| Bacterial Culture - Aerobic Isolates | $26 | N/A | $26 |
| Bacterial Culture - Swab | $33 | N/A | $33 |
| Blood Test - Basic Metabolic Panel | $32 | N/A | $32 |
| Blood Test - C-reactive Protein (CRP) Level | $22 | N/A | $22 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $28 | N/A | $28 |
| Blood Test - Comprehensive Metabolic Panel | $42 | N/A | $42 |
| Blood Test - General Health Panel | $139 | N/A | $139 |
| Blood Test - Magnesium Level | $28 | N/A | $28 |
| Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) | $32 | N/A | $32 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $53 | N/A | $53 |
| Lab Test - Detection test for Influenza Virus | $53 | N/A | $53 |
| Lab Test - Smear for Microorganism | $17 | N/A | $17 |
| Office Visit - Established Patient, Moderate Complexity | $346 | N/A | $346 |
| Office Visit - New Patient, Low Complexity | $340 | N/A | $340 |
| Office Visit - New Patient, Minor | $255 | N/A | $255 |
| Office Visit - New Patient, Moderate Complexity | $521 | N/A | $521 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $24 | N/A | $24 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $30 | N/A | $30 |
| Urine Test - Chlamydia | $95 | N/A | $95 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $95 | N/A | $95 |
| Urine Test - Pregnancy | $53 | N/A | $53 |
| Urine Test - Urinalysis, Manual Test | $53 | N/A | $53 |
| X-Ray - Chest (outpatient) | $564 | N/A | $564 |
| X-Ray - Foot (outpatient) | $449 | N/A | $449 |
