| Bacterial Culture Swab | $77 | 0% | $77 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $87 | 0% | $87 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $114 | 0% | $114 |
Medium |
| Blood Test - Clotting Time | $46 | 0% | $46 |
Medium |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $63 | 0% | $63 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $57 | 0% | $57 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $187 | 0% | $187 |
Medium |
| Blood Test - Electrolytes Panel | $62 | 0% | $62 |
Medium |
| Blood Test - General Health Panel | $374 | 0% | $374 |
Medium |
| Blood Test - Hepatitis C Antibody Level | $106 | 0% | $106 |
Medium |
| Blood Test - LDL Cholesterol Level | $76 | 0% | $76 |
Medium |
| Blood Test - Lipase (fat enzyme) Level | $65 | 0% | $65 |
Medium |
| Blood Test - Pregnancy (Obstetric) Panel | $152 | 0% | $152 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $129 | 0% | $129 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $129 | 0% | $129 |
Medium |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $124 | 0% | $124 |
Medium |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $102 | 0% | $102 |
Medium |
| Blood Test - Vitamin D-3 Level | $71 | 0% | $71 |
Medium |
| Detection Test for Human Papillomavirus (HPV) | $88 | 0% | $88 |
Medium |
| Emergency Department Visit - Low Complexity (outpatient) | $233 | 0% | $233 |
Medium |
| Emergency Department Visit - Moderate Complexity (outpatient) | $405 | 0% | $405 |
Medium |
| Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) | $76 | 0% | $76 |
Medium |
| Mammogram (outpatient) | $774 | 0% | $774 |
Medium |
| Office Visit - Basic | $76 | 0% | $76 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $224 | 0% | $224 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $187 | 0% | $187 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $186 | 0% | $186 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $216 | 0% | $216 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $190 | 0% | $190 |
Medium |
| Office Visit - Established Patient, Low Complexity | $175 | 0% | $175 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $222 | 0% | $222 |
Medium |
| Office Visit - New Patient, Low Complexity | $237 | 0% | $237 |
Medium |
| Office Visit - New Patient, Minor | $187 | 0% | $187 |
Medium |
| Physical Therapy - Electrical Stimulation Therapy | $60 | 0% | $60 |
Medium |
| Physical Therapy - Low Complexity Evaluation | $351 | 0% | $351 |
Medium |
| Physical Therapy - Moderate Complexity Evaluation | $351 | 0% | $351 |
Medium |
| Physical Therapy - Neuromuscular Reeducation | $99 | 0% | $99 |
Medium |
| Physical Therapy - Therapeutic Activities | $135 | 0% | $135 |
Medium |
| Physical Therapy - Therapeutic Exercises | $99 | 0% | $99 |
Medium |
| Psychotherapy - 30 Minutes | $95 | 0% | $95 |
Medium |
| Psychotherapy - 45 Minutes | $125 | 0% | $125 |
Medium |
| Psychotherapy - 60 Minutes | $189 | 0% | $189 |
Medium |
| Strep Test (Streptococcus, group A) | $42 | 0% | $42 |
Medium |
| Urine Test - Automated with Microscope Examination | $39 | 0% | $39 |
Medium |
| Urine Test - Automated without Microscope | $33 | 0% | $33 |
Medium |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $60 | 0% | $60 |
Medium |
| Urine Test - Pregnancy | $32 | 0% | $32 |
Medium |
| X-Ray - Hip | $884 | 0% | $884 |
Medium |
