| Bacterial Culture - Swab | $84 | N/A | $84 |
| Blood Test - Blood Glucose (Sugar) Level | $49 | N/A | $49 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $104 | N/A | $104 |
| Blood Test - C-reactive Protein (CRP) Level | $71 | N/A | $71 |
| Blood Test - Cholesterol Test, Lipid Panel | $137 | N/A | $137 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $63 | N/A | $63 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $69 | N/A | $69 |
| Blood Test - Comprehensive Metabolic Panel | $187 | N/A | $187 |
| Blood Test - Creatinine Level | $37 | N/A | $37 |
| Blood Test - Electrolytes Panel | $75 | N/A | $75 |
| Blood Test - Ferritin (Blood Protein) Level | $142 | N/A | $142 |
| Blood Test - Folic Acid Level | $121 | N/A | $121 |
| Blood Test - General Health Panel | $448 | N/A | $448 |
| Blood Test - Hepatitis C Antibody Level | $106 | N/A | $106 |
| Blood Test - Lipase (fat enzyme) Level | $72 | N/A | $72 |
| Blood Test - Magnesium Level | $76 | N/A | $76 |
| Blood Test - Pregnancy (Obstetric) Panel | $152 | N/A | $152 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $142 | N/A | $142 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $155 | N/A | $155 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $136 | N/A | $136 |
| Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement | $126 | N/A | $126 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $123 | N/A | $123 |
| Blood Test - Vitamin D-3 Level | $86 | N/A | $86 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $363 | N/A | $363 |
| Emergency Department Visit - Low Complexity (outpatient) | $279 | N/A | $279 |
| Emergency Department Visit - Moderate Complexity (outpatient) | $545 | N/A | $545 |
| Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) | $76 | N/A | $76 |
| Lab Test - Detection test for Coronavirus (COVID-19) | $368 | N/A | $368 |
| Lab Test - Detection test for Hepatitis B Surface Antigen | $90 | N/A | $90 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $106 | N/A | $106 |
| Lab Test - Detection test for Influenza Virus | $67 | N/A | $67 |
| Lab Test - Smear for Microorganism | $42 | N/A | $42 |
| Office Visit - Basic | $104 | N/A | $104 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $235 | N/A | $235 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $265 | N/A | $265 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $228 | N/A | $228 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $197 | N/A | $197 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $195 | N/A | $195 |
| 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 | $199 | N/A | $199 |
| Office Visit - Established Patient, Low Complexity | $184 | N/A | $184 |
| Office Visit - Established Patient, Moderate Complexity | $184 | N/A | $184 |
| Office Visit - New Patient, Low Complexity | $298 | N/A | $298 |
| Office Visit - New Patient, Minor | $215 | N/A | $215 |
| Pap Test, manual screening | $105 | N/A | $105 |
| Physical Therapy - Low Complexity Evaluation | $376 | 
Near Average
State Average: 1 | $376 |
| Physical Therapy - Neuromuscular Reeducation | $99 |
Near Average
State Average: 4 | $99 |
| Physical Therapy - Therapeutic Exercises | $113 | 
Below Average
State Average: 4 | $113 |
| Psychiatric Diagnostic Evaluation | $131 |
Near Average
State Average: 1 | $131 |
| Psychotherapy - 30 Minutes | $95 | 
Above Average
State Average: 1 | $95 |
| Psychotherapy - 45 Minutes | $125 |
Below Average
State Average: 4 | $125 |
| Psychotherapy - 60 Minutes | $110 |
Below Average
State Average: 5 | $110 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $54 | N/A | $54 |
| Urine Test - Automated with Microscope Examination | $47 | N/A | $47 |
| Urine Test - Automated without Microscope | $36 | N/A | $36 |
| Urine Test - Chlamydia | $54 | N/A | $54 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $71 | N/A | $71 |
| Urine Test - Microalbumin (Protein) Level | $107 | N/A | $107 |
| Urine Test - Pregnancy | $33 | N/A | $33 |
| Urine Test - Urinalysis, Manual Test | $23 | N/A | $23 |
| Vaccine - Influenza for Injection into Muscle | $27 | N/A | $27 |
