| CT scan, head (no contrast) CPT Code: 70450 | $917 | $1,267 | $614 | 2.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,376 | $1,605 | $818 | 2.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,355 | $1,486 | $807 | 1.8× |
| Flu vaccine injection HCPCS Code: G0008 | $38 | $46 | $42 | 1.1× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $206 | $103 | $101 | 1.0× |
| Colorectal cancer screening HCPCS Code: G0010 | $38 | $46 | $45 | 1.0× |
| Pneumonia vaccine injection HCPCS Code: G0009 | $38 | $46 | $47 | 1.0× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $78 | $66 | $68 | 1.0× |
| Screening mammogram (both breasts) CPT Code: 77067 | $223 | $115 | $216 | 0.5× |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $36 | $3 | $10 | 0.3× |
| Blood antibody screen CPT Code: 86850 | $73 | $10 | $33 | 0.3× |
| Blood test, vitamin B12 CPT Code: 82607 | $33 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $46 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $73 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,004 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $25 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,666 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $68 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $755 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $53 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $77 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $51 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $49 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $179 | — | — | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $339 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $22 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $47 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $602 | — | — | — |
| X-ray, hip CPT Code: 73502 | $298 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $294 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,012 | — | — | — |
| Culture, blood CPT Code: 87040 | $89 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $59 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $19 | — | $20 | — |
| X-ray, ankle CPT Code: 73610 | $338 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $969 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $73 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $337 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $164 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $32 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,144 | — | — | — |
| X-ray, hand CPT Code: 73130 | $256 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $18 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $140 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,694 | — | $999 | — |
| X-ray, chest (single view) CPT Code: 71045 | $140 | — | — | — |
| X-ray, foot CPT Code: 73630 | $319 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $27 | — | $45 | — |
| Blood test, amylase CPT Code: 82150 | $32 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $1,903 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $30 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,308 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $93 | — | — | — |
| Trauma team activation HCPCS Code: G0390 | $1,859 | — | — | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $59 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $88 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,963 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,890 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $319 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,147 | — | — | — |
| Diagnostic procedure preparation HCPCS Code: G0279 | $44 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,989 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $177 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $58 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $23 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $52 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $31 | — | — | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $152 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $1,503 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $37 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $33 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $66 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $68 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $84 | — | $83 | — |
| Blood transfusion CPT Code: 36430 | $736 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $34 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,994 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $34 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $20 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $885 | — | — | — |
| Prosthetic fitting and training CPT Code: 97761 | $64 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $789 | — | — | — |