| Pneumococcal vaccine HCPCS Code: 90732 | $195 | $195 | $169 | 1.2× |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $75 | $75 | $65 | 1.1× |
| Flu vaccine injection HCPCS Code: G0008 | $23 | $23 | $38 | 0.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $875 | — | $720 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $72 | — | $38 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $950 | — | $577 | — |
| Blood test, liver function panel CPT Code: 80076 | $80 | — | $40 | — |
| X-ray, shoulder CPT Code: 73030 | $263 | — | $158 | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $466 | — | $79 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $45 | — | $17 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $875 | — | $728 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $843 | — | $406 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $105 | — | $55 | — |
| X-ray, hand CPT Code: 73130 | $201 | — | $153 | — |
| Blood test, vitamin D CPT Code: 82306 | $277 | — | $147 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $90 | — | $69 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $30 | — | $13 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $278 | — | $181 | — |
| Culture, bacterial CPT Code: 87070 | $95 | — | $43 | — |
| Blood test, sodium CPT Code: 84295 | $33 | — | $15 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $950 | — | $578 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $90 | — | $60 | — |
| CT scan, sinuses CPT Code: 70486 | $950 | — | $572 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $58 | — | $69 | — |
| Blood test, magnesium CPT Code: 83735 | $52 | — | $32 | — |
| Ultrasound, pelvis CPT Code: 76856 | $425 | — | $191 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $380 | — | $180 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $115 | — | $102 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $32 | — | $13 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,100 | — | $639 | — |
| X-ray, chest (single view) CPT Code: 71045 | $182 | — | $142 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $101 | — | $64 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $90 | — | $69 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $60 | — | $24 | — |
| X-ray, foot CPT Code: 73630 | $211 | — | $159 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $168 | — | $135 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,248 | — | $1,006 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $218 | — | $192 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,486 | — | $523 | unverified |
| Blood test, vitamin B12 CPT Code: 82607 | $103 | — | $66 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $161 | — | $146 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $950 | — | $586 | — |
| X-ray, chest (two views) CPT Code: 71046 | $222 | — | $174 | — |
| X-ray, ankle CPT Code: 73610 | $210 | — | $157 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $28 | — | $14 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $875 | — | $713 | — |
| X-ray, pelvis CPT Code: 72170 | $204 | — | $150 | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $23 | — | $38 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $100 | — | $56 | — |
| Orthotic fitting and training CPT Code: 97760 | $51 | — | $72 | — |
| Blood antibody screen CPT Code: 86850 | $50 | — | $64 | — |
| X-ray, lower back CPT Code: 72110 | $365 | — | $262 | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $80 | — | $41 | — |
| CT scan, pelvis CPT Code: 72192 | $950 | — | $601 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $45 | — | $108 | — |
| Physical therapy (gait training) CPT Code: 97116 | $90 | — | $63 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,025 | — | $719 | — |
| Culture, blood CPT Code: 87040 | $69 | — | $49 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,025 | — | $638 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $50 | — | $26 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $40 | — | $16 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $90 | — | $69 | — |
| X-ray, hip CPT Code: 73502 | $255 | — | $186 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $950 | — | $645 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $132 | — | $84 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $90 | — | $70 | — |
| Blood test, calcium CPT Code: 82310 | $38 | — | $18 | — |
| Hepatitis C antibody test CPT Code: 86803 | $62 | — | $62 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,025 | — | $587 | — |
| Blood test, hemoglobin CPT Code: 85018 | $30 | — | $11 | — |
| Blood test, potassium CPT Code: 84132 | $33 | — | $14 | — |
| Blood test, amylase CPT Code: 82150 | $60 | — | $29 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $875 | — | $851 | — |
| Blood test, lipase CPT Code: 83690 | $60 | — | $32 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $132 | — | $85 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $120 | — | $100 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $234 | — | $174 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $50 | — | $34 | — |
| Drug screening test HCPCS Code: G0480 | $530 | — | $108 | — |
| Blood transfusion CPT Code: 36430 | $300 | — | $539 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $450 | — | $226 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $169 | — | $118 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $75 | — | $41 | — |