| Screening mammogram (both breasts) CPT Code: 77067 | $129 | $135 | $86 | 1.6× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $189 | $169 | $109 | 1.5× |
| Diagnostic procedure preparation HCPCS Code: G0279 | $63 | $45 | $33 | 1.4× |
| X-ray, hip CPT Code: 73502 | $157 | $52 | $38 | 1.4× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,402 | $718 | $536 | 1.3× |
| X-ray, lower back CPT Code: 72110 | $164 | $57 | $43 | 1.3× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $236 | $116 | $87 | 1.3× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $184 | $93 | $79 | 1.2× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $108 | $43 | $37 | 1.2× |
| X-ray, ankle CPT Code: 73610 | $174 | $40 | $35 | 1.1× |
| Ultrasound, pelvis CPT Code: 76856 | $200 | $113 | $100 | 1.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $798 | $187 | $167 | 1.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,258 | $322 | $288 | 1.1× |
| X-ray, hand CPT Code: 73130 | $128 | $41 | $37 | 1.1× |
| X-ray, chest (two views) CPT Code: 71046 | $107 | $36 | $33 | 1.1× |
| X-ray, foot CPT Code: 73630 | $174 | $37 | $34 | 1.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $635 | $160 | $146 | 1.1× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $223 | $123 | $114 | 1.1× |
| X-ray, shoulder CPT Code: 73030 | $121 | $38 | $36 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $324 | $196 | $187 | 1.1× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $55 | $65 | $63 | 1.0× |
| Speech therapy (language evaluation) CPT Code: 92507 | $64 | $84 | $82 | 1.0× |
| Physical therapy (manual therapy) CPT Code: 97140 | $49 | $31 | $31 | 1.0× |
| Physical therapy (gait training) CPT Code: 97116 | $47 | $32 | $32 | 1.0× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $52 | $32 | $32 | 1.0× |
| CT scan, pelvis CPT Code: 72192 | $560 | $143 | $142 | 1.0× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $54 | $36 | $36 | 1.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $716 | $141 | $141 | 1.0× |
| CT scan, chest (no contrast) CPT Code: 71250 | $504 | $143 | $144 | 1.0× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $80 | $96 | $96 | 1.0× |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $65 | $17 | $17 | 1.0× |
| X-ray, pelvis CPT Code: 72170 | $83 | $30 | $30 | 1.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $666 | $140 | $141 | 1.0× |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $55 | $38 | $38 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $66 | $27 | $28 | 1.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,022 | $220 | $225 | 1.0× |
| CT scan, sinuses CPT Code: 70486 | $449 | $138 | $142 | 1.0× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,022 | $211 | $219 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $695 | $212 | $220 | 1.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,001 | $207 | $216 | 1.0× |
| New patient office visit (30-44 min) CPT Code: 99203 | $73 | $82 | $86 | 1.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $560 | $115 | $122 | 0.9× |
| Orthotic fitting and training CPT Code: 97760 | $55 | $50 | $53 | 0.9× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $90 | $155 | $169 | 0.9× |
| Occupational therapy (self-care training) CPT Code: 97535 | $54 | $36 | $39 | 0.9× |
| Electrical stimulation therapy HCPCS Code: G0283 | $44 | $14 | $16 | 0.9× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $115 | $157 | $176 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,205 | $199 | $224 | 0.9× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $57 | $37 | $42 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,370 | $342 | $401 | 0.9× |
| Pneumococcal vaccine HCPCS Code: 90732 | $58 | $98 | $118 | 0.8× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $62 | $105 | $134 | 0.8× |
| Group therapy session CPT Code: 90853 | $19 | $28 | $37 | 0.8× |
| Family therapy session CPT Code: 90847 | $68 | $118 | $159 | 0.7× |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $77 | $98 | $201 | 0.5× |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $18 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $49 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $12 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $61 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $27 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $19 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $35 | — | $32 | — |
| Blood test, sodium CPT Code: 84295 | $22 | — | — | — |
| Blood transfusion CPT Code: 36430 | $692 | — | $213 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $69 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $59 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $22 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $14 | — | $44 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $59 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $93 | — | — | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $45 | — | $86 | — |
| Culture, bacterial CPT Code: 87070 | $40 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $42 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $25 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $44 | — | — | — |
| Mental health services (assessment) HCPCS Code: H0031 | $138 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $23 | — | — | — |
| Trauma team activation HCPCS Code: G0390 | $725 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $14 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $26 | — | — | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $14 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $22 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $39 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $28 | — | — | — |
| Culture, blood CPT Code: 87040 | $82 | — | — | — |
| Colorectal cancer screening HCPCS Code: G0010 | $21 | — | $45 | — |
| Hepatitis B vaccine HCPCS Code: 90744 | $23 | — | $39 | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $22 | — | $40 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $22 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $27 | — | $56 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $20 | — | — | — |
| Drug screening test HCPCS Code: G0480 | $96 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $49 | — | $26 | — |
| Blood test, magnesium CPT Code: 83735 | $37 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $40 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $11 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $52 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $39 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $50 | — | — | — |