| Blood test, lipase CPT Code: 83690 | $207 | — | $9 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,072 | — | $463 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $400 | — | $16 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $2,320 | — | $467 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $56 | — | $51 | unverified |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $296 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,173 | — | $359 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $86 | — | $6 | — |
| Blood test, sodium CPT Code: 84295 | $85 | — | $6 | — |
| Blood test, vitamin D CPT Code: 82306 | $457 | — | $37 | unverified |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $69 | — | $44 | unverified |
| Hospital observation (per hour) HCPCS Code: G0378 | $1,804 | — | $75 | unverified |
| Blood test, clotting time (PTT) CPT Code: 85730 | $112 | — | $7 | — |
| X-ray, hip CPT Code: 73502 | $116 | — | $114 | — |
| Blood test, potassium CPT Code: 84132 | $83 | — | $6 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,369 | — | $223 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $108 | — | $5 | — |
| Culture, blood CPT Code: 87040 | $301 | — | $15 | — |
| Blood antibody screen CPT Code: 86850 | $123 | — | $31 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $216 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $1,311 | — | $219 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $228 | — | $18 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,603 | — | $487 | — |
| Culture, bacterial CPT Code: 87070 | $194 | — | $13 | — |
| X-ray, chest (two views) CPT Code: 71046 | $292 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $84 | — | $42 | unverified |
| Blood transfusion CPT Code: 36430 | $1,119 | — | $504 | — |
| Physical therapy (gait training) CPT Code: 97116 | $70 | — | $42 | unverified |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | — | — | $29,810 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,943 | — | $673 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,471 | — | $226 | — |
| Blood test, hemoglobin CPT Code: 85018 | $49 | — | $4 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $1,152 | — | $219 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $276 | — | $13 | — |
| X-ray, chest (single view) CPT Code: 71045 | $222 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $105 | — | $8 | — |
| X-ray, shoulder CPT Code: 73030 | $286 | — | $103 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,555 | — | $687 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,492 | — | $220 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $210 | — | $21 | unverified |
| Blood test, liver function panel CPT Code: 80076 | $289 | — | $12 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,700 | — | $451 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $76 | — | $5 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $170 | — | $11 | — |
| X-ray, pelvis CPT Code: 72170 | $222 | — | $109 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,937 | — | $745 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $243 | — | $18 | unverified |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $175 | — | $13 | unverified |
| X-ray, neck (cervical spine) CPT Code: 72040 | $229 | — | $99 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $409 | — | $186 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $75 | — | $46 | unverified |