| Arthrocentesis (outpatient) | $425 | 43% | $242 | 
Medium |
| Blood Test - Basic Metabolic Panel | $66 | 43% | $38 |
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $90 | 43% | $51 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $118 | 43% | $67 |
Medium |
| Blood Test - Clotting Time | $53 | 43% | $30 |
Medium |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $62 | 43% | $35 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $66 | 43% | $38 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $88 | 43% | $50 |
Medium |
| Blood Test - Electrolytes Panel | $62 | 43% | $35 |
Medium |
| Blood Test - General Health Panel | $306 | 43% | $174 |
Medium |
| Blood Test - Hepatic (Liver) Function Panel | $71 | 43% | $41 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $127 | 43% | $72 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $151 | 43% | $86 |
Medium |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $81 | 43% | $46 |
Medium |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $105 | 43% | $60 |
Medium |
| Blood Test - Vitamin D-3 Level | $306 | 43% | $174 |
Medium |
| Bone Density Scan (outpatient) | $383 | 43% | $218 | 
High |
| Colonoscopy - Diagnostic (outpatient) | $3,623 | 43% | $2,065 |
Medium |
| Colonoscopy - With Biopsy (outpatient) | $5,653 | 43% | $3,222 |
Medium |
| CT Scan - Abdomen and Pelvis, with Contrast | $2,416 | 43% | $1,377 |
Medium |
| Destruction of Lesion (outpatient) | $505 | 43% | $288 |
Medium |
| Emergency Department Visit - Low Complexity (outpatient) | $489 | 43% | $279 |
Medium |
| Emergency Department Visit - Minor (outpatient) | $266 | 43% | $151 |
Medium |
| Emergency Department Visit - Moderate Complexity (outpatient) | $875 | 43% | $499 |
Medium |
| Mammogram (outpatient) | $1,037 | 43% | $591 |
Medium |
| MRI - Back (outpatient) | $3,394 | 43% | $1,934 |
High |
| MRI - Brain (outpatient) | $5,666 | 43% | $3,230 |
Medium |
| MRI - Knee (outpatient) | $1,877 | 43% | $1,070 |
High |
| MRI - Shoulder, Elbow, or Wrist | $1,874 | 43% | $1,068 |
High |
| Myocardial Imaging (outpatient) | $8,413 | 43% | $4,795 |
Medium |
| Office Visit - Basic | $88 | 43% | $50 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $320 | 43% | $183 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $348 | 43% | $198 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $348 | 43% | $198 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $404 | 43% | $230 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $319 | 43% | $182 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $296 | 43% | $169 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $278 | 43% | $159 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $302 | 43% | $172 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $303 | 43% | $173 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $332 | 43% | $189 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $277 | 43% | $158 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $251 | 43% | $143 |
Medium |
| Office Visit - Established Patient, High Complexity | $290 | 43% | $165 |
Medium |
| Office Visit - Established Patient, Low Complexity | $147 | 43% | $84 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $215 | 43% | $123 |
Medium |
| Office Visit - New Patient, Low Complexity | $216 | 43% | $123 |
Medium |
| Office Visit - New Patient, Minor | $150 | 43% | $86 |
Medium |
| Physical Therapy - Electrical Stimulation Therapy | $65 | 43% | $37 |
Medium |
| Physical Therapy - Manual Therapy | $149 | 43% | $85 |
Medium |
| Physical Therapy - Moderate Complexity Evaluation | $338 | 43% | $193 |
Medium |
| Physical Therapy - Therapeutic Exercises | $161 | 43% | $92 |
Medium |
| Physical Therapy - Ultrasound Therapy | $69 | 43% | $40 |
Medium |
| Strep Test (Streptococcus, group A) | $91 | 43% | $52 |
Medium |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $50 | 43% | $29 |
Medium |
| Ultrasound - Abdominal, Complete | $942 | 43% | $537 |
Medium |
| Ultrasound - Abdominal, Limited | $737 | 43% | $420 |
Medium |
| Ultrasound - Head and Neck | $838 | 43% | $478 |
Medium |
| Ultrasound - Transvaginal (non-maternity) | $855 | 43% | $487 |
Medium |
| Urine Test - Automated with Microscope Examination | $47 | 43% | $27 |
Medium |
| Urine Test - Bacterial Culture | $69 | 43% | $40 |
Medium |
| Urine Test - Chlamydia | $211 | 43% | $120 |
Medium |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $211 | 43% | $120 |
Medium |
| Urine Test - Pregnancy | $56 | 43% | $32 |
Medium |
| X-Ray - Ankle (outpatient) | $446 | 43% | $254 |
High |
| X-Ray - Chest (outpatient) | $340 | 43% | $194 |
Medium |
| X-Ray - Foot (outpatient) | $319 | 43% | $182 |
Medium |
| X-Ray - Hand | $464 | 43% | $265 |
High |
| X-Ray - Hip | $290 | 43% | $165 |
Medium |
| X-Ray - Knee (outpatient) | $564 | 43% | $321 |
Medium |
| X-Ray - Neck, Cervical Spine | $469 | 43% | $268 |
High |
| X-Ray - Shoulder (outpatient) | $414 | 43% | $236 |
Medium |
| X-Ray - Spine (outpatient) | $401 | 43% | $229 |
Medium |
| X-Ray - Wrist (outpatient) | $407 | 43% | $232 |
High |
