| Arthrocentesis (outpatient) | $1,161 | N/A | $1,161 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $78 | N/A | $78 |
| Blood Test - C-reactive Protein (CRP) Level | $139 | N/A | $139 |
| Blood Test - Cholesterol Test, Lipid Panel | $129 | N/A | $129 |
| Blood Test - Clotting Time | $7 | N/A | $7 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $34 | N/A | $34 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $68 | N/A | $68 |
| Blood Test - Comprehensive Metabolic Panel | $90 | N/A | $90 |
| Blood Test - Ferritin (Blood Protein) Level | $106 | N/A | $106 |
| Blood Test - General Health Panel | $277 | N/A | $277 |
| Blood Test - Hepatitis C Antibody Level | $181 | N/A | $181 |
| Blood Test - Iron Binding Capacity | $67 | N/A | $67 |
| Blood Test - Iron Level | $56 | N/A | $56 |
| Blood Test - LDL Cholesterol Level | $99 | N/A | $99 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $148 | N/A | $148 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $144 | N/A | $144 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $120 | N/A | $120 |
| Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement | $206 | N/A | $206 |
| Blood Test - Vitamin D-3 Level | $302 | N/A | $302 |
| Destruction of Lesion (outpatient) | $568 | N/A | $568 |
| Developmental Screening | $17 | N/A | $17 |
| Electrocardiogram (ECG or EKG), Tracing | $551 | N/A | $551 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $363 | N/A | $363 |
| Lab Test - Creatinine Level | $76 | N/A | $76 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $88 | N/A | $88 |
| Lab Test - Detection test for Coronavirus (COVID-19) | $386 | N/A | $386 |
| Lab Test - Detection test for HIV-1 and HIV-2 | $195 | N/A | $195 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $195 | N/A | $195 |
| Lab Test - Detection test for Influenza Virus | $84 | N/A | $84 |
| Mammogram (outpatient) | $737 | N/A | $737 |
| Office Visit - Basic | $118 | N/A | $118 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $406 | N/A | $406 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $238 | N/A | $238 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $232 | N/A | $232 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $270 | N/A | $270 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $266 | N/A | $266 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $376 | N/A | $376 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $191 | N/A | $191 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $209 | N/A | $209 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $213 | N/A | $213 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $227 | N/A | $227 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $190 | N/A | $190 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $296 | N/A | $296 |
| Office Visit - Established Patient, High Complexity | $492 | N/A | $492 |
| Office Visit - Established Patient, Low Complexity | $186 | N/A | $186 |
| Office Visit - Established Patient, Moderate Complexity | $219 | N/A | $219 |
| Office Visit - New Patient, Low Complexity | $300 | N/A | $300 |
| Office Visit - New Patient, Minor | $230 | N/A | $230 |
| Office Visit - New Patient, Moderate Complexity | $400 | N/A | $400 |
| Pap Test, automated screening and manual rescreening | $246 | N/A | $246 |
| Physical Therapy - Low Complexity Evaluation | $243 | 
Near Average
State Average: 1 | $243 |
| Physical Therapy - Therapeutic Exercises | $107 | 
Below Average
State Average: 4 | $107 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $72 | N/A | $72 |
| Ultrasound - Pregnancy (outpatient) | $168 | N/A | $168 |
| Ultrasound - Transvaginal (non-maternity) | $2,035 | N/A | $2,035 |
| Urine Test - Automated with Microscope Examination | $50 | N/A | $50 |
| Urine Test - Automated without Microscope | $4 | N/A | $4 |
| Urine Test - Microalbumin (Protein) Level | $95 | N/A | $95 |
| Urine Test - Pregnancy | $106 | N/A | $106 |
| Urine Test - Urinalysis, Manual Test | $29 | N/A | $29 |
| Vaccine - Influenza for Injection into Muscle | $62 | N/A | $62 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $197 | N/A | $197 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $69 | N/A | $69 |
| X-Ray - Chest (outpatient) | $438 | N/A | $438 |
