| Blood test, lipase CPT Code: 83690 | $56 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $86 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,181 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $70 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,101 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $129 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $75 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $169 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $53 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $79 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $236 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $75 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $113 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $41 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $169 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,200 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $58 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $225 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $150 | — | — | — |
| X-ray, hand CPT Code: 73130 | $225 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $113 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $124 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $75 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $68 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,163 | — | — | — |
| X-ray, foot CPT Code: 73630 | $225 | — | — | — |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $4,366 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $1,181 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $244 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $131 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $75 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $204 | — | — | — |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $1,943 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $56 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $113 | — | — | — |
| Culture, blood CPT Code: 87040 | $150 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,163 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $194 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $1,125 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $225 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $225 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $1,125 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $512 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $169 | — | — | — |