| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $137 | N/A | $137 |
| Office Visit - Basic | $80 | N/A | $80 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $189 | N/A | $189 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $206 | N/A | $206 |
| 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 | $224 | N/A | $224 |
| Office Visit - Established Patient, Low Complexity | $131 | N/A | $131 |
| Office Visit - Established Patient, Moderate Complexity | $226 | N/A | $226 |
| Office Visit - New Patient, Low Complexity | $277 | N/A | $277 |
| Psychiatric Diagnostic Evaluation | $168 | 
Near Average
State Average: 1 | $168 |
| Psychotherapy - 30 Minutes | $116 | 
Above Average
State Average: 1 | $116 |
| Psychotherapy - 45 Minutes | $154 |
Above Average
State Average: 4 | $154 |
| Psychotherapy - 60 Minutes | $131 | 
Below Average
State Average: 5 | $131 |
| Psychotherapy - Family Session | $131 |
Below Average
State Average: 3 | $131 |
| Urine Test - Urinalysis, Manual Test | $4 | N/A | $4 |
| Vaccine - Influenza for Injection into Muscle | $17 | N/A | $17 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $47 | N/A | $47 |
