| Blood test, PSA (prostate screen) CPT Code: 84153 | $109 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $48 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $128 | — | $350 | unverified |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $76 | — | — | — |
| X-ray, hand CPT Code: 73130 | $89 | — | $83 | unverified |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $24 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $744 | — | $674 | unverified |
| Prosthetic fitting and training CPT Code: 97761 | $85 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $383 | — | $378 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $179 | — | $194 | unverified |
| X-ray, chest (two views) CPT Code: 71046 | $128 | — | $96 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $765 | — | $523 | unverified |
| X-ray, neck (cervical spine) CPT Code: 72040 | $111 | — | $91 | unverified |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $44 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $67 | — | — | — |
| Blood transfusion CPT Code: 36430 | $553 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $76 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $63 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $149 | — | $108 | unverified |
| Occupational therapy (self-care training) CPT Code: 97535 | $63 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $72 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $166 | — | $154 | unverified |
| Physical therapy (functional capacity test) CPT Code: 97750 | $60 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $383 | — | $375 | unverified |
| X-ray, ankle CPT Code: 73610 | $89 | — | $87 | unverified |
| Blood test, lipase CPT Code: 83690 | $48 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $127 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $78 | — | — | — |
| X-ray, foot CPT Code: 73630 | $91 | — | $88 | unverified |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $128 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $35 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $542 | — | $517 | unverified |
| Blood test, liver function panel CPT Code: 80076 | $110 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $157 | — | $151 | unverified |
| Typhoid vaccine HCPCS Code: 90675 | $5,080 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $44 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $275 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $18 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $77 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $77 | — | $102 | unverified |
| Blood antibody screen CPT Code: 86850 | $41 | — | — | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $166 | — | $139 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $149 | — | $137 | unverified |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $38 | — | — | — |
| Culture, blood CPT Code: 87040 | $81 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $77 | — | $85 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $383 | — | $385 | unverified |
| Blood test, calcium CPT Code: 82310 | $35 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $117 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $67 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $76 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $38 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $166 | — | $206 | unverified |
| Hepatitis C antibody test CPT Code: 86803 | $63 | — | — | — |
| X-ray, hip CPT Code: 73502 | $96 | — | $91 | unverified |
| Blood test, potassium CPT Code: 84132 | $35 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $383 | — | $357 | unverified |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $149 | — | $172 | unverified |
| Blood test, creatinine (kidney) CPT Code: 82565 | $35 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $72 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $76 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $51 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $76 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $393 | — | $469 | unverified |
| Diagnostic procedure preparation HCPCS Code: G0279 | $64 | — | $36 | unverified |
| Blood test, vitamin B12 CPT Code: 82607 | $59 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $383 | — | $356 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $166 | — | $167 | unverified |
| Drug screening test HCPCS Code: G0480 | $150 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $808 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $183 | — | $130 | unverified |
| Blood test, sodium CPT Code: 84295 | $35 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $77 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $128 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $58 | — | — | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $119 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $162 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $383 | — | $391 | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | $102 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $122 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $44 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $102 | — | $86 | unverified |