| MRI, lower back (no contrast) CPT Code: 72148 | $7,324 | — | — | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $349 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $152 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $1,313 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $9,599 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $1,098 | — | — | — |
| X-ray, hand CPT Code: 73130 | $404 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $4,142 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $220 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $212 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $190 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $331 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $130 | — | — | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,503 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $404 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $114 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $449 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $130 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $112 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $78 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,236 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $153 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $649 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $104 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $147 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $4,302 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $114 | — | — | — |
| Blood transfusion CPT Code: 36430 | $715 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $157 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $114 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $3,935 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $586 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $184 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $349 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $216 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $112 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $550 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $324 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $143 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $83 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $309 | — | — | — |
| X-ray, hip CPT Code: 73502 | $585 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $234 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $112 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $604 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $743 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $4,142 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $6,213 | — | — | — |
| Culture, blood CPT Code: 87040 | $334 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $112 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $217 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $715 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $115 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,131 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $130 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $375 | — | — | — |