| Arthrocentesis (outpatient) | $412 | 37% | $259 | 
Medium |
| Arthroscopic Knee Surgery (outpatient) | $10,745 | 37% | $6,770 |
Medium |
| Blood Test - Basic Metabolic Panel | $66 | 37% | $42 |
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $90 | 37% | $57 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $118 | 37% | $74 |
Medium |
| Blood Test - Clotting Time | $53 | 37% | $33 |
Medium |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $62 | 37% | $39 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $66 | 37% | $42 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $88 | 37% | $56 |
Medium |
| Blood Test - Electrolytes Panel | $57 | 37% | $36 |
Medium |
| Blood Test - General Health Panel | $306 | 37% | $192 |
Medium |
| Blood Test - Hepatic (Liver) Function Panel | $66 | 37% | $42 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $116 | 37% | $73 |
Medium |
| Blood Test - Renal (Kidney) Function Panel | $69 | 37% | $44 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $151 | 37% | $95 |
Medium |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $71 | 37% | $45 |
Medium |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $130 | 37% | $82 |
Medium |
| Blood Test - Vitamin D-3 Level | $306 | 37% | $192 |
Medium |
| Bone Density Scan (outpatient) | $567 | 37% | $357 |
Medium |
| Colonoscopy - Diagnostic (outpatient) | $5,127 | 37% | $3,230 |
Medium |
| Colonoscopy - With Biopsy (outpatient) | $6,400 | 37% | $4,032 |
Medium |
| Colonoscopy - With Polyp Removal (outpatient) | $6,957 | 37% | $4,383 |
Medium |
| CT Scan - Abdomen and Pelvis, with Contrast | $5,019 | 37% | $3,162 |
Medium |
| CT Scan - Chest, with Contrast (outpatient) | $3,256 | 37% | $2,051 |
Medium |
| Emergency Department Visit - Low Complexity (outpatient) | $336 | 37% | $212 |
Medium |
| Emergency Department Visit - Minor (outpatient) | $243 | 37% | $153 |
Medium |
| Emergency Department Visit - Moderate Complexity (outpatient) | $488 | 37% | $308 |
Medium |
| Fetal Non-Stress Test | $342 | 37% | $216 |
Medium |
| Mammogram (outpatient) | $930 | 37% | $586 |
Medium |
| MRI - Back (outpatient) | $3,403 | 37% | $2,144 |
Medium |
| MRI - Brain (outpatient) | $5,674 | 37% | $3,575 |
Medium |
| MRI - Knee (outpatient) | $2,673 | 37% | $1,684 |
Medium |
| MRI - Shoulder, Elbow, or Wrist | $2,673 | 37% | $1,684 |
Medium |
| Myocardial Imaging (outpatient) | $6,076 | 37% | $3,828 |
Medium |
| Office Visit - Basic | $105 | 37% | $66 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $251 | 37% | $158 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $229 | 37% | $144 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $215 | 37% | $136 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $184 | 37% | $116 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $247 | 37% | $155 |
Medium |
| Office Visit - Established Patient, High Complexity | $250 | 37% | $157 |
Medium |
| Office Visit - Established Patient, Low Complexity | $116 | 37% | $73 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $179 | 37% | $112 |
Medium |
| Office Visit - New Patient, Low Complexity | $277 | 37% | $175 |
Medium |
| Office Visit - New Patient, Minor | $200 | 37% | $126 |
Medium |
| Pap Test | $235 | 37% | $148 |
Medium |
| Physical Therapy - Low Complexity Evaluation | $271 | 37% | $171 |
Medium |
| Physical Therapy - Manual Therapy | $149 | 37% | $94 |
Medium |
| Physical Therapy - Moderate Complexity Evaluation | $271 | 37% | $171 |
Medium |
| Physical Therapy - Neuromuscular Reeducation | $114 | 37% | $72 |
Medium |
| Physical Therapy - Therapeutic Exercises | $161 | 37% | $101 |
Medium |
| Physical Therapy - Ultrasound Therapy | $44 | 37% | $28 |
Medium |
| Strep Test (Streptococcus, group A) | $34 | 37% | $21 |
Medium |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $53 | 37% | $33 |
Medium |
| Tonsillectomy with Adenoidectomy (outpatient) | $14,033 | 37% | $8,841 |
Medium |
| Ultrasound - Abdominal, Complete | $725 | 37% | $456 |
Medium |
| Ultrasound - Abdominal, Limited | $698 | 37% | $440 |
Medium |
| Ultrasound - Breast (outpatient) | $1,424 | 37% | $897 |
Medium |
| Ultrasound - Head and Neck | $696 | 37% | $439 |
Medium |
| Ultrasound - Pelvic (outpatient) | $710 | 37% | $447 |
Medium |
| Ultrasound - Pregnancy (outpatient) | $744 | 37% | $469 | 
Low |
| Ultrasound - Pregnancy Follow-Up | $509 | 37% | $321 | 
High |
| Ultrasound - Transvaginal (non-maternity) | $1,258 | 37% | $792 |
Medium |
| Urine Test - Automated with Microscope Examination | $47 | 37% | $30 |
Medium |
| Urine Test - Automated without Microscope | $16 | 37% | $10 |
Medium |
| Urine Test - Bacterial Culture | $69 | 37% | $44 |
Medium |
| Urine Test - Chlamydia | $207 | 37% | $130 |
Medium |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $207 | 37% | $130 |
Medium |
| Urine Test - Pregnancy | $51 | 37% | $32 |
Medium |
| X-Ray - Abdomen | $314 | 37% | $198 |
Medium |
| X-Ray - Ankle (outpatient) | $314 | 37% | $198 |
High |
| X-Ray - Chest (outpatient) | $487 | 37% | $307 |
Medium |
| X-Ray - Foot (outpatient) | $312 | 37% | $196 |
Medium |
| X-Ray - Hand | $448 | 37% | $282 |
Medium |
| X-Ray - Hip | $315 | 37% | $198 |
Medium |
| X-Ray - Knee (outpatient) | $433 | 37% | $273 |
Medium |
| X-Ray - Neck, Cervical Spine | $320 | 37% | $202 |
Medium |
| X-Ray - Shoulder (outpatient) | $374 | 37% | $235 |
Medium |
| X-Ray - Spine (outpatient) | $507 | 37% | $320 |
Medium |
| X-Ray - Wrist (outpatient) | $314 | 37% | $198 |
Medium |
