| Arthrocentesis (outpatient) | $532 | 0% | $532 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $55 | 0% | $55 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $96 | 0% | $96 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $30 | 0% | $30 |
Medium |
| Blood Test - General Health Panel | $316 | 0% | $316 |
Medium |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $129 | 0% | $129 |
Medium |
| Blood Test - Vitamin D-3 Level | $247 | 0% | $247 |
Medium |
| Electrocardiogram (ECG or EKG) | $593 | 0% | $593 | 
High |
| Mammogram (outpatient) | $846 | 0% | $846 |
Medium |
| Office Visit - Basic | $137 | 0% | $137 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $281 | 0% | $281 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $269 | 0% | $269 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $275 | 0% | $275 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $294 | 0% | $294 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $246 | 0% | $246 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $231 | 0% | $231 |
Medium |
| Office Visit - Established Patient, High Complexity | $255 | 0% | $255 |
Medium |
| Office Visit - Established Patient, Low Complexity | $178 | 0% | $178 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $199 | 0% | $199 |
Medium |
| Office Visit - New Patient, Low Complexity | $247 | 0% | $247 |
Medium |
| Office Visit - New Patient, Minor | $180 | 0% | $180 |
Medium |
| Urine Test - Automated with Microscope Examination | $66 | 0% | $66 |
Medium |
| Urine Test - Automated without Microscope | $9 | 0% | $9 |
Medium |
| Urine Test - Pregnancy | $28 | 0% | $28 |
Medium |
