| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $32 | N/A | $32 |
| 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 - General Health Panel | $277 | N/A | $277 |
| Blood Test - Lipase (fat enzyme) Level | $69 | N/A | $69 |
| Blood Test - Vitamin D-3 Level | $254 | N/A | $254 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $32 | N/A | $32 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $263 | N/A | $263 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $289 | N/A | $289 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $305 | N/A | $305 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $247 | N/A | $247 |
| Office Visit - Established Patient, Low Complexity | $194 | N/A | $194 |
| Office Visit - Established Patient, Moderate Complexity | $310 | N/A | $310 |
| Office Visit - New Patient, Moderate Complexity | $341 | N/A | $341 |
| Urine Test - Automated with Microscope Examination | $50 | N/A | $50 |
| Urine Test - Automated without Microscope | $21 | N/A | $21 |
| Urine Test - Bacterial Culture | $31 | N/A | $31 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $64 | N/A | $64 |
