | $27 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $40 | — | $64 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $183 | — | $105 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $566 | — | $542 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $534 | — | $490 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $566 | — | $649 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $55 | — | $62 | — |
| X-ray, hand CPT Code: 73130 | $152 | — | $137 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $77 | — | $58 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $60 | — | $62 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $534 | — | $347 | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $170 | — | $178 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $10 | — | $10 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $86 | — | $91 | — |
| CT scan, pelvis CPT Code: 72192 | $534 | — | $503 | — |
| Blood test, magnesium CPT Code: 83735 | $29 | — | $24 | — |
| Blood test, lipase CPT Code: 83690 | $32 | — | $24 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $534 | — | $489 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $18 | — | $12 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $64 | — | $53 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $80 | — | $58 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $48 | — | $23 | — |
| Trauma team activation HCPCS Code: G0390 | $328 | — | $1,004 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $49 | — | $47 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $26 | — | $22 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $261 | — | $104 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $178 | — | $159 | — |
| Blood antibody screen CPT Code: 86850 | $102 | — | $54 | — |
| Culture, blood CPT Code: 87040 | $66 | — | $42 | — |
| X-ray, shoulder CPT Code: 73030 | $156 | — | $137 | — |