| Office visit, established patient (30-39 min) CPT Code: 99214 | $272 | — | $107 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $9,370 | — | $133 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $5,957 | — | $566 | — |
| Blood test, sodium CPT Code: 84295 | $107 | — | $15 | — |
| Breast lump removal CPT Code: 19120 | $257 | — | $1,716 | unverified |
| X-ray, hand CPT Code: 73130 | $1,967 | — | $92 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,165 | — | $688 | — |
| Ultrasound, pelvis CPT Code: 76856 | $144 | — | $141 | — |
| Hepatitis C antibody test CPT Code: 86803 | $118 | — | $46 | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $452 | — | $925 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $6,018 | — | $167 | unverified |
| X-ray, lower back CPT Code: 72110 | $2,011 | — | $116 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $51 | — | $569 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $274 | — | $283 | — |
| CT scan, sinuses CPT Code: 70486 | $417 | — | $275 | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | — | — | $26 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $264 | — | $108 | — |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $1,164 | — | $198 | — |
| Orthotic fitting and training CPT Code: 97760 | $314 | — | $79 | — |
| Blood transfusion CPT Code: 36430 | $335 | — | $448 | — |
| Total knee replacement CPT Code: 27447 | $1,918 | — | $5,593 | — |
| Culture, blood CPT Code: 87040 | $107 | — | $48 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $268 | — | $276 | — |
| Inguinal hernia repair CPT Code: 49505 | $391 | — | $1,834 | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $383 | — | $167 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $335 | — | $269 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $2,568 | — | $133 | unverified |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $213 | — | $44 | — |
| Typhoid vaccine HCPCS Code: 90675 | $363 | — | $414 | — |
| Culture, bacterial CPT Code: 87070 | $69 | — | $24 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $4,583 | — | $182 | unverified |
| Physical therapy (manual therapy) CPT Code: 97140 | $315 | — | $74 | — |
| Family therapy session CPT Code: 90847 | $115 | — | $177 | — |
| Blood antibody screen CPT Code: 86850 | $162 | — | $48 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $7,475 | — | $569 | — |
| Blood test, liver function panel CPT Code: 80076 | $78 | — | $38 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $207 | — | $9 | unverified |
| Blood test, clotting time (PTT) CPT Code: 85730 | $102 | — | $19 | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $239 | — | $64 | — |
| Blood test, lipase CPT Code: 83690 | $34 | — | $27 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $1,873 | — | $90 | unverified |
| X-ray, neck (cervical spine) CPT Code: 72040 | $486 | — | $97 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $423 | — | $10 | unverified |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $72 | — | $44 | — |
| Blood test, hemoglobin CPT Code: 85018 | $56 | — | $7 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $81 | — | $36 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $283 | — | $77 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $4,103 | — | $571 | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $566 | — | $39 | unverified |
| CT scan, pelvis CPT Code: 72192 | $431 | — | $272 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $180 | — | $81 | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $929 | — | $112 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $57 | — | $11 | — |
| Physical therapy (gait training) CPT Code: 97116 | $237 | — | $62 | — |
| Blood test, calcium CPT Code: 82310 | $101 | — | $16 | — |
| Blood test, vitamin D CPT Code: 82306 | $102 | — | $62 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $9,091 | — | $534 | unverified |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $254 | — | $197 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $38 | — | $40 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $335 | — | $419 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $176 | — | $52 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $228 | — | $81 | — |
| X-ray, ankle CPT Code: 73610 | — | — | $93 | unverified |
| Blood test, magnesium CPT Code: 83735 | $83 | — | $23 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $386 | — | $85 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $384 | — | $88 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $51 | — | $441 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $1,394 | — | $1,105 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $274 | — | $74 | — |
| X-ray, chest (two views) CPT Code: 71046 | $800 | — | $98 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $77 | — | $57 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $32 | — | $15 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $401 | — | $158 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $53 | — | $11 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,863 | — | $993 | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $670 | — | $185 | — |
| Blood test, amylase CPT Code: 82150 | $81 | — | $23 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $140 | — | $283 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $132 | — | $51 | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $913 | — | $142 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $83 | — | $47 | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $200 | — | $3,112 | unverified |
| Occupational therapy (self-care training) CPT Code: 97535 | $317 | — | $69 | unverified |
| Blood test, vitamin B12 CPT Code: 82607 | $63 | — | $46 | — |
| X-ray, foot CPT Code: 73630 | — | — | $94 | unverified |
| X-ray, pelvis CPT Code: 72170 | — | — | $113 | unverified |
| Hepatitis B vaccine HCPCS Code: 90744 | $791 | — | $39 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,095 | — | $1,856 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $383 | — | $96 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,183 | — | $744 | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,279 | — | $914 | — |
| X-ray, hip CPT Code: 73502 | $4,737 | — | $93 | unverified |
| X-ray, shoulder CPT Code: 73030 | $3,524 | — | $93 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $213 | — | $96 | — |
| Total hip replacement CPT Code: 27130 | $5,676 | — | $5,599 | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $958 | — | $56 | unverified |
| Blood test, potassium CPT Code: 84132 | $142 | — | $14 | unverified |