| Blood test, calcium CPT Code: 82310 | $40 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,010 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $336 | — | — | — |
| X-ray, foot CPT Code: 73630 | $389 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $24 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $56 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $96 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,567 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $135 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $54 | — | — | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,720 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $52 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $142 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $9 | — | — | — |
| X-ray, hand CPT Code: 73130 | $379 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,370 | — | — | — |
| Rabies immune globulin HCPCS Code: 90375 | $1,471 | — | — | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $171 | — | — | — |
| Colonoscopy with biopsy CPT Code: 45380 | $1,592 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,489 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $681 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $43 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $70 | — | — | — |
| Blood transfusion CPT Code: 36430 | $1,049 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $994 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $944 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $120 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $34 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $962 | — | — | — |
| Culture, blood CPT Code: 87040 | $107 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $437 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $28 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,365 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $754 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $85 | — | — | — |
| Prosthetic fitting and training CPT Code: 97761 | $58 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $32 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $351 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $280 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $140 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $58 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $929 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $918 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $383 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $99 | — | — | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,458 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $60 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $857 | — | — | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $77 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $72 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $68 | — | — | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,297 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $80 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $536 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $444 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $35 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $61 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $117 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $56 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $101 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $889 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $29 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $176 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $277 | — | — | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $65 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $62 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $404 | — | — | — |
| X-ray, hip CPT Code: 73502 | $204 | — | — | — |
| Drug screening test HCPCS Code: G0480 | $206 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $107 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $127 | — | — | — |
| Injection procedure for pain management HCPCS Code: G0260 | $661 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $646 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $174 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $36 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $153 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $58 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $203 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $49 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $107 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $999 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $45 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $67 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $149 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $47 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $46 | — | — | — |