| Blood Test - Complete Blood Cell Count and Automated WBC | $29 | N/A | $29 |
| Blood Test - Comprehensive Metabolic Panel | $89 | N/A | $89 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $605 | N/A | $605 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $69 | N/A | $69 |
| Lab Test - Detection test for Influenza Virus | $75 | N/A | $75 |
| Office Visit - Basic | $226 | N/A | $226 |
| Office Visit - Established Patient, High Complexity | $298 | N/A | $298 |
| Office Visit - Established Patient, Low Complexity | $226 | N/A | $226 |
| Office Visit - Established Patient, Moderate Complexity | $226 | N/A | $226 |
| Office Visit - New Patient, Low Complexity | $226 | N/A | $226 |
| Office Visit - New Patient, Minor | $226 | N/A | $226 |
| Office Visit - New Patient, Moderate Complexity | $342 | N/A | $342 |
| Psychiatric Diagnostic Evaluation | $294 | 
Near Average
State Average: 1 | $294 |
| Psychotherapy - 30 Minutes | $105 |
Near Average
State Average: 1 | $105 |
| Psychotherapy - 45 Minutes | $168 | 
Above Average
State Average: 4 | $168 |
| Psychotherapy - Family Session | $189 | 
Below Average
State Average: 3 | $189 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $60 | N/A | $60 |
| Urine Test - Automated without Microscope | $53 | N/A | $53 |
| Urine Test - Pregnancy | $42 | N/A | $42 |
| Urine Test - Urinalysis, Manual Test | $27 | N/A | $27 |
| X-Ray - Abdomen | $380 | N/A | $380 |
| X-Ray - Ankle (outpatient) | $310 | N/A | $310 |
| X-Ray - Chest (outpatient) | $346 | N/A | $346 |
| X-Ray - Foot (outpatient) | $296 | N/A | $296 |
| X-Ray - Hand | $339 | N/A | $339 |
| X-Ray - Hip | $315 | N/A | $315 |
| X-Ray - Knee (outpatient) | $351 | N/A | $351 |
| X-Ray - Middle Back, Thoracic Spine | $300 | N/A | $300 |
| X-Ray - Neck, Cervical Spine | $310 | N/A | $310 |
| X-Ray - Pelvis | $277 | N/A | $277 |
| X-Ray - Shoulder (outpatient) | $305 | N/A | $305 |
| X-Ray - Spine (outpatient) | $339 | N/A | $339 |
| X-Ray - Wrist (outpatient) | $391 | N/A | $391 |
