| Blood antibody screen CPT Code: 86850 | $88 | $34 | $28 | 1.2× |
| Pneumococcal vaccine HCPCS Code: 90732 | $452 | $150 | $128 | 1.2× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $172 | $128 | $110 | 1.2× |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $189 | $59 | $51 | 1.2× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | — | $16,777 | $15,289 | 1.1× |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $149 | $11 | $10 | 1.1× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | — | $15,227 | $14,181 | 1.1× |
| Culture, bacterial CPT Code: 87070 | $90 | $9 | $8 | 1.1× |
| Blood test, magnesium CPT Code: 83735 | $473 | $7 | $7 | 1.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | — | $6,733 | $6,318 | 1.1× |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $230 | $14 | $13 | 1.1× |
| Blood test, potassium CPT Code: 84132 | $77 | $5 | $5 | 1.1× |
| Blood test, thyroid (TSH) CPT Code: 84443 | $159 | $17 | $16 | 1.1× |
| Blood test, sodium CPT Code: 84295 | $85 | $5 | $5 | 1.1× |
| Blood test, lipase CPT Code: 83690 | $164 | $7 | $7 | 1.1× |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $71 | $10 | $10 | 1.1× |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $72 | $8 | $8 | 1.0× |
| Speech therapy (language evaluation) CPT Code: 92507 | $266 | $73 | $71 | 1.0× |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $116 | $4 | $4 | 1.0× |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $72 | $4 | $4 | 1.0× |
| Hepatitis C antibody test CPT Code: 86803 | $139 | $14 | $14 | 1.0× |
| Blood test, vitamin B12 CPT Code: 82607 | $114 | $15 | $15 | 1.0× |
| Blood test, vitamin D CPT Code: 82306 | $220 | $30 | $30 | 1.0× |
| Blood test, clotting time (PTT) CPT Code: 85730 | $257 | $6 | $6 | 1.0× |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $184 | $18 | $18 | 1.0× |
| Culture, blood CPT Code: 87040 | $179 | $10 | $10 | 1.0× |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $211 | $13 | $13 | 1.0× |
| Blood test, creatinine (kidney) CPT Code: 82565 | $85 | $5 | $5 | 1.0× |
| Blood test, calcium CPT Code: 82310 | $83 | $5 | $5 | 1.0× |
| Blood test, liver function panel CPT Code: 80076 | $179 | $8 | $8 | 1.0× |
| Orthotic fitting and training CPT Code: 97760 | $150 | $43 | $44 | 1.0× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $189 | $28 | $29 | 1.0× |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $175 | $33 | $34 | 1.0× |
| Blood test, basic metabolic panel CPT Code: 80048 | $144 | $8 | $8 | 1.0× |
| Physical therapy (gait training) CPT Code: 97116 | $150 | $28 | $29 | 1.0× |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $56 | $3 | $3 | 1.0× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $164 | $31 | $32 | 1.0× |
| Typhoid vaccine HCPCS Code: 90675 | $1,326 | $314 | $329 | 1.0× |
| Blood test, amylase CPT Code: 82150 | $365 | $6 | $6 | 1.0× |
| Flu vaccine (high dose) HCPCS Code: 90656 | $55 | $23 | $24 | 1.0× |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $63 | $4 | $4 | 1.0× |
| Occupational therapy (self-care training) CPT Code: 97535 | $172 | $30 | $32 | 0.9× |
| Physical therapy (manual therapy) CPT Code: 97140 | $223 | $26 | $28 | 0.9× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $136 | $83 | $92 | 0.9× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $136 | $56 | $63 | 0.9× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $578 | $98 | $114 | 0.9× |
| New patient office visit (30-44 min) CPT Code: 99203 | $134 | $70 | $82 | 0.8× |
| Blood test, hemoglobin CPT Code: 85018 | $55 | $2 | $2 | 0.8× |
| Screening mammogram (both breasts) CPT Code: 77067 | $239 | $81 | $97 | 0.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,036 | $345 | $444 | 0.8× |
| X-ray, pelvis CPT Code: 72170 | $302 | $67 | $88 | 0.8× |
| X-ray, chest (single view) CPT Code: 71045 | $259 | $55 | $74 | 0.7× |
| X-ray, foot CPT Code: 73630 | $458 | $55 | $76 | 0.7× |
| X-ray, lower back CPT Code: 72110 | $574 | $67 | $93 | 0.7× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $337 | $55 | $77 | 0.7× |
| X-ray, chest (two views) CPT Code: 71046 | $302 | $55 | $77 | 0.7× |
| X-ray, shoulder CPT Code: 73030 | $454 | $55 | $77 | 0.7× |
| X-ray, hand CPT Code: 73130 | $455 | $55 | $77 | 0.7× |
| X-ray, ankle CPT Code: 73610 | $481 | $55 | $78 | 0.7× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $64 | $37 | $53 | 0.7× |
| X-ray, hip CPT Code: 73502 | $295 | $55 | $79 | 0.7× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $616 | $67 | $98 | 0.7× |
| Blood transfusion CPT Code: 36430 | $511 | $275 | $416 | 0.7× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $764 | $67 | $102 | 0.7× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,012 | $67 | $103 | 0.7× |
| Ultrasound, pelvis CPT Code: 76856 | $845 | $67 | $104 | 0.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $958 | $152 | $236 | 0.6× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $113 | $101 | $170 | 0.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,797 | $152 | $264 | 0.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,987 | $225 | $393 | 0.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $5,409 | $225 | $395 | 0.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,509 | $152 | $282 | 0.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $3,763 | $152 | $284 | 0.5× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,853 | $112 | $212 | 0.5× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,632 | $112 | $218 | 0.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $3,517 | $152 | $297 | 0.5× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,693 | $67 | $135 | 0.5× |
| CT scan, pelvis CPT Code: 72192 | $1,997 | $67 | $144 | 0.5× |
| CT scan, sinuses CPT Code: 70486 | $1,869 | $67 | $144 | 0.5× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,389 | $67 | $145 | 0.5× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,522 | $67 | $145 | 0.5× |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,080 | $67 | $149 | 0.5× |
| Diagnostic procedure preparation HCPCS Code: G0279 | $40 | $11 | $26 | 0.4× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,961 | $488 | $2,705 | 0.2× |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $137 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $92 | — | — | — |
| Total hip replacement CPT Code: 27130 | $4,007 | — | $6,576 | — |
| Drug screening test HCPCS Code: G0480 | $63 | — | $101 | — |
| Total knee replacement CPT Code: 27447 | $3,775 | — | $6,617 | — |