| Blood Test - Basic Metabolic Panel | $48 | 0% | $48 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $98 | 0% | $98 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $70 | 0% | $70 |
| Blood Test - Comprehensive Metabolic Panel | $60 | 0% | $60 |
| Blood Test - Ferritin (Blood Protein) Level | $78 | 0% | $78 |
| Blood Test - General Health Panel | $225 | 0% | $225 |
| Blood Test - Iron Level | $28 | 0% | $28 |
| Blood Test - LDL Cholesterol Level | $68 | 0% | $68 |
| Blood Test - Lipase (fat enzyme) Level | $32 | 0% | $32 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | 0% | $112 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $95 | 0% | $95 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $111 | 0% | $111 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $97 | 0% | $97 |
| Detection test for Human Papillomavirus (HPV) | $188 | 0% | $188 |
| Office Visit - Basic | $126 | 0% | $126 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $431 | 0% | $431 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $473 | 0% | $473 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $315 | 0% | $315 |
| Office Visit - Established Patient, High Complexity | $394 | 0% | $394 |
| Office Visit - Established Patient, Low Complexity | $184 | 0% | $184 |
| Office Visit - Established Patient, Moderate Complexity | $284 | 0% | $284 |
| Office Visit - New Patient, Low Complexity | $242 | 0% | $242 |
| Pap Test | $236 | 0% | $236 |
| Urine Test - Automated with Microscope Examination | $171 | 0% | $171 |
| Urine Test - Pregnancy | $53 | 0% | $53 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $107 | 0% | $107 |
