| Pneumococcal vaccine HCPCS Code: 90732 | $143 | $231 | $225 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $944 | $505 | $517 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $657 | $516 | $583 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $761 | $520 | $611 | 0.9× |
| Orthotic fitting and training CPT Code: 97760 | $79 | $48 | $57 | 0.8× |
| Flu vaccine injection HCPCS Code: G0008 | $25 | $41 | $50 | 0.8× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $144 | $137 | $178 | 0.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $755 | $173 | $262 | 0.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $727 | $187 | $295 | 0.6× |
| Colorectal cancer screening HCPCS Code: G0010 | $25 | $41 | $66 | 0.6× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $168 | $67 | $111 | 0.6× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $120 | $93 | $156 | 0.6× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $80 | $48 | $84 | 0.6× |
| Upper endoscopy with biopsy CPT Code: 43239 | $661 | $124 | $224 | 0.6× |
| New patient office visit (30-44 min) CPT Code: 99203 | $197 | $56 | $105 | 0.5× |
| Hospital observation (per hour) HCPCS Code: G0378 | $122 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $43 | — | — | — |
| X-ray, hand CPT Code: 73130 | $550 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $1,424 | — | — | — |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $15,651 | — | $9,235 | unverified |
| Blood antibody screen CPT Code: 86850 | $104 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $174 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,129 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $69 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $110 | — | — | — |
| Breast lump removal CPT Code: 19120 | $888 | — | $423 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $69 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $32 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $49 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $38 | — | — | — |
| X-ray, hip CPT Code: 73502 | $324 | — | — | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $62 | — | $28 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $324 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $184 | — | $62 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,144 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $86 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $365 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $94 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $387 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $59 | — | — | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,859 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $22 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,654 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,861 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $56 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $74 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $247 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $104 | — | — | — |
| Culture, blood CPT Code: 87040 | $209 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $25 | — | $48 | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $197 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $118 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $117 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $288 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $46 | — | — | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $662 | — | — | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $55 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $123 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $90 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $114 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $398 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $64 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $104 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,910 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $1,459 | — | — | — |
| Prosthetic fitting and training CPT Code: 97761 | $104 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,252 | — | — | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,539 | — | — | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,271 | — | $645 | — |
| CT scan, pelvis CPT Code: 72192 | $1,583 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $56 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $59 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $63 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $107 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $98 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $144 | — | — | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $578 | — | — | — |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $28,723 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $421 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $573 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $48 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $213 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,587 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $108 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,590 | — | — | — |
| Rabies immune globulin HCPCS Code: 90375 | $4,000 | — | — | — |
| Blood transfusion CPT Code: 36430 | $554 | — | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,467 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $87 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $98 | — | — | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,179 | — | $500 | — |
| X-ray, foot CPT Code: 73630 | $383 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $84 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,179 | — | — | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $215 | — | — | — |
| Ultrasound, pelvis CPT Code: 76856 | $544 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $1,186 | — | — | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $609 | — | — | — |
| Typhoid vaccine HCPCS Code: 90675 | $461 | — | — | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $454 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $86 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $50 | — | — | — |