| Blood Test - Complete Blood Cell Count (Hemoglobin) | $51 | 0% | $51 | 
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $80 | 0% | $80 |
Medium |
| Mammogram (outpatient) | $1,057 | 0% | $1,057 |
Medium |
| Office Visit - Basic | $80 | 0% | $80 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $247 | 0% | $247 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $289 | 0% | $289 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $247 | 0% | $247 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $236 | 0% | $236 |
Medium |
| Office Visit - Established Patient, High Complexity | $263 | 0% | $263 |
Medium |
| Office Visit - Established Patient, Low Complexity | $158 | 0% | $158 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $195 | 0% | $195 |
Medium |
| Pap Test | $202 | 0% | $202 |
Medium |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $68 | 0% | $68 |
Medium |
| Ultrasound - Pelvic (outpatient) | $231 | 0% | $231 |
Medium |
| Ultrasound - Pregnancy (outpatient) | $273 | 0% | $273 |
Medium |
| Ultrasound - Pregnancy Follow-Up | $368 | 0% | $368 | 
High |
| Ultrasound - Transvaginal (non-maternity) | $236 | 0% | $236 |
Medium |
| Urine Test - Bacterial Culture | $29 | 0% | $29 |
Medium |
| Urine Test - Pregnancy | $19 | 0% | $19 |
Medium |
