| Blood test, creatinine (kidney) CPT Code: 82565 | $22 | — | $12 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $972 | — | $287 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $344 | — | $188 | — |
| Orthotic fitting and training CPT Code: 97760 | $84 | — | $54 | — |
| Blood test, vitamin B12 CPT Code: 82607 | $47 | — | $36 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $23 | — | $9 | unverified |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $22 | — | $36 | — |
| Blood test, hemoglobin CPT Code: 85018 | $12 | — | $6 | unverified |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $42 | — | $8 | unverified |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $76 | — | $50 | — |
| X-ray, foot CPT Code: 73630 | $103 | — | $122 | — |
| DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: 90700 | $46 | — | $36 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $70 | — | $30 | — |
| CT scan, pelvis CPT Code: 72192 | $938 | — | $279 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,174 | — | $405 | — |
| X-ray, shoulder CPT Code: 73030 | $154 | — | $113 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,843 | — | $519 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $78 | — | $49 | — |
| Blood antibody screen CPT Code: 86850 | $78 | — | $31 | — |
| Blood test, vitamin D CPT Code: 82306 | $99 | — | $55 | — |
| Blood test, liver function panel CPT Code: 80076 | $94 | — | $24 | — |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $154 | — | $146 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $109 | — | $77 | — |
| CT scan, sinuses CPT Code: 70486 | $909 | — | $279 | — |
| Blood test, potassium CPT Code: 84132 | $20 | — | $11 | unverified |
| Blood test, clotting time (PTT) CPT Code: 85730 | $73 | — | $18 | unverified |
| X-ray, pelvis CPT Code: 72170 | $91 | — | $110 | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,162 | — | $364 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $122 | — | $111 | — |
| Blood test, sodium CPT Code: 84295 | $21 | — | $11 | unverified |
| Culture, bacterial CPT Code: 87070 | $61 | — | $23 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $1,886 | — | $511 | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $87 | — | $103 | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,309 | — | $587 | unverified |
| Group therapy session CPT Code: 90853 | $44 | — | $90 | — |
| Culture, blood CPT Code: 87040 | $119 | — | $31 | — |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,606 | — | $613 | unverified |
| X-ray, lower back CPT Code: 72110 | $178 | — | $151 | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $10 | — | $25 | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $95 | — | $24 | — |
| Blood test, magnesium CPT Code: 83735 | $27 | — | $20 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $974 | — | $299 | — |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $276 | — | $172 | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $38 | — | $49 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $753 | — | $283 | — |
| CT scan, head (with contrast) CPT Code: 70460 | $958 | — | $371 | — |
| Pneumococcal vaccine HCPCS Code: 90732 | $112 | — | $131 | — |
| Trauma team activation HCPCS Code: G0390 | $1,094 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $64 | — | $48 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,183 | — | $768 | unverified |
| Speech therapy (language evaluation) CPT Code: 92507 | $231 | — | $86 | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $26 | — | $11 | unverified |
| Varicella (chickenpox) vaccine HCPCS Code: 90716 | $166 | — | $174 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $439 | — | $202 | — |
| Ultrasound, pelvis CPT Code: 76856 | $378 | — | $184 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $61 | — | $37 | — |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $89 | — | $110 | — |
| X-ray, chest (single view) CPT Code: 71045 | $108 | — | $105 | — |
| X-ray, ankle CPT Code: 73610 | $103 | — | $119 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $88 | — | $69 | — |
| Blood transfusion CPT Code: 36430 | $215 | — | $356 | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $43 | — | $41 | — |
| Rabies immune globulin HCPCS Code: 90375 | $984 | — | $486 | unverified |
| Hospital observation (per hour) HCPCS Code: G0378 | $233 | — | — | — |
| Flu vaccine (high dose) HCPCS Code: 90656 | $26 | — | $25 | — |
| Blood test, lipase CPT Code: 83690 | $40 | — | $20 | unverified |
| Physical therapy (functional capacity test) CPT Code: 97750 | $34 | — | $48 | — |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $138 | — | $140 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $77 | — | $52 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $68 | — | $48 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $1,807 | — | $542 | — |
| X-ray, hand CPT Code: 73130 | $103 | — | $112 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $73 | — | $51 | — |
| Blood test, calcium CPT Code: 82310 | $22 | — | $12 | unverified |
| Blood test, amylase CPT Code: 82150 | $48 | — | $19 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $312 | — | $125 | — |
| X-ray, hip CPT Code: 73502 | $210 | — | $114 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $762 | — | $292 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $27 | — | $72 | — |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $93 | — | $146 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $25 | — | $9 | unverified |
| Hepatitis B vaccine HCPCS Code: 90744 | $36 | — | $42 | — |
| X-ray, chest (two views) CPT Code: 71046 | $126 | — | $123 | — |
| Hepatitis C antibody test CPT Code: 86803 | $13 | — | $35 | — |
| Typhoid vaccine HCPCS Code: 90675 | $346 | — | $388 | — |
| Screening mammogram (both breasts) CPT Code: 77067 | $240 | — | $112 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $973 | — | $285 | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $19 | — | $37 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $47 | — | $19 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $29 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,875 | — | $514 | — |