| Arthrocentesis (outpatient) | $369 | 0% | $369 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $32 | 0% | $32 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $46 | 0% | $46 |
Medium |
| Blood Test - Clotting Time | $49 | 0% | $49 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $84 | 0% | $84 |
Medium |
| Blood Test - General Health Panel | $110 | 0% | $110 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $27 | 0% | $27 |
Medium |
| Destruction of Lesion (outpatient) | $564 | 0% | $564 |
Medium |
| Mammogram (outpatient) | $800 | 0% | $800 |
Medium |
| Office Visit - Basic | $118 | 0% | $118 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $306 | 0% | $306 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $359 | 0% | $359 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $359 | 0% | $359 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $402 | 0% | $402 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $318 | 0% | $318 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $294 | 0% | $294 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $281 | 0% | $281 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $306 | 0% | $306 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $312 | 0% | $312 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $333 | 0% | $333 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $280 | 0% | $280 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $264 | 0% | $264 |
Medium |
| Office Visit - Established Patient, High Complexity | $381 | 0% | $381 |
Medium |
| Office Visit - Established Patient, Low Complexity | $194 | 0% | $194 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $286 | 0% | $286 |
Medium |
| Office Visit - New Patient, Low Complexity | $289 | 0% | $289 |
Medium |
| Office Visit - New Patient, Minor | $200 | 0% | $200 |
Medium |
| Strep Test (Streptococcus, group A) | $42 | 0% | $42 |
Medium |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $64 | 0% | $64 |
Medium |
| Urine Test - Automated with Microscope Examination | $142 | 0% | $142 |
Medium |
| Urine Test - Chlamydia | $57 | 0% | $57 |
Medium |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $57 | 0% | $57 |
Medium |
| Urine Test - Pregnancy | $23 | 0% | $23 |
Medium |
