| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $37 | N/A | $37 |
| Blood Test - C-reactive Protein (CRP) Level | $84 | N/A | $84 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | N/A | $103 |
| Blood Test - Clotting Time | $14 | N/A | $14 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | N/A | $33 |
| Blood Test - Comprehensive Metabolic Panel | $48 | N/A | $48 |
| Blood Test - Magnesium Level | $39 | N/A | $39 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $109 | N/A | $109 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $41 | N/A | $41 |
| Lab Test - Detection test for Influenza Virus | $42 | N/A | $42 |
| Office Visit - Basic | $111 | N/A | $111 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $244 | N/A | $244 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $296 | N/A | $296 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $210 | N/A | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $228 | N/A | $228 |
| Office Visit - Established Patient, Low Complexity | $182 | N/A | $182 |
| Office Visit - Established Patient, Moderate Complexity | $226 | N/A | $226 |
| Office Visit - New Patient, Low Complexity | $257 | N/A | $257 |
| Urine Test - Automated without Microscope | $7 | N/A | $7 |
| Urine Test - Pregnancy | $23 | N/A | $23 |
| Vaccine - Influenza for Injection into Muscle | $25 | N/A | $25 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $77 | N/A | $77 |
