| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $85 | 0% | $85 | 
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $111 | 0% | $111 |
Medium |
| Blood Test - General Health Panel | $305 | 0% | $305 |
Medium |
| Mammogram (outpatient) | $1,095 | 0% | $1,095 | 
High |
| Office Visit - Basic | $104 | 0% | $104 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $348 | 0% | $348 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $413 | 0% | $413 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $323 | 0% | $323 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $328 | 0% | $328 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $389 | 0% | $389 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $254 | 0% | $254 |
Medium |
| Office Visit - Established Patient, High Complexity | $306 | 0% | $306 |
Medium |
| Office Visit - Established Patient, Low Complexity | $148 | 0% | $148 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $233 | 0% | $233 |
Medium |
| Office Visit - New Patient, Low Complexity | $268 | 0% | $268 |
Medium |
| Office Visit - New Patient, Minor | $177 | 0% | $177 |
Medium |
| Pap Test | $175 | 0% | $175 |
Medium |
| Strep Test (Streptococcus, group A) | $100 | 0% | $100 |
Medium |
| Urine Test - Automated without Microscope | $18 | 0% | $18 |
Medium |
| Urine Test - Bacterial Culture | $57 | 0% | $57 |
Medium |
| Urine Test - Pregnancy | $56 | 0% | $56 |
Medium |
