| Arthrocentesis (outpatient) | $455 | N/A | $455 |
| Blood Test - Blood Glucose (Sugar) Level | $15 | N/A | $15 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $28 | N/A | $28 |
| Blood Test - Cholesterol Test, Lipid Panel | $156 | N/A | $156 |
| Blood Test - Comprehensive Metabolic Panel | $92 | N/A | $92 |
| Blood Test - Lead Level | $21 | N/A | $21 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $137 | N/A | $137 |
| Developmental Screening | $23 | N/A | $23 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $328 | N/A | $328 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $42 | N/A | $42 |
| Lab Test - Detection test for HIV-1 and HIV-2 | $114 | N/A | $114 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $137 | N/A | $137 |
| Office Visit - Basic | $99 | N/A | $99 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $335 | N/A | $335 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $327 | N/A | $327 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $381 | N/A | $381 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $264 | N/A | $264 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $284 | N/A | $284 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $284 | N/A | $284 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $301 | N/A | $301 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $253 | N/A | $253 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $242 | N/A | $242 |
| Office Visit - Established Patient, High Complexity | $316 | N/A | $316 |
| Office Visit - Established Patient, Low Complexity | $162 | N/A | $162 |
| Office Visit - Established Patient, Moderate Complexity | $236 | N/A | $236 |
| Office Visit - New Patient, Low Complexity | $235 | N/A | $235 |
| Office Visit - New Patient, Minor | $166 | N/A | $166 |
| Office Visit - New Patient, Moderate Complexity | $356 | N/A | $356 |
| Pap Test, automated screening and manual rescreening | $126 | N/A | $126 |
| Pap Test, manual screening | $100 | N/A | $100 |
| Psychiatric Diagnostic Evaluation | $184 | 
Near Average
State Average: 1 | $184 |
| Psychotherapy - 30 Minutes | $145 |
Near Average
State Average: 1 | $145 |
| Psychotherapy - 45 Minutes | $192 | 
Below Average
State Average: 4 | $192 |
| Psychotherapy - 60 Minutes | $158 | 
Above Average
State Average: 5 | $158 |
| Psychotherapy - Family Session | $210 |
Below Average
State Average: 3 | $210 |
| Psychotherapy - Group Session | $47 |
Below Average
State Average: 5 | $47 |
| Urine Test - Pregnancy | $17 | N/A | $17 |
| Urine Test - Urinalysis, Manual Test | $13 | N/A | $13 |
| Vaccine - Influenza for Injection into Muscle | $32 | N/A | $32 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $68 | N/A | $68 |
