| Arthrocentesis (outpatient) | $1,615 | 0% | $1,615 | 
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $152 | 0% | $152 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $145 | 0% | $145 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $141 | 0% | $141 |
Medium |
| Mammogram (outpatient) | $737 | 0% | $737 | 
High |
| Office Visit - Basic | $65 | 0% | $65 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $232 | 0% | $232 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $377 | 0% | $377 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $203 | 0% | $203 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $215 | 0% | $215 |
Medium |
| Office Visit - Established Patient, Low Complexity | $176 | 0% | $176 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $209 | 0% | $209 |
Medium |
| Office Visit - New Patient, Low Complexity | $300 | 0% | $300 |
Medium |
| Office Visit - New Patient, Minor | $230 | 0% | $230 |
Medium |
| Strep Test (Streptococcus, group A) | $88 | 0% | $88 |
Medium |
| Urine Test - Automated without Microscope | $49 | 0% | $49 |
Medium |
| Urine Test - Pregnancy | $101 | 0% | $101 |
Medium |
