| Arthrocentesis (outpatient) | $1,032 | N/A | $547 |
| Bacterial Culture - Aerobic Isolates | $62 | N/A | $33 |
| Bacterial Culture - Swab | $171 | N/A | $91 |
| Blood Test - Basic Metabolic Panel | $132 | N/A | $70 |
| Blood Test - Blood Glucose (Sugar) Level | $58 | N/A | $31 |
| Blood Test - Blood Typing (ABO) | $59 | N/A | $31 |
| Blood Test - Blood Typing (Rh (D)) | $54 | N/A | $28 |
| Blood Test - C-reactive Protein (CRP) Level | $140 | N/A | $74 |
| Blood Test - Cholesterol Test, Lipid Panel | $133 | N/A | $71 |
| Blood Test - Clotting Time | $61 | N/A | $32 |
| Blood Test - Coagulation Assessment | $78 | N/A | $41 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $67 | N/A | $36 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $64 | N/A | $34 |
| Blood Test - Comprehensive Metabolic Panel | $214 | N/A | $114 |
| Blood Test - Creatinine Level | $51 | N/A | $27 |
| Blood Test - Ferritin (Blood Protein) Level | $182 | N/A | $96 |
| Blood Test - Folic Acid Level | $136 | N/A | $72 |
| Blood Test - General Health Panel | $398 | N/A | $211 |
| Blood Test - Hepatic (Liver) Function Panel | $121 | N/A | $64 |
| Blood Test - Hepatitis B Surface Antibody Level | $68 | N/A | $36 |
| Blood Test - Hepatitis C Antibody Level | $66 | N/A | $35 |
| Blood Test - Iron Binding Capacity | $70 | N/A | $37 |
| Blood Test - Iron Level | $84 | N/A | $45 |
| Blood Test - LDL Cholesterol Level | $90 | N/A | $48 |
| Blood Test - Lead Level | $109 | N/A | $58 |
| Blood Test - Lipase (fat enzyme) Level | $132 | N/A | $70 |
| Blood Test - Magnesium Level | $48 | N/A | $25 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $131 | N/A | $70 |
| Blood Test - Renal (Kidney) Function Panel | $123 | N/A | $65 |
| Blood Test - Thyroglobulin (Thyroid Protein) Antibody Level | $156 | N/A | $83 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $114 | N/A | $60 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $111 | N/A | $59 |
| Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement | $221 | N/A | $117 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $132 | N/A | $70 |
| Blood Test - Vitamin D-3 Level | $249 | N/A | $132 |
| Bone Density Scan (outpatient) | $565 | N/A | $300 |
| Colonoscopy - Diagnostic (outpatient) | $5,236 | N/A | $2,775 |
| Colonoscopy - With Biopsy (outpatient) | $6,072 | N/A | $3,218 |
| Colonoscopy - With Polyp Removal (outpatient) | $8,351 | N/A | $4,426 |
| CT Scan - Abdomen and Pelvis, with Contrast | $3,319 | N/A | $1,759 |
| Electrocardiogram (ECG or EKG), Tracing | $392 | N/A | $208 |
| Emergency Department Visit - Moderate Complexity (outpatient) | $522 | N/A | $277 |
| Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) | $104 | N/A | $55 |
| Hydration Infusion | $239 | N/A | $127 |
| Lab Test - Creatinine Level | $50 | N/A | $27 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $70 | N/A | $37 |
| Lab Test - Detection test for Coronavirus (COVID-19) | $216 | N/A | $114 |
| Lab Test - Detection test for Hepatitis B Surface Antigen | $145 | N/A | $77 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $155 | N/A | $82 |
| Lab Test - Smear for Microorganism | $28 | N/A | $15 |
| Mammogram (outpatient) | $1,277 | N/A | $677 |
| Office Visit - Basic | $112 | N/A | $60 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $191 | N/A | $101 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $203 | N/A | $108 |
| Office Visit - Established Patient, High Complexity | $248 | N/A | $131 |
| Office Visit - Established Patient, Low Complexity | $128 | N/A | $68 |
| Office Visit - Established Patient, Moderate Complexity | $198 | N/A | $105 |
| Office Visit - New Patient, Low Complexity | $196 | N/A | $104 |
| Office Visit - New Patient, Minor | $133 | N/A | $71 |
| Pap Test, manual screening | $121 | N/A | $64 |
| Physical Therapy - Low Complexity Evaluation | $282 | 
Near Average
State Average: 1 | $150 |
| Physical Therapy - Manual Therapy | $128 |
Near Average
State Average: 4 | $68 |
| Physical Therapy - Moderate Complexity Evaluation | $376 |
Near Average
State Average: 1 | $199 |
| Physical Therapy - Therapeutic Activities | $128 |
Near Average
State Average: 3 | $68 |
| Physical Therapy - Therapeutic Exercises | $125 |
Near Average
State Average: 4 | $66 |
| Physical Therapy - Ultrasound Therapy | $75 | 
Above Average
State Average: 3 | $40 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $122 | N/A | $65 |
| Ultrasound - Abdominal, Limited | $497 | N/A | $263 |
| Ultrasound - Breast (outpatient) | $2,124 | N/A | $1,126 |
| Ultrasound - Head and Neck | $963 | N/A | $510 |
| Ultrasound - Transvaginal (non-maternity) | $999 | N/A | $529 |
| Urine Test - Automated with Microscope Examination | $57 | N/A | $30 |
| Urine Test - Automated without Microscope | $34 | N/A | $18 |
| Urine Test - Bacterial Culture | $58 | N/A | $31 |
| Urine Test - Chlamydia | $245 | N/A | $130 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $224 | N/A | $119 |
| Urine Test - Pregnancy | $68 | N/A | $36 |
| Urine Test - Urinalysis, Manual Test | $34 | N/A | $18 |
| Vaccine - Influenza for Injection into Muscle | $21 | N/A | $11 |
| X-Ray - Chest (outpatient) | $547 | N/A | $290 |
| X-Ray - Foot (outpatient) | $398 | N/A | $211 |
| X-Ray - Hand | $742 | N/A | $393 |
| X-Ray - Knee (outpatient) | $796 | N/A | $422 |
| X-Ray - Shoulder (outpatient) | $558 | N/A | $296 |
