| Biopsy - Tangential Biopsy of Skin | $323 | N/A | $323 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $21 | N/A | $21 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | N/A | $103 |
| Blood Test - Clotting Time | $11 | N/A | $11 |
| Blood Test - General Health Panel | $190 | N/A | $190 |
| Blood Test - Hepatic (Liver) Function Panel | $113 | N/A | $113 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $61 | N/A | $61 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | N/A | $109 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $123 | N/A | $123 |
| Destruction of Lesion (outpatient) | $467 | N/A | $467 |
| Developmental Screening | $42 | N/A | $42 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $337 | N/A | $337 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $26 | N/A | $26 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $357 | N/A | $357 |
| Lab Test - Detection test for Influenza Virus | $32 | N/A | $32 |
| Mammogram (outpatient) | $998 | N/A | $998 |
| Office Visit - Basic | $119 | N/A | $119 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $252 | N/A | $252 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $294 | N/A | $294 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $341 | N/A | $341 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $226 | N/A | $226 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $279 | N/A | $279 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $287 | N/A | $287 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $314 | N/A | $314 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $321 | N/A | $321 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $158 | N/A | $158 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $286 | N/A | $286 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $250 | N/A | $250 |
| Office Visit - Established Patient, High Complexity | $289 | N/A | $289 |
| Office Visit - Established Patient, Low Complexity | $196 | N/A | $196 |
| Office Visit - Established Patient, Moderate Complexity | $263 | N/A | $263 |
| Office Visit - New Patient, Low Complexity | $293 | N/A | $293 |
| Office Visit - New Patient, Minor | $203 | N/A | $203 |
| Office Visit - New Patient, Moderate Complexity | $341 | N/A | $341 |
| Psychiatric Diagnostic Evaluation | $285 | 
Near Average
State Average: 1 | $285 |
| Psychotherapy - 30 Minutes | $169 |
Near Average
State Average: 1 | $169 |
| Psychotherapy - 45 Minutes | $126 | 
Below Average
State Average: 4 | $126 |
| Psychotherapy - 60 Minutes | $131 |
Below Average
State Average: 5 | $131 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $93 | N/A | $93 |
| Urine Test - Automated without Microscope | $4 | N/A | $4 |
| Urine Test - Chlamydia | $53 | N/A | $53 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $53 | N/A | $53 |
| Urine Test - Pregnancy | $11 | N/A | $11 |
| Urine Test - Urinalysis, Manual Test | $5 | N/A | $5 |
| Vaccine - Influenza for Injection into Muscle | $34 | N/A | $34 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $350 | N/A | $350 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $81 | N/A | $81 |
