| Blood test, liver function panel CPT Code: 80076 | $32 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $10 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $22 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $754 | — | — | — |
| X-ray, hip CPT Code: 73502 | $132 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $53 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $168 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $40 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $94 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $746 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $124 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $168 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $184 | — | $51 | unverified |
| Speech therapy (language evaluation) CPT Code: 92507 | $60 | — | $118 | — |
| Ultrasound, pelvis CPT Code: 76856 | $191 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,484 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $10 | — | — | — |
| X-ray, foot CPT Code: 73630 | $203 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $297 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $1,396 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $22 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $100 | — | — | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $250 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $941 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $931 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $153 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $397 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $85 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,226 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $40 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,308 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $82 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $954 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,569 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $105 | — | $44 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $113 | — | $70 | — |
| X-ray, pelvis CPT Code: 72170 | $269 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $122 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $103 | — | $48 | — |
| Trauma team activation HCPCS Code: G0390 | $7,585 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $49 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $2,577 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $219 | — | $73 | — |
| X-ray, chest (single view) CPT Code: 71045 | $188 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $353 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $35 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $800 | — | — | — |
| Culture, blood CPT Code: 87040 | $108 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $63 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $859 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $220 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,351 | — | — | — |
| X-ray, hand CPT Code: 73130 | $65 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,087 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $84 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $621 | — | — | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $88 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $229 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $58 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $1,002 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $366 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $66 | — | $68 | unverified |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $31 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $121 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $38 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $75 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $74 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $72 | — | — | — |