| Blood Test - Basic Metabolic Panel | $50 | N/A | $50 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $102 | N/A | $102 |
| Blood Test - Cholesterol Test, Lipid Panel | $99 | N/A | $99 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $74 | N/A | $74 |
| Blood Test - Comprehensive Metabolic Panel | $62 | N/A | $62 |
| Blood Test - General Health Panel | $234 | N/A | $234 |
| Blood Test - LDL Cholesterol Level | $69 | N/A | $69 |
| Blood Test - Lipase (fat enzyme) Level | $32 | N/A | $32 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $114 | N/A | $114 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $99 | N/A | $99 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $116 | N/A | $116 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $524 | N/A | $524 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $188 | N/A | $188 |
| Office Visit - Basic | $126 | N/A | $126 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $431 | N/A | $431 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $473 | N/A | $473 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $315 | N/A | $315 |
| Office Visit - Established Patient, High Complexity | $394 | N/A | $394 |
| Office Visit - Established Patient, Low Complexity | $184 | N/A | $184 |
| Office Visit - Established Patient, Moderate Complexity | $284 | N/A | $284 |
| Office Visit - New Patient, Low Complexity | $242 | N/A | $242 |
| Office Visit - New Patient, Minor | $179 | N/A | $179 |
| Pap Test, automated screening and manual rescreening | $236 | N/A | $236 |
| Urine Test - Pregnancy | $53 | N/A | $53 |
| Vaccine - Influenza for Injection into Muscle | $47 | N/A | $47 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $107 | N/A | $107 |
