| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $35 | N/A | $35 |
| Blood Test - Cholesterol Test, Lipid Panel | $97 | N/A | $97 |
| Blood Test - Clotting Time | $15 | N/A | $15 |
| Blood Test - Lead Level | $39 | N/A | $39 |
| Electrocardiogram (ECG or EKG), Tracing | $527 | N/A | $527 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $42 | N/A | $42 |
| Lab Test - Detection test for Influenza Virus | $32 | N/A | $32 |
| Office Visit - Basic | $92 | N/A | $92 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $219 | N/A | $219 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $277 | N/A | $277 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $297 | N/A | $297 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $219 | N/A | $219 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $178 | N/A | $178 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $217 | N/A | $217 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $225 | N/A | $225 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $244 | N/A | $244 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $198 | N/A | $198 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $191 | N/A | $191 |
| Office Visit - Established Patient, High Complexity | $274 | N/A | $274 |
| Office Visit - Established Patient, Low Complexity | $129 | N/A | $129 |
| Office Visit - Established Patient, Moderate Complexity | $195 | N/A | $195 |
| Office Visit - New Patient, Low Complexity | $218 | N/A | $218 |
| Office Visit - New Patient, Minor | $141 | N/A | $141 |
| Office Visit - New Patient, Moderate Complexity | $316 | N/A | $316 |
| Psychiatric Diagnostic Evaluation | $185 | 
Near Average
State Average: 1 | $185 |
| Psychotherapy - 30 Minutes | $159 |
Near Average
State Average: 1 | $159 |
| Psychotherapy - 45 Minutes | $170 | 
Below Average
State Average: 4 | $170 |
| Psychotherapy - 60 Minutes | $192 |
Below Average
State Average: 5 | $192 |
| Urine Test - Pregnancy | $25 | N/A | $25 |
| Urine Test - Urinalysis, Manual Test | $11 | N/A | $11 |
| Vaccine - Influenza for Injection into Muscle | $20 | N/A | $20 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $69 | N/A | $69 |
