| Bacterial Culture - Aerobic Isolates | $21 | 0% | $21 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $28 | 0% | $28 |
| Blood Test - Comprehensive Metabolic Panel | $42 | 0% | $42 |
| Blood Test - General Health Panel | $139 | 0% | $139 |
| Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) | $32 | 0% | $32 |
| Lab Test - Detection test for Influenza Virus | $53 | 0% | $53 |
| Office Visit - Established Patient, Moderate Complexity | $346 | 0% | $346 |
| Office Visit - New Patient, Low Complexity | $340 | 0% | $340 |
| Office Visit - New Patient, Minor | $255 | 0% | $255 |
| Office Visit - New Patient, Moderate Complexity | $521 | 0% | $521 |
| Strep Test (Streptococcus, group A) | $53 | 0% | $53 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $24 | 0% | $24 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $30 | 0% | $30 |
| Urine Test - Chlamydia | $95 | 0% | $95 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $95 | 0% | $95 |
| Urine Test - Pregnancy | $53 | 0% | $53 |
| X-Ray - Chest (outpatient) | $497 | 0% | $497 |
| X-Ray - Foot (outpatient) | $449 | 0% | $449 |
| X-Ray - Hand | $545 | 0% | $545 |
