| Arthrocentesis (outpatient) | $546 | 0% | $546 | 
High |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $45 | 0% | $45 | 
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | 0% | $103 |
Medium |
| Blood Test - Clotting Time | $11 | 0% | $11 |
Medium |
| Blood Test - General Health Panel | $190 | 0% | $190 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | 0% | $109 |
Medium |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $123 | 0% | $123 |
Medium |
| Office Visit - Basic | $119 | 0% | $119 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $263 | 0% | $263 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $256 | 0% | $256 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $315 | 0% | $315 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $341 | 0% | $341 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $227 | 0% | $227 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $287 | 0% | $287 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $314 | 0% | $314 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $321 | 0% | $321 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $263 | 0% | $263 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $286 | 0% | $286 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $269 | 0% | $269 |
Medium |
| Office Visit - Established Patient, High Complexity | $341 | 0% | $341 |
Medium |
| Office Visit - Established Patient, Low Complexity | $196 | 0% | $196 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $291 | 0% | $291 |
Medium |
| Office Visit - New Patient, Low Complexity | $293 | 0% | $293 |
Medium |
| Office Visit - New Patient, Minor | $203 | 0% | $203 |
Medium |
| Psychotherapy - 30 Minutes | $169 | 0% | $169 |
Medium |
| Psychotherapy - 45 Minutes | $175 | 0% | $175 |
Medium |
| Strep Test (Streptococcus, group A) | $26 | 0% | $26 |
Medium |
| Urine Test - Automated without Microscope | $9 | 0% | $9 |
Medium |
| Urine Test - Pregnancy | $11 | 0% | $11 |
Medium |
