| Pneumococcal vaccine HCPCS Code: 90732 | $229 | — | $161 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,601 | — | $742 | — |
| Blood test, vitamin D CPT Code: 82306 | $177 | — | $72 | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $182 | — | $119 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $2,006 | — | $476 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,418 | — | $523 | — |
| Rabies immune globulin HCPCS Code: 90375 | $4,802 | — | $432 | — |
| CT scan, pelvis CPT Code: 72192 | $1,580 | — | $421 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $71 | — | $52 | — |
| Blood test, sodium CPT Code: 84295 | $41 | — | $19 | — |
| Blood test, amylase CPT Code: 82150 | $11 | — | $27 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $452 | — | $255 | — |
| Blood test, magnesium CPT Code: 83735 | $31 | — | $25 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $662 | — | $234 | — |
| Hepatitis C antibody test CPT Code: 86803 | $43 | — | $48 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $946 | — | $349 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $22 | — | $18 | — |
| Blood test, potassium CPT Code: 84132 | $41 | — | $19 | — |
| Culture, bacterial CPT Code: 87070 | $75 | — | $42 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,461 | — | $1,064 | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $46 | — | $31 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,301 | — | $552 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $79 | — | $59 | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $155 | — | $71 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $680 | — | $506 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $79 | — | $67 | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $107 | — | $73 | — |
| Blood test, lipase CPT Code: 83690 | $33 | — | $27 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,880 | — | $649 | — |
| X-ray, chest (single view) CPT Code: 71045 | $94 | — | $108 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $55 | — | $26 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,725 | — | $929 | — |
| Blood antibody screen CPT Code: 86850 | $107 | — | $55 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $27 | — | $15 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $157 | — | $119 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $97 | — | $64 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,534 | — | $414 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $64 | — | $47 | — |
| Typhoid vaccine HCPCS Code: 90675 | $912 | — | $472 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $339 | — | $190 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,818 | — | $519 | — |
| Blood transfusion CPT Code: 36430 | $760 | — | $419 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $67 | — | $60 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $36 | — | $16 | — |
| X-ray, pelvis CPT Code: 72170 | $156 | — | $103 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $72 | — | $41 | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $54 | — | $45 | — |
| Hepatitis B vaccine HCPCS Code: 90744 | $55 | — | $40 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $79 | — | $60 | — |
| CT scan, sinuses CPT Code: 70486 | $1,137 | — | $404 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $689 | — | $325 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $38 | — | $21 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $38 | — | $13 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $141 | — | $59 | — |
| Ultrasound, pelvis CPT Code: 76856 | $521 | — | $207 | — |
| Blood test, hemoglobin CPT Code: 85018 | $32 | — | $9 | — |
| X-ray, lower back CPT Code: 72110 | $219 | — | $164 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $586 | — | $224 | — |
| X-ray, chest (two views) CPT Code: 71046 | $121 | — | $127 | — |
| Blood test, calcium CPT Code: 82310 | $27 | — | $19 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,170 | — | $432 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,277 | — | $469 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $422 | — | $177 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $57 | — | $40 | — |
| Blood test, liver function panel CPT Code: 80076 | $72 | — | $46 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $136 | — | $94 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,548 | — | $399 | — |
| Culture, blood CPT Code: 87040 | $76 | — | $54 | — |