| HC Skin Test Ppd | 86580 | $14 |
| HC Influenza Virus Vaccine Quad Split Virus Preservative Free .05 Ml Im | 90686 | $16 |
| HC Fecal Occult Blood POC | 82270 | $18 |
| HC Immunization Admin 1st Vaccine Thru 18yrs | 90460 | $19 |
| Blood Glucose Test | 82947 | $25 |
| HC Cholesterol | 82465 | $25 |
| HC Consult Report W Slide Prep | 88323 | $31 |
| HC Total Psa Mayo | 84153 | $41 |
| HC Urinalysis W Microscopic POCT | 81001 | $42 |
| HC Supplemental Hiv 1/2 Rapid Test | 86703 | $45 |
| Complete Blood Count (CBC) | 85025 | $49 |
| HC Hpv Pcr | 87624 | $50 |
| Hemoglobin A1c | 83036 | $62 |
| HC Cldh and Prdh Established Patient Level 1 | 99211 | $63 |
| HC Lap Band Adjustment Visit | 99212 | $74 |
| HC Cldh and Prdh New Patient Level 2 | 99202 | $84 |
| Office Visit (Established Patient) | 99213 | $85 |
| TSH Thyroid Test | 84443 | $85 |
| Therapeutic Injection | 96372 | $88 |
| HC Zoster Vaccine | 90750 | $90 |
| HC Immunization Admin One Vaccine | 90471 | $91 |
| Office Visit (Complex) | 99214 | $95 |
| Office Visit (New Patient) | 99203 | $99 |
| HC Level I Surg Path Gross Only | 88300 | $112 |
| Lipid Panel | 80061 | $116 |
| HC Cldh and Prdh Established Patient Level 5 | 99215 | $124 |
| HC Destruction Premalignant Lesions 1st Lesion | 17000 | $125 |
| Office Visit (New, Complex) | 99204 | $126 |
| HC Chlamydia by Pcr | 87491 | $127 |
| HC Destroy Benign Lesions 15+ | 17111 | $131 |
| HC Gonorrhoeae by Pcr | 87591 | $136 |
| HC Rem Skin Tags Multiple Fibrocutaneous Tags Up to and Include 15 Lesions | 11200 | $146 |
| HC Shave Epidermal Dermal Lesion Single Lesion Scalp Neck Hands Feet Genitalia 0.5 Cm or Less | 11305 | $146 |
| HC Shave Epidermal Dermal Lesion Single Lesion Trunk Arms Legs 0.5 Cm or Less | 11300 | $146 |
| HC Level II Surg Path Gross and Micro | 88302 | $161 |
| Comprehensive Metabolic Panel | 80053 | $162 |
| HC Cldh and Prdh New Patient Level 5 | 99205 | $163 |
| HC Special Stains Grp 1 | 88312 | $166 |
| HC Shave Epidermal Dermal Lesion Single Lesion Trunk Arms Legs 0.6 to 1.0 Cm | 11301 | $175 |
| HC ED Visit Level 1 | 99281 | $194 |
| HC Dexa Appendicular Skeleton | 77081 | $209 |
| HC Simple Repair Superfcl Wnd Rpr Sc Nk Gen Ext 2.5 Cm or Less | 12001 | $210 |
| Knee X-Ray | 73560 | $232 |
| HC Incision and Drainage Abscess Simple Single | 10060 | $251 |
| HC Level III Surg Path Gross and Micro | 88304 | $254 |
| HC ED Visit Level 2 | 99282 | $265 |
| HC Chest 1 View | 71045 | $282 |
| HC Frozen Section First Block | 88331 | $286 |
| HC Shoulder Comp 2 Vws | 73030 | $299 |
| HC Level IV Surg Path Gross and Micro | 88305 | $329 |
| HC Hydration IV Initial 31min-1hr | 96360 | $348 |
| Mammogram (Screening) | 77067 | $369 |
| DEXA Bone Density Scan | 77080 | $401 |
| HC Excision Benign Lesion T a L 0.6 to 1 Cm | 11401 | $420 |
| HC Level V Surg Path or Cyto Gross and Micro | 88307 | $422 |
| HC Excision Benign Lesion F E E N L Mm 0.5 or Less | 11440 | $424 |
| Chest X-Ray (2 Views) | 71046 | $434 |
| HC Arthrocentesis Aspir Inj Major Jnt or Bursa WO/ US Guide | 20610 | $478 |
| HC Level VI Surg Path Gross and Micro | 88309 | $485 |
| HC ED Visit Level 3 | 99283 | $583 |
| HC Bx Breast Needle No Image | 19100 | $780 |
| HC ED Visit Level 4 | 99284 | $971 |
| Head CT Scan | 70450 | $1,284 |
| Echocardiogram | 93306 | $1,375 |
| HC Biopsy Prostate Single Mult | 55700 | $1,527 |
| HC ED Visit Level 5 | 99285 | $1,765 |
| Epidural Steroid Injection | 64483 | $1,840 |
| Lumbar Spine MRI | 72148 | $2,081 |
| HC Polysom Less Than 6 Hrs and 6 Yrs Old or More | 95810 | $2,179 |
| Knee MRI | 73721 | $2,264 |
| Cervical Spine MRI | 72141 | $2,424 |
| HC Partial Mastectomy | 19301 | $2,693 |
| Brain MRI with Contrast | 70553 | $2,764 |