| X-ray, chest (two views) CPT Code: 71046 | $173 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $83 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $42 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $1,223 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $281 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,185 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $118 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $784 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $326 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $122 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $724 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,500 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $88 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $94 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $190 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $77 | — | — | — |
| Prosthetic fitting and training CPT Code: 97761 | $105 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $61 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $386 | — | — | — |
| Culture, blood CPT Code: 87040 | $240 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $388 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $477 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,666 | — | — | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $100 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $22 | — | — | — |
| Drug screening test HCPCS Code: G0480 | $292 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,298 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $89 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,937 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $76 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $118 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $131 | — | — | — |
| X-ray, hip CPT Code: 73502 | $158 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $98 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $100 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $135 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $56 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $99 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $97 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $147 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $98 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $395 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $224 | — | — | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $61 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $407 | — | — | — |
| X-ray, hand CPT Code: 73130 | $203 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $90 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $98 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $194 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $209 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $72 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $280 | — | — | — |
| Blood transfusion CPT Code: 36430 | $638 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $129 | — | — | — |
| Injection procedure for pain management HCPCS Code: G0260 | $1,894 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $64 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,040 | — | — | — |
| X-ray, foot CPT Code: 73630 | $280 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $84 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $120 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,369 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,875 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $147 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $148 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $1,186 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $104 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $234 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,297 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $118 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $124 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $104 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $185 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $89 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $180 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $116 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $1,059 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,257 | — | — | — |