| X-ray, pelvis CPT Code: 72170 | $512 | — | $50 | unverified |
| Culture, blood CPT Code: 87040 | $151 | — | $23 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $48 | — | $20 | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $54 | — | $20 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $495 | — | $50 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,474 | — | $135 | unverified |
| Hepatitis B vaccine HCPCS Code: 90744 | $64 | — | $31 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $27 | — | $25 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $45 | — | $8 | — |
| Ultrasound, pelvis CPT Code: 76856 | $732 | — | $87 | unverified |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $421 | — | $166 | — |
| Blood test, vitamin D CPT Code: 82306 | $59 | — | $30 | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,131 | — | $280 | — |
| Blood test, calcium CPT Code: 82310 | $16 | — | $11 | — |
| Hepatitis C antibody test CPT Code: 86803 | $23 | — | $24 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $425 | — | $79 | — |
| CT scan, sinuses CPT Code: 70486 | $1,249 | — | $127 | unverified |
| Hospital observation (per hour) HCPCS Code: G0378 | $266 | — | $47 | — |
| Hepatitis B immune globulin HCPCS Code: 90371 | $991 | — | $140 | — |
| Rabies immune globulin HCPCS Code: 90375 | $7,744 | — | $304 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,160 | — | $176 | unverified |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $215 | — | $93 | — |
| Blood test, potassium CPT Code: 84132 | $36 | — | $9 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $3,305 | — | $216 | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | $71 | — | $51 | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $553 | — | $128 | unverified |
| Blood test, sodium CPT Code: 84295 | $42 | — | $9 | — |
| Blood test, magnesium CPT Code: 83735 | $44 | — | $14 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,449 | — | $133 | unverified |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $64 | — | $31 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $207 | — | $84 | — |
| Blood transfusion CPT Code: 36430 | $195 | — | $241 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $36 | — | $7 | — |
| Trauma team activation HCPCS Code: G0390 | $1,284 | — | $925 | — |
| Blood test, lipase CPT Code: 83690 | $54 | — | $13 | — |
| Blood test, liver function panel CPT Code: 80076 | $139 | — | $20 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $258 | — | $24 | — |
| X-ray, chest (single view) CPT Code: 71045 | $396 | — | $47 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,463 | — | $552 | unverified |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $246 | — | $133 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $44 | — | $27 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,486 | — | $296 | unverified |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $205 | — | $146 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $25 | — | $9 | — |
| Typhoid vaccine HCPCS Code: 90675 | $1,075 | — | $333 | — |
| X-ray, chest (two views) CPT Code: 71046 | $402 | — | $42 | unverified |
| Culture, bacterial CPT Code: 87070 | $53 | — | $21 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,007 | — | $155 | unverified |
| Blood test, basic metabolic panel CPT Code: 80048 | $288 | — | $21 | unverified |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $39 | — | $19 | — |
| Colonoscopy with biopsy CPT Code: 45380 | $802 | — | $440 | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $108 | — | $44 | — |
| X-ray, lower back CPT Code: 72110 | $717 | — | $57 | unverified |
| Blood test, thyroid (TSH) CPT Code: 84443 | $33 | — | $29 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $154 | — | $29 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,033 | — | $319 | unverified |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $158 | — | $101 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $732 | — | $90 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,469 | — | $113 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,381 | — | $127 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $1,896 | — | $163 | unverified |
| Blood test, vitamin B12 CPT Code: 82607 | $59 | — | $26 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,379 | — | $135 | unverified |
| Blood test, hemoglobin CPT Code: 85018 | $46 | — | $4 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,189 | — | $1,093 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $427 | — | $120 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $43 | — | $9 | — |
| Blood antibody screen CPT Code: 86850 | $134 | — | $28 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $25 | — | $13 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $40 | — | $22 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $327 | — | $47 | unverified |
| Group therapy session CPT Code: 90853 | $841 | — | $56 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $631 | — | $354 | — |
| Blood test, amylase CPT Code: 82150 | $13 | — | $15 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $46 | — | $5 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,087 | — | $214 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $427 | — | $96 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,954 | — | $191 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,356 | — | $212 | — |
| Family therapy session CPT Code: 90847 | $166 | — | $98 | — |