| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $107 | — | — | — |
| Upper endoscopy with biopsy CPT Code: 43239 | $826 | — | — | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $79 | — | — | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $133 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $94 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $76 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $105 | — | — | — |
| Pneumonia vaccine injection HCPCS Code: G0009 | $33 | — | — | — |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,107 | — | — | — |
| C-section delivery (full package) CPT Code: 59510 | $4,875 | — | — | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $161 | — | — | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $88 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $89 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $134 | — | — | — |
| Cataract surgery with lens implant CPT Code: 66984 | $1,695 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $79 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $134 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $79 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $131 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $143 | — | — | — |
| Total knee replacement CPT Code: 27447 | $2,774 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $65 | — | — | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,326 | — | — | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $96 | — | — | — |
| Rabies immune globulin HCPCS Code: 90375 | $1,905 | — | — | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $56 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $43 | — | — | — |
| Typhoid vaccine HCPCS Code: 90675 | $1,187 | — | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,687 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $131 | — | — | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $94 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $56 | — | — | — |
| Total hip replacement CPT Code: 27130 | $2,777 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $61 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $127 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $99 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $110 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $65 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $57 | — | — | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,257 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $107 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $79 | — | — | — |
| Inguinal hernia repair CPT Code: 49505 | $1,179 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $108 | — | — | — |
| New patient office visit (30-44 min) CPT Code: 99203 | $237 | — | — | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $241 | — | — | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $126 | — | — | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $238 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $34 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $144 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $120 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $53 | — | — | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,297 | — | — | — |
| Culture, blood CPT Code: 87040 | $112 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $117 | — | — | — |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,690 | — | — | — |
| Colonoscopy with biopsy CPT Code: 45380 | $1,129 | — | — | — |
| Breast lump removal CPT Code: 19120 | $1,437 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $42 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $75 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $82 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $97 | — | — | — |
| Vaginal delivery (full package) CPT Code: 59400 | $4,306 | — | — | — |
| Blood transfusion CPT Code: 36430 | $151 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $110 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $71 | — | — | — |
| Diagnostic procedure preparation HCPCS Code: G0279 | $33 | — | — | — |