| Arthrocentesis (outpatient) | $216 | 0% | $216 | 
Medium |
| Bacterial Culture Swab | $27 | 0% | $27 |
Medium |
| Blood Test - Basic Metabolic Panel | $107 | 0% | $107 |
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $32 | 0% | $32 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $60 | 0% | $60 |
Medium |
| Blood Test - Clotting Time | $49 | 0% | $49 |
Medium |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $22 | 0% | $22 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $26 | 0% | $26 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $35 | 0% | $35 |
Medium |
| Blood Test - Folic Acid Level | $49 | 0% | $49 |
Medium |
| Blood Test - General Health Panel | $104 | 0% | $104 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $56 | 0% | $56 |
Medium |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $29 | 0% | $29 |
Medium |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $49 | 0% | $49 |
Medium |
| Blood Test - Vitamin D-3 Level | $99 | 0% | $99 |
Medium |
| Destruction of Lesion (outpatient) | $510 | 0% | $510 |
Medium |
| Electrocardiogram (ECG or EKG) | $313 | 0% | $313 |
Medium |
| Mammogram (outpatient) | $837 | 0% | $837 |
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 | $318 | 0% | $318 |
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 | $361 | 0% | $361 |
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 | $11 | 0% | $11 |
Medium |
| Urine Test - Automated without Microscope | $7 | 0% | $7 |
Medium |
| Urine Test - Bacterial Culture | $67 | 0% | $67 |
Medium |
| Urine Test - Chlamydia | $87 | 0% | $87 |
Medium |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $87 | 0% | $87 |
Medium |
| Urine Test - Pregnancy | $23 | 0% | $23 |
Medium |
