| Extended office visit (prolonged) HCPCS Code: G2212 | — | $60 | $40 | 1.5× |
| New patient office visit (30-44 min) CPT Code: 99203 | $135 | $172 | $133 | 1.3× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $140 | $203 | $163 | 1.2× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $606 | $260 | $238 | 1.1× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $606 | $288 | $271 | 1.1× |
| Family therapy session CPT Code: 90847 | $521 | $215 | $230 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | — | $1,232 | $1,464 | 0.8× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $404 | $191 | $239 | 0.8× |
| CT scan, pelvis CPT Code: 72192 | — | $116 | $171 | 0.7× |
| CT scan, chest (no contrast) CPT Code: 71250 | — | $116 | $172 | 0.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,688 | $107 | $168 | 0.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,547 | $107 | $173 | 0.6× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $817 | $87 | $149 | 0.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | — | $187 | $321 | 0.6× |
| Cataract surgery with lens implant CPT Code: 66984 | — | $1,257 | $2,308 | 0.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $5,688 | $246 | $452 | 0.5× |
| Neurobehavioral status check CPT Code: 96116 | — | $167 | $314 | 0.5× |
| CT scan, head (no contrast) CPT Code: 70450 | $2,395 | $91 | $172 | 0.5× |
| Ultrasound, pelvis CPT Code: 76856 | — | $74 | $141 | 0.5× |
| CT scan, sinuses CPT Code: 70486 | $1,294 | $91 | $182 | 0.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | — | $158 | $318 | 0.5× |
| Psychological testing evaluation CPT Code: 96136 | — | $49 | $99 | 0.5× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $250 | $136 | $280 | 0.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | — | $424 | $881 | 0.5× |
| Breast lump removal CPT Code: 19120 | — | $986 | $2,063 | 0.5× |
| Colonoscopy with biopsy CPT Code: 45380 | — | $461 | $969 | 0.5× |
| MRI, brain (no contrast) CPT Code: 70551 | — | $158 | $343 | 0.5× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | — | $64 | $142 | 0.5× |
| CT scan, head (with contrast) CPT Code: 70460 | — | $121 | $271 | 0.4× |
| Prosthetic fitting and training CPT Code: 97761 | $237 | $26 | $60 | 0.4× |
| Orthotic fitting and training CPT Code: 97760 | $195 | $30 | $70 | 0.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | — | $1,551 | $3,626 | 0.4× |
| Ultrasound, thyroid and neck CPT Code: 76536 | — | $61 | $146 | 0.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | — | $319 | $774 | 0.4× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $221 | $21 | $51 | 0.4× |
| Total hip replacement CPT Code: 27130 | — | $3,007 | $7,510 | 0.4× |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $200 | $22 | $55 | 0.4× |
| MRI, knee or other leg joint CPT Code: 73721 | $4,553 | $145 | $373 | 0.4× |
| Occupational therapy (self-care training) CPT Code: 97535 | $457 | $20 | $52 | 0.4× |
| Physical therapy (gait training) CPT Code: 97116 | $233 | $18 | $48 | 0.4× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $194 | $20 | $54 | 0.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $3,415 | $195 | $536 | 0.4× |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $165 | $18 | $50 | 0.4× |
| Speech therapy (language evaluation) CPT Code: 92507 | $586 | $48 | $136 | 0.4× |
| Speech therapy (group session) CPT Code: 92508 | $393 | $15 | $45 | 0.3× |
| Physical therapy (manual therapy) CPT Code: 97140 | $192 | $17 | $51 | 0.3× |
| X-ray, chest (two views) CPT Code: 71046 | $335 | $24 | $86 | 0.3× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $405 | $24 | $87 | 0.3× |
| X-ray, shoulder CPT Code: 73030 | $603 | $21 | $78 | 0.3× |
| X-ray, lower back CPT Code: 72110 | — | $28 | $106 | 0.3× |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | — | $9 | $35 | 0.3× |
| X-ray, hip CPT Code: 73502 | $296 | $24 | $96 | 0.2× |
| X-ray, chest (single view) CPT Code: 71045 | $332 | $19 | $77 | 0.2× |
| X-ray, foot CPT Code: 73630 | $50 | $19 | $82 | 0.2× |
| X-ray, hand CPT Code: 73130 | $828 | $19 | $83 | 0.2× |
| X-ray, ankle CPT Code: 73610 | $690 | $19 | $85 | 0.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | — | $147 | $676 | 0.2× |
| Psychological testing by technician CPT Code: 96138 | $170 | $72 | $374 | 0.2× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | — | $70 | $379 | 0.2× |
| Sleep study (overnight, in lab) CPT Code: 95810 | — | $244 | $1,458 | 0.2× |
| Typhoid vaccine HCPCS Code: 90675 | $879 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $129 | — | — | — |
| Group therapy session CPT Code: 90853 | $150 | — | — | — |
| Culture, blood CPT Code: 87040 | $282 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $289 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $111 | — | — | — |
| Hepatitis B vaccine HCPCS Code: 90744 | $69 | — | — | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $69 | — | — | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $202 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $75 | — | — | — |
| Blood transfusion CPT Code: 36430 | $2,796 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $121 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $42 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $42 | — | — | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $50 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $42 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $257 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $202 | — | — | — |
| Care planning with family CPT Code: 90887 | $417 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $112 | — | — | — |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $601 | — | $2,382 | — |
| Blood test, lipase CPT Code: 83690 | $136 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $42 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $131 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $43 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $313 | — | $236 | unverified |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $381 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $126 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $37 | — | — | — |
| Rabies immune globulin HCPCS Code: 90375 | $4,795 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $152 | — | — | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $244 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $148 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $663 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $113 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $320 | — | $85 | — |
| Blood test, magnesium CPT Code: 83735 | $102 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $135 | — | $120 | — |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $393 | — | — | — |
| Hepatitis B immune globulin HCPCS Code: 90371 | $3,498 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $87 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $206 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $42 | — | — | — |
| Drug screening test HCPCS Code: G0480 | $641 | — | — | — |