| Flu vaccine (high dose) HCPCS Code: 90656 | $56 | $56 | $22 | 2.5× |
| Hepatitis B vaccine HCPCS Code: 90744 | $114 | $114 | $48 | 2.4× |
| Pneumonia vaccine injection HCPCS Code: G0009 | $113 | $113 | $64 | 1.8× |
| Bunion correction surgery CPT Code: 28296 | $1,760 | $693 | $546 | 1.3× |
| Inguinal hernia repair CPT Code: 49505 | $10,636 | $505 | $443 | 1.1× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,524 | $111 | $104 | 1.1× |
| Family therapy session CPT Code: 90847 | $266 | $104 | $100 | 1.0× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $132 | $93 | $91 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $7,054 | $520 | $513 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,508 | $172 | $170 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,855 | $200 | $200 | 1.0× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $335 | $139 | $140 | 1.0× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $381 | $137 | $138 | 1.0× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,275 | $74 | $75 | 1.0× |
| Pneumococcal vaccine HCPCS Code: 90732 | $106 | $106 | $109 | 1.0× |
| CT scan, pelvis CPT Code: 72192 | $1,165 | $71 | $73 | 1.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,079 | $205 | $215 | 1.0× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $240 | $88 | $95 | 0.9× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,216 | $68 | $74 | 0.9× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,478 | $84 | $93 | 0.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,180 | $66 | $73 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,973 | $150 | $167 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,769 | $98 | $111 | 0.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,445 | $97 | $113 | 0.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,239 | $74 | $87 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,185 | $120 | $141 | 0.8× |
| New patient office visit (30-44 min) CPT Code: 99203 | $258 | $76 | $93 | 0.8× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $376 | $66 | $82 | 0.8× |
| Diagnostic procedure preparation HCPCS Code: G0279 | $96 | $28 | $36 | 0.8× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $171 | $65 | $84 | 0.8× |
| CT scan, sinuses CPT Code: 70486 | $1,068 | $56 | $73 | 0.8× |
| Neurobehavioral status check CPT Code: 96116 | $283 | $73 | $97 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,659 | $90 | $121 | 0.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $999 | $56 | $75 | 0.7× |
| Orthotic fitting and training CPT Code: 97760 | $159 | $47 | $64 | 0.7× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $626 | $53 | $72 | 0.7× |
| Screening mammogram (both breasts) CPT Code: 77067 | $424 | $50 | $73 | 0.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,177 | $95 | $141 | 0.7× |
| Ultrasound, pelvis CPT Code: 76856 | $577 | $45 | $70 | 0.6× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $514 | $39 | $62 | 0.6× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $560 | $37 | $65 | 0.6× |
| Group therapy session CPT Code: 90853 | $109 | $21 | $51 | 0.4× |
| Blood test, magnesium CPT Code: 83735 | $50 | — | — | — |
| Speech therapy (group session) CPT Code: 92508 | $66 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $113 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $76 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $292 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $337 | — | $39 | — |
| Total hip replacement CPT Code: 27130 | $3,240 | — | $1,269 | — |
| Trauma team activation HCPCS Code: G0390 | $2,609 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $322 | — | $42 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $27 | — | — | — |
| X-ray, hip CPT Code: 73502 | $361 | — | $43 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $41 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $54 | — | — | — |
| Culture, blood CPT Code: 87040 | $63 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $92 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $76 | — | — | — |
| Typhoid vaccine HCPCS Code: 90675 | $1,024 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $338 | — | $39 | — |
| Drug screening test HCPCS Code: G0480 | $323 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $44 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $136 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $245 | — | $37 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $116 | — | — | — |
| Blood transfusion CPT Code: 36430 | $1,411 | — | — | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $178 | — | — | — |
| Breast lump removal CPT Code: 19120 | $1,565 | — | $386 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $62 | — | — | — |
| Total knee replacement CPT Code: 27447 | $3,233 | — | $1,292 | — |
| Prosthetic fitting and training CPT Code: 97761 | $138 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $140 | — | — | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $10,683 | — | $629 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $138 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $50 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $129 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $53 | — | — | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $199 | — | — | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $317 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $81 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $178 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $65 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $52 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $24 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $76 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $525 | — | $47 | — |
| Blood test, vitamin D CPT Code: 82306 | $116 | — | — | — |
| Extended office visit (prolonged) HCPCS Code: G2212 | $83 | — | $56 | unverified |
| Blood test, liver function panel CPT Code: 80076 | $29 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $381 | — | $42 | — |
| Blood test, amylase CPT Code: 82150 | $30 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $94 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $56 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $53 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $32 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $917 | — | $110 | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $137 | — | — | — |
| Hepatitis B immune globulin HCPCS Code: 90371 | $400 | — | — | — |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $74 | — | — | — |
| X-ray, hand CPT Code: 73130 | $452 | — | $43 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $61 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $146 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $92 | — | — | — |
| X-ray, foot CPT Code: 73630 | $367 | — | $36 | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $131 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $306 | — | $36 | — |
| Blood antibody screen CPT Code: 86850 | $101 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $126 | — | — | — |