| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $60 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,055 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $796 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $430 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $85 | — | — | — |
| Culture, blood CPT Code: 87040 | $28 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $14 | — | — | — |
| X-ray, hip CPT Code: 73502 | $191 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $201 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,890 | — | — | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $104 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $191 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,447 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $13 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,326 | — | — | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $44 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $795 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $191 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $191 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $71 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $89 | — | — | — |
| X-ray, foot CPT Code: 73630 | $191 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $814 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,492 | — | — | — |
| Blood transfusion CPT Code: 36430 | $894 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $9 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $761 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $22 | — | — | — |
| X-ray, hand CPT Code: 73130 | $191 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $796 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $316 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $11 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $27 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $825 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $38 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $48 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $191 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $23 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $89 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $34 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $29 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $23 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $800 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $663 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $665 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $191 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $18 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $173 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $309 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $83 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $191 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $11 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $86 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $48 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $690 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $46 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $112 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $243 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $191 | — | — | — |