| Arthrocentesis (outpatient) | $639 | N/A | $639 |
| Bacterial Culture - Swab | $115 | N/A | $115 |
| Biopsy - Punch Biopsy of Skin | $410 | N/A | $410 |
| Biopsy - Tangential Biopsy of Skin | $538 | N/A | $538 |
| Blood Test - Basic Metabolic Panel | $18 | N/A | $18 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $21 | N/A | $21 |
| Blood Test - C-reactive Protein (CRP) Level | $59 | N/A | $59 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | N/A | $103 |
| Blood Test - Clotting Time | $16 | N/A | $16 |
| Blood Test - Coagulation Assessment | $43 | N/A | $43 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | N/A | $33 |
| Blood Test - Comprehensive Metabolic Panel | $48 | N/A | $48 |
| Blood Test - Ferritin (Blood Protein) Level | $84 | N/A | $84 |
| Blood Test - General Health Panel | $190 | N/A | $190 |
| Blood Test - Hepatitis C Antibody Level | $112 | N/A | $112 |
| Blood Test - Iron Binding Capacity | $42 | N/A | $42 |
| Blood Test - Iron Level | $35 | N/A | $35 |
| Blood Test - Lipase (fat enzyme) Level | $24 | N/A | $24 |
| Blood Test - Magnesium Level | $118 | N/A | $118 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | N/A | $112 |
| Blood Test - Thyroglobulin (Thyroid Protein) Antibody Level | $107 | N/A | $107 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | N/A | $109 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $123 | N/A | $123 |
| Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement | $163 | N/A | $163 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $111 | N/A | $111 |
| Blood Test - Vitamin D-3 Level | $68 | N/A | $68 |
| Destruction of Lesion (outpatient) | $373 | N/A | $373 |
| Developmental Screening | $42 | N/A | $42 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $371 | N/A | $371 |
| Lab Test - Creatinine Level | $64 | N/A | $64 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $26 | N/A | $26 |
| Lab Test - Detection test for Coronavirus (COVID-19) | $54 | N/A | $54 |
| Lab Test - Detection test for HIV-1 and HIV-2 | $176 | N/A | $176 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $183 | N/A | $183 |
| Lab Test - Detection test for Influenza Virus | $37 | N/A | $37 |
| Lab Test - Smear for Microorganism | $57 | N/A | $57 |
| Mammogram (outpatient) | $998 | N/A | $998 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $226 | N/A | $226 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $310 | N/A | $310 |
| 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 | $268 | N/A | $268 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $205 | N/A | $205 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $284 | N/A | $284 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $242 | N/A | $242 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $231 | N/A | $231 |
| Office Visit - Established Patient, High Complexity | $289 | N/A | $289 |
| Office Visit - Established Patient, Low Complexity | $189 | N/A | $189 |
| Office Visit - Established Patient, Moderate Complexity | $263 | N/A | $263 |
| Office Visit - New Patient, Low Complexity | $221 | N/A | $221 |
| Office Visit - New Patient, Minor | $129 | N/A | $129 |
| Office Visit - New Patient, Moderate Complexity | $341 | N/A | $341 |
| Pap Test, automated screening and manual rescreening | $130 | N/A | $130 |
| Psychiatric Diagnostic Evaluation | $263 | 
Near Average
State Average: 1 | $263 |
| Psychotherapy - 45 Minutes | $184 |
Near Average
State Average: 4 | $184 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $19 | N/A | $19 |
| Urine Test - Automated with Microscope Examination | $38 | N/A | $38 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $26 | N/A | $26 |
| Urine Test - Chlamydia | $129 | N/A | $129 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $129 | N/A | $129 |
| Urine Test - Microalbumin (Protein) Level | $72 | N/A | $72 |
| Urine Test - Pregnancy | $21 | N/A | $21 |
| Urine Test - Urinalysis, Manual Test | $5 | N/A | $5 |
| Vaccine - Influenza for Injection into Muscle | $42 | N/A | $42 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $294 | N/A | $294 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $68 | N/A | $68 |
