| Ultrasound, abdomen (limited) CPT Code: 76705 | $345 | — | $123 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $263 | — | $13 | unverified |
| Blood test, liver function panel CPT Code: 80076 | $99 | — | $12 | unverified |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $126 | — | $25 | unverified |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $99 | — | $23 | — |
| Blood antibody screen CPT Code: 86850 | $150 | — | $34 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $140 | — | $49 | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $104 | — | $19 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,796 | — | $390 | unverified |
| Speech therapy (group session) CPT Code: 92508 | $23 | — | $29 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $8,236 | — | $185 | unverified |
| X-ray, chest (two views) CPT Code: 71046 | $331 | — | $100 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $505 | — | $171 | — |
| Culture, bacterial CPT Code: 87070 | $115 | — | $13 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $4,541 | — | $180 | unverified |
| Blood test, potassium CPT Code: 84132 | $45 | — | $6 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $6,999 | — | $187 | unverified |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $91 | — | $19 | unverified |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $114 | — | $45 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $100 | — | $7 | unverified |
| X-ray, neck (cervical spine) CPT Code: 72040 | $331 | — | $102 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $53 | — | $6 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $832 | — | $157 | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | $104 | — | $121 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $76 | — | $14 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $919 | — | $154 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $6,751 | — | $184 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $720 | — | $286 | — |
| Culture, blood CPT Code: 87040 | $129 | — | $16 | unverified |
| X-ray, foot CPT Code: 73630 | $329 | — | $82 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $222 | — | $138 | — |
| Physical therapy (gait training) CPT Code: 97116 | $106 | — | $41 | — |
| X-ray, pelvis CPT Code: 72170 | $337 | — | $106 | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $540 | — | $21 | unverified |
| CT scan, pelvis CPT Code: 72192 | $2,874 | — | $185 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,075 | — | $571 | unverified |
| X-ray, ankle CPT Code: 73610 | $306 | — | $88 | unverified |
| Physical therapy (manual therapy) CPT Code: 97140 | $169 | — | $44 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $59 | — | $9 | unverified |
| Blood test, vitamin D CPT Code: 82306 | $193 | — | $35 | unverified |
| Blood test, thyroid (TSH) CPT Code: 84443 | $146 | — | $22 | unverified |
| X-ray, shoulder CPT Code: 73030 | $332 | — | $87 | unverified |
| Orthotic fitting and training CPT Code: 97760 | $222 | — | $60 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,861 | — | $475 | unverified |
| Hepatitis C antibody test CPT Code: 86803 | $161 | — | $20 | unverified |
| X-ray, lower back CPT Code: 72110 | $597 | — | $115 | unverified |
| Blood test, magnesium CPT Code: 83735 | $54 | — | $10 | unverified |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $72 | — | $5 | unverified |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $39 | — | $16 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $49 | — | $11 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $806 | — | $142 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $12,238 | — | $362 | unverified |
| Prosthetic fitting and training CPT Code: 97761 | $146 | — | $57 | — |
| Blood test, lipase CPT Code: 83690 | $131 | — | $10 | unverified |
| X-ray, hand CPT Code: 73130 | $258 | — | $89 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $63 | — | $5 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $3,773 | — | $290 | unverified |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $32 | — | $4 | unverified |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $225 | — | $66 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $251 | — | $89 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $99 | — | $67 | — |
| Blood test, sodium CPT Code: 84295 | $20 | — | $7 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $113 | — | $19 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,673 | — | $461 | — |
| X-ray, hip CPT Code: 73502 | $331 | — | $109 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $127 | — | $99 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $124 | — | $53 | — |
| CT scan, sinuses CPT Code: 70486 | $4,363 | — | $188 | unverified |
| Blood test, hemoglobin CPT Code: 85018 | $22 | — | $3 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $104 | — | $22 | unverified |
| Drug screening test HCPCS Code: G0480 | $232 | — | $123 | — |
| Blood transfusion CPT Code: 36430 | $717 | — | $404 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,819 | — | $314 | unverified |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $97 | — | $64 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $2,302 | — | $423 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $351 | — | $99 | unverified |
| Blood test, calcium CPT Code: 82310 | $67 | — | $7 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,152 | — | $165 | unverified |
| Blood test, amylase CPT Code: 82150 | $115 | — | $9 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $2,676 | — | $418 | unverified |