| Blood antibody screen CPT Code: 86850 | $106 | $50 | $34 | 1.5× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $156 | $195 | $132 | 1.5× |
| Blood test, hemoglobin CPT Code: 85018 | $10 | $3 | $2 | 1.2× |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $68 | $4 | $4 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $752 | $525 | $484 | 1.1× |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $119 | $10 | $9 | 1.1× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $48,225 | $18,757 | $17,570 | 1.1× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $45,159 | $20,885 | $19,814 | 1.1× |
| Blood test, lipase CPT Code: 83690 | $120 | $9 | $9 | 1.0× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $1,911 | $149 | $143 | 1.0× |
| X-ray, pelvis CPT Code: 72170 | $310 | $102 | $98 | 1.0× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $78,819 | $33,294 | $32,206 | 1.0× |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $42 | $5 | $5 | 1.0× |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $135 | $17 | $16 | 1.0× |
| Culture, bacterial CPT Code: 87070 | $66 | $11 | $11 | 1.0× |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $42 | $5 | $5 | 1.0× |
| Orthotic fitting and training CPT Code: 97760 | $154 | $45 | $44 | 1.0× |
| Blood test, amylase CPT Code: 82150 | $87 | $8 | $8 | 1.0× |
| Blood test, potassium CPT Code: 84132 | $34 | $6 | $6 | 1.0× |
| Blood test, vitamin B12 CPT Code: 82607 | $165 | $19 | $19 | 1.0× |
| Electrical stimulation therapy HCPCS Code: G0283 | $77 | $12 | $12 | 1.0× |
| Culture, blood CPT Code: 87040 | $152 | $13 | $13 | 1.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $19,419 | $7,516 | $7,427 | 1.0× |
| Blood test, vitamin D CPT Code: 82306 | $202 | $37 | $37 | 1.0× |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $153 | $17 | $17 | 1.0× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $32,247 | $20,159 | $19,975 | 1.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,515 | $170 | $169 | 1.0× |
| X-ray, ankle CPT Code: 73610 | $566 | $84 | $83 | 1.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,228 | $231 | $229 | 1.0× |
| Speech therapy (language evaluation) CPT Code: 92507 | $329 | $74 | $73 | 1.0× |
| Screening mammogram (both breasts) CPT Code: 77067 | $405 | $85 | $84 | 1.0× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $186 | $57 | $57 | 1.0× |
| Hepatitis C antibody test CPT Code: 86803 | $142 | $18 | $18 | 1.0× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,619 | $102 | $101 | 1.0× |
| Typhoid vaccine HCPCS Code: 90675 | $2,612 | $334 | $332 | 1.0× |
| CT scan, sinuses CPT Code: 70486 | $986 | $102 | $102 | 1.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $929 | $102 | $102 | 1.0× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,891 | $102 | $102 | 1.0× |
| Trauma team activation HCPCS Code: G0390 | $1,503 | $1,266 | $1,262 | 1.0× |
| CT scan, pelvis CPT Code: 72192 | $1,647 | $102 | $102 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $625 | $102 | $102 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $5,045 | $974 | $971 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,334 | $342 | $341 | 1.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,964 | $102 | $102 | 1.0× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $1,233 | $102 | $102 | 1.0× |
| Ultrasound, pelvis CPT Code: 76856 | $2,474 | $102 | $102 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $246 | $84 | $84 | 1.0× |
| CT scan, head (with contrast) CPT Code: 70460 | $2,348 | $170 | $170 | 1.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,020 | $102 | $102 | 1.0× |
| Blood test, sodium CPT Code: 84295 | $38 | $6 | $6 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $184 | $84 | $84 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,445 | $872 | $873 | 1.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,012 | $231 | $231 | 1.0× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $642 | $102 | $102 | 1.0× |
| X-ray, hand CPT Code: 73130 | $456 | $84 | $84 | 1.0× |
| Blood test, basic metabolic panel CPT Code: 80048 | $152 | $10 | $10 | 1.0× |
| Blood test, liver function panel CPT Code: 80076 | $223 | $10 | $10 | 1.0× |
| X-ray, shoulder CPT Code: 73030 | $511 | $84 | $84 | 1.0× |
| X-ray, foot CPT Code: 73630 | $571 | $84 | $84 | 1.0× |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $69 | $20 | $20 | 1.0× |
| Rabies immune globulin HCPCS Code: 90375 | $2,962 | $286 | $287 | 1.0× |
| X-ray, hip CPT Code: 73502 | $278 | $84 | $84 | 1.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $515 | $84 | $85 | 1.0× |
| Prosthetic fitting and training CPT Code: 97761 | $122 | $39 | $39 | 1.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,015 | $342 | $344 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,221 | $897 | $906 | 1.0× |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $138 | $12 | $12 | 1.0× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,449 | $102 | $103 | 1.0× |
| Blood test, thyroid (TSH) CPT Code: 84443 | $145 | $20 | $20 | 1.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $697 | $231 | $235 | 1.0× |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $47 | $5 | $5 | 1.0× |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $116 | $34 | $35 | 1.0× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $128 | $32 | $33 | 1.0× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,504 | $231 | $240 | 1.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $2,609 | $1,128 | $1,174 | 1.0× |
| Blood transfusion CPT Code: 36430 | $858 | $418 | $437 | 1.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $3,578 | $231 | $242 | 1.0× |
| Blood test, magnesium CPT Code: 83735 | $45 | $8 | $8 | 1.0× |
| Occupational therapy (self-care training) CPT Code: 97535 | $109 | $31 | $33 | 0.9× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $134 | $28 | $30 | 0.9× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $123 | $31 | $33 | 0.9× |
| Blood test, creatinine (kidney) CPT Code: 82565 | $53 | $6 | $6 | 0.9× |
| Blood test, clotting time (PTT) CPT Code: 85730 | $14 | $7 | $7 | 0.9× |
| Physical therapy (gait training) CPT Code: 97116 | $101 | $28 | $30 | 0.9× |
| Blood test, calcium CPT Code: 82310 | $43 | $6 | $6 | 0.9× |
| Physical therapy (manual therapy) CPT Code: 97140 | $121 | $27 | $29 | 0.9× |
| Speech therapy (group session) CPT Code: 92508 | $240 | $23 | $25 | 0.9× |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $166 | $11 | $12 | 0.9× |
| Diagnostic procedure preparation HCPCS Code: G0279 | $132 | $14 | $27 | 0.5× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $268 | — | — | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $267 | — | — | — |
| Psychological testing evaluation CPT Code: 96136 | $121 | — | — | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $768 | — | — | — |
| Neurobehavioral status check CPT Code: 96116 | $121 | — | — | — |
| Breast lump removal CPT Code: 19120 | $7,233 | — | $3,160 | unverified |
| Hepatitis B vaccine HCPCS Code: 90744 | $235 | — | — | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $228 | — | — | — |
| Group therapy session CPT Code: 90853 | $50 | — | — | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $939 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $21 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $384 | — | — | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $166 | — | — | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $285 | — | — | — |
| Family therapy session CPT Code: 90847 | $142 | — | — | — |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $1,535 | — | — | — |