| Bacterial Culture - Aerobic Isolates | $31 | N/A | $31 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $78 | N/A | $78 |
| Blood Test - C-reactive Protein (CRP) Level | $79 | N/A | $79 |
| Blood Test - Cholesterol Test, Lipid Panel | $156 | N/A | $156 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $48 | N/A | $48 |
| Blood Test - Comprehensive Metabolic Panel | $92 | N/A | $92 |
| Blood Test - Ferritin (Blood Protein) Level | $118 | N/A | $118 |
| Blood Test - General Health Panel | $277 | N/A | $277 |
| Blood Test - Iron Binding Capacity | $48 | N/A | $48 |
| Blood Test - Iron Level | $46 | N/A | $46 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $154 | N/A | $154 |
| Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement | $237 | N/A | $237 |
| Blood Test - Vitamin D-3 Level | $254 | N/A | $254 |
| Office Visit - Basic | $63 | N/A | $63 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $205 | N/A | $205 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $205 | N/A | $205 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $242 | N/A | $242 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $194 | N/A | $194 |
| Office Visit - New Patient, Low Complexity | $150 | N/A | $150 |
| Urine Test - Automated with Microscope Examination | $50 | N/A | $50 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $64 | N/A | $64 |
| Urine Test - Urinalysis, Manual Test | $15 | N/A | $15 |
