| Urinalysis (automated, with microscopy) CPT Code: 81001 | $18 | — | $8 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $34 | — | $11 | — |
| Blood transfusion CPT Code: 36430 | $627 | — | $465 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $106 | — | $35 | — |
| Blood test, liver function panel CPT Code: 80076 | $63 | — | $24 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $498 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $36 | — | $12 | — |
| X-ray, shoulder CPT Code: 73030 | $177 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $59 | — | $23 | — |
| Blood test, hemoglobin CPT Code: 85018 | $18 | — | $6 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,463 | — | — | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $350 | — | $161 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $224 | — | $120 | — |
| CT scan, pelvis CPT Code: 72192 | $827 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $1,208 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $34 | — | $10 | — |
| Blood test, magnesium CPT Code: 83735 | $36 | — | $18 | — |
| X-ray, foot CPT Code: 73630 | $232 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $211 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $167 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $105 | — | $32 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,112 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $47 | — | $34 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $82 | — | $30 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,639 | — | — | — |
| X-ray, hip CPT Code: 73502 | $125 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $54 | — | $45 | — |
| Blood test, vitamin D CPT Code: 82306 | $192 | — | $47 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $35 | — | $12 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $127 | — | $33 | — |
| X-ray, hand CPT Code: 73130 | $176 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $76 | — | $24 | — |
| Colorectal cancer screening HCPCS Code: G0010 | $44 | — | $47 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $166 | — | $120 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $69 | — | $25 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $127 | — | $36 | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $166 | — | $107 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,075 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,463 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $86 | — | $32 | — |
| Blood test, lipase CPT Code: 83690 | $52 | — | $19 | — |
| Ultrasound, pelvis CPT Code: 76856 | $460 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $148 | — | $89 | — |
| X-ray, chest (two views) CPT Code: 71046 | $199 | — | $86 | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $44 | — | $44 | — |
| X-ray, ankle CPT Code: 73610 | $181 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $406 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $102 | — | $59 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $568 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $311 | — | — | — |
| Culture, blood CPT Code: 87040 | $67 | — | $30 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $107 | — | $33 | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,748 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $34 | — | $12 | — |
| Blood test, sodium CPT Code: 84295 | $36 | — | $12 | — |
| Drug screening test HCPCS Code: G0480 | $158 | — | $114 | — |
| Blood test, amylase CPT Code: 82150 | $36 | — | $18 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $42 | — | $17 | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $284 | — | $67 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $31 | — | $9 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,174 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $681 | — | $600 | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $36 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $106 | — | $32 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,400 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $139 | — | $78 | — |
| CT scan, sinuses CPT Code: 70486 | $987 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $44 | — | $18 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $788 | — | $326 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $251 | — | — | — |
| Diagnostic procedure preparation HCPCS Code: G0279 | $31 | — | $49 | — |