| Pneumonia vaccine injection HCPCS Code: G0009 | $91 | — | — | — |
| CT scan, sinuses CPT Code: 70486 | $651 | — | — | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $740 | — | — | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $75 | — | — | — |
| Blood antibody screen CPT Code: 86850 | $49 | — | — | — |
| Physical therapy (gait training) CPT Code: 97116 | $86 | — | — | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $10 | — | — | — |
| Blood test, potassium CPT Code: 84132 | $49 | — | — | — |
| Blood test, hemoglobin CPT Code: 85018 | $13 | — | — | — |
| Blood test, vitamin B12 CPT Code: 82607 | $87 | — | — | — |
| X-ray, lower back CPT Code: 72110 | $72 | — | — | — |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,237 | — | — | — |
| X-ray, pelvis CPT Code: 72170 | $168 | — | — | — |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $50 | — | — | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $54 | — | — | — |
| Flu vaccine injection HCPCS Code: G0008 | $91 | — | — | — |
| Blood test, basic metabolic panel CPT Code: 80048 | $63 | — | — | — |
| CT scan, head (with and without contrast) CPT Code: 70470 | $935 | — | — | — |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,057 | — | — | — |
| X-ray, hip CPT Code: 73502 | $58 | — | — | — |
| X-ray, chest (single view) CPT Code: 71045 | $75 | — | — | — |
| Blood test, liver function panel CPT Code: 80076 | $141 | — | — | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $100 | — | — | — |
| Blood test, magnesium CPT Code: 83735 | $7 | — | — | — |
| CT scan, head (with contrast) CPT Code: 70460 | $803 | — | — | — |
| Blood test, amylase CPT Code: 82150 | $15 | — | — | — |
| Blood test, calcium CPT Code: 82310 | $49 | — | — | — |
| X-ray, chest (two views) CPT Code: 71046 | $82 | — | — | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $745 | — | — | — |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $24 | — | — | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $33 | — | — | — |
| Blood test, sodium CPT Code: 84295 | $10 | — | — | — |
| Culture, bacterial CPT Code: 87070 | $44 | — | — | — |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $38 | — | — | — |
| CT scan, pelvis CPT Code: 72192 | $723 | — | — | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $27 | — | — | — |
| Prosthetic fitting and training CPT Code: 97761 | $122 | — | — | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $68 | — | — | — |
| Blood test, vitamin D CPT Code: 82306 | $107 | — | — | — |
| Orthotic fitting and training CPT Code: 97760 | $33 | — | — | — |
| Hospital observation (per hour) HCPCS Code: G0378 | $69 | — | — | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $50 | — | — | — |
| Hepatitis C antibody test CPT Code: 86803 | $60 | — | — | — |
| Colorectal cancer screening HCPCS Code: G0010 | $91 | — | — | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $63 | — | — | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $457 | — | — | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $141 | — | — | — |
| X-ray, shoulder CPT Code: 73030 | $160 | — | — | — |
| X-ray, foot CPT Code: 73630 | $160 | — | — | — |
| CT scan, head (no contrast) CPT Code: 70450 | $649 | — | — | — |
| X-ray, ankle CPT Code: 73610 | $160 | — | — | — |
| Culture, blood CPT Code: 87040 | $72 | — | — | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $61 | — | — | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $5 | — | — | — |
| Blood test, lipase CPT Code: 83690 | $44 | — | — | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $24 | — | — | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $51 | — | — | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $44 | — | — | — |
| X-ray, hand CPT Code: 73130 | $160 | — | — | — |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $20 | — | — | — |