| Blood Test - Basic Metabolic Panel | $44 | 0% | $44 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $44 | 0% | $44 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $47 | 0% | $47 |
Medium |
| Blood Test - Clotting Time | $63 | 0% | $63 |
Medium |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $100 | 0% | $100 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $25 | 0% | $25 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $160 | 0% | $160 |
Medium |
| Blood Test - General Health Panel | $239 | 0% | $239 |
Medium |
| Blood Test - Hepatic (Liver) Function Panel | $100 | 0% | $100 |
Medium |
| Blood Test - Pregnancy (Obstetric) Panel | $480 | 0% | $480 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $61 | 0% | $61 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $61 | 0% | $61 |
Medium |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $132 | 0% | $132 |
Medium |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $159 | 0% | $159 |
Medium |
| Blood Test - Vitamin D-3 Level | $315 | 0% | $315 |
Medium |
| Colonoscopy - With Biopsy (outpatient) | $6,429 | 0% | $6,429 |
Medium |
| Emergency Department Visit - Low Complexity (outpatient) | $120 | 0% | $120 |
Medium |
| Emergency Department Visit - Minor (outpatient) | $335 | 0% | $335 |
Medium |
| Emergency Department Visit - Moderate Complexity (outpatient) | $623 | 0% | $623 |
Medium |
| Mammogram (outpatient) | $1,313 | 0% | $1,313 |
Medium |
| Physical Therapy - Low Complexity Evaluation | $427 | 0% | $427 |
Medium |
| Physical Therapy - Moderate Complexity Evaluation | $427 | 0% | $427 |
Medium |
| Physical Therapy - Therapeutic Exercises | $169 | 0% | $169 |
Medium |
| Physical Therapy - Ultrasound Therapy | $97 | 0% | $97 |
Medium |
| Strep Test (Streptococcus, group A) | $75 | 0% | $75 |
Medium |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $65 | 0% | $65 |
Medium |
| Urine Test - Automated with Microscope Examination | $76 | 0% | $76 |
Medium |
| Urine Test - Automated without Microscope | $29 | 0% | $29 |
Medium |
| Urine Test - Bacterial Culture | $32 | 0% | $32 |
Medium |
| Urine Test - Chlamydia | $70 | 0% | $70 |
Medium |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $70 | 0% | $70 |
Medium |
| Urine Test - Pregnancy | $48 | 0% | $48 |
Medium |
| X-Ray - Hand | $540 | 0% | $540 |
Medium |
