| Culture, blood CPT Code: 87040 | $771 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $597 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $515 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $448 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,610 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $6,749 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $6,868 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $6,683 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $7,633 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $302 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $746 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $260 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $2,610 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $431 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $2,148 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $254 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $725 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $360 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $153 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $484 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $144 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $610 | — | — | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $47,196 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $363 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $1,257 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $749 | — | — | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $585 | — | — | — |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $31,618 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $230 | — | — | — |
| X-ray, hip CPT Code: 73502 | $450 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $6,022 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $513 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $236 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $360 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $643 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $6,749 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $1,002 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $207 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $5,267 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $616 | — | — | — |
| Bunion correction surgery CPT Code: 28296 | $16,245 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $2,148 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $16,920 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $2,031 | — | — | — |
| Blood transfusion CPT Code: 36430 | $2,762 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $1,127 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | — | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $9,412 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $450 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $2,052 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $720 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $906 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $906 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $360 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $1,375 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $983 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $1,019 | — | — | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $462 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,610 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $581 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $344 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $360 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $292 | — | — | — |
| X-ray, hand CPT Code: 73130 | $360 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $14,299 | — | — | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $398 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $2,148 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $2,610 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $360 | — | — | — |
| X-ray, foot CPT Code: 73630 | $450 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $451 | — | — | — |