| X-ray, foot CPT Code: 73630 | $224 | — | $126 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $90 | — | $14 | unverified |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $265 | — | $200 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $163 | — | $154 | — |
| Blood test, sodium CPT Code: 84295 | $79 | — | $13 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $244 | — | $155 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $96 | — | $10 | unverified |
| Blood transfusion CPT Code: 36430 | $414 | — | $337 | — |
| X-ray, pelvis CPT Code: 72170 | $84 | — | $118 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $17 | — | $17 | — |
| Breast lump removal CPT Code: 19120 | $451 | — | $1,018 | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $39 | — | $85 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $449 | — | $160 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $78 | — | $25 | unverified |
| Flu vaccine injection HCPCS Code: G0008 | $55 | — | $52 | — |
| Colonoscopy with biopsy CPT Code: 45380 | $750 | — | $770 | — |
| Culture, bacterial CPT Code: 87070 | $81 | — | $24 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $171 | — | $116 | — |
| Speech therapy (group session) CPT Code: 92508 | $15 | — | $57 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $237 | — | $129 | unverified |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $68 | — | $51 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,176 | — | $375 | unverified |
| Pneumonia vaccine injection HCPCS Code: G0009 | $55 | — | $58 | — |
| Physical therapy (gait training) CPT Code: 97116 | $46 | — | $62 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $50 | — | $60 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,713 | — | $994 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $55 | — | $61 | — |
| Blood test, vitamin D CPT Code: 82306 | $74 | — | $73 | — |
| CT scan, sinuses CPT Code: 70486 | $323 | — | $302 | — |
| Blood antibody screen CPT Code: 86850 | $44 | — | $47 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,176 | — | $594 | unverified |
| New patient office visit (30-44 min) CPT Code: 99203 | $146 | — | $145 | — |
| Blood test, lipase CPT Code: 83690 | $49 | — | $22 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $710 | — | $229 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,176 | — | $513 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,703 | — | $786 | unverified |
| Hepatitis C antibody test CPT Code: 86803 | $104 | — | $35 | unverified |
| X-ray, ankle CPT Code: 73610 | $215 | — | $124 | — |
| Culture, blood CPT Code: 87040 | $152 | — | $31 | unverified |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $46 | — | $60 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $96 | — | $85 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $32 | — | $83 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $2,206 | — | $555 | unverified |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $200 | — | $48 | unverified |
| Blood test, vitamin B12 CPT Code: 82607 | $131 | — | $39 | unverified |
| Blood test, calcium CPT Code: 82310 | $14 | — | $13 | — |
| CT scan, pelvis CPT Code: 72192 | $1,243 | — | $371 | unverified |
| Blood test, potassium CPT Code: 84132 | $103 | — | $13 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,331 | — | $550 | unverified |
| Blood test, thyroid (TSH) CPT Code: 84443 | $76 | — | $38 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $101 | — | $122 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $948 | — | $307 | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $174 | — | $156 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $64 | — | $26 | unverified |
| Prosthetic fitting and training CPT Code: 97761 | $117 | — | $65 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $193 | — | $35 | — |
| Blood test, magnesium CPT Code: 83735 | $18 | — | $18 | — |
| Trauma team activation HCPCS Code: G0390 | $1,543 | — | $1,519 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $32 | — | $13 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $54 | — | $58 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $2,316 | — | $475 | unverified |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $165 | — | $31 | unverified |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $140 | — | $78 | — |
| Blood test, liver function panel CPT Code: 80076 | $191 | — | $24 | unverified |
| Physical therapy (manual therapy) CPT Code: 97140 | $91 | — | $57 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $55 | — | $21 | unverified |
| Breathing treatment (nebulizer) CPT Code: 94640 | $72 | — | $88 | — |
| Bunion correction surgery CPT Code: 28296 | $508 | — | $1,267 | — |
| X-ray, hip CPT Code: 73502 | $151 | — | $119 | — |
| Blood test, hemoglobin CPT Code: 85018 | $29 | — | $7 | unverified |
| Speech therapy (language evaluation) CPT Code: 92507 | $54 | — | $120 | — |
| X-ray, lower back CPT Code: 72110 | $560 | — | $170 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,268 | — | $533 | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $581 | — | $632 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $349 | — | $210 | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,032 | — | $1,859 | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $719 | — | $666 | — |
| Blood test, amylase CPT Code: 82150 | $18 | — | $18 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $25 | — | $10 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,551 | — | $646 | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $86 | — | $29 | — |
| Neurobehavioral status check CPT Code: 96116 | $103 | — | $193 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $969 | — | $312 | unverified |
| X-ray, hand CPT Code: 73130 | $263 | — | $123 | unverified |
| X-ray, chest (two views) CPT Code: 71046 | $194 | — | $126 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $149 | — | $35 | unverified |
| Orthotic fitting and training CPT Code: 97760 | $90 | — | $70 | — |
| X-ray, shoulder CPT Code: 73030 | $260 | — | $115 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $645 | — | $208 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,207 | — | $377 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,812 | — | $529 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $769 | — | $1,164 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $45 | — | $37 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $94 | — | $11 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,086 | — | $355 | unverified |