| Flu vaccine injection HCPCS Code: G0008 | $45 | — | — | — |
| X-ray, foot CPT Code: 73630 | $224 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $45 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $85 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $77 | — | — | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $140 | — | — | — |
| Culture, blood CPT Code: 87040 | $70 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $160 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $75 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $399 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $483 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $40 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,176 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $97 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $424 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $84 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,435 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $80 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $85 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $115 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $39 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $224 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $140 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $126 | — | — | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $75 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $91 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $314 | — | — | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $185 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $380 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $53 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $128 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $99 | — | — | — |
| Drug screening test HCPCS Code: G0480 | $100 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $958 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $92 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $100 | — | — | — |
| Blood transfusion CPT Code: 36430 | $850 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $150 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $737 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $26 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $100 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $38 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $62 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $160 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $100 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $91 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $91 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $74 | — | — | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,781 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $224 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $224 | — | — | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $49 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $891 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $149 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $705 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $97 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $75 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $60 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,047 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $154 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,776 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $42 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $48 | — | — | — |
| Trauma team activation HCPCS Code: G0390 | $892 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $184 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $80 | — | — | — |
| X-ray, hand CPT Code: 73130 | $224 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,750 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $261 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,170 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $314 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $938 | — | — | — |
| Vaginal delivery (full package) CPT Code: 59400 | $3,432 | — | — | — |
| C-section delivery (full package) CPT Code: 59510 | $3,812 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $224 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $46 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $50 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,010 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $958 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $150 | — | — | — |
| X-ray, hip CPT Code: 73502 | $224 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,004 | — | — | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $352 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,545 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $75 | — | — | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $137 | — | — | — |