| Bacterial Culture - Aerobic Isolates | $19 | 0% | $19 |
| Bacterial Culture - Swab | $27 | 0% | $27 |
| Blood Test - Basic Metabolic Panel | $24 | 0% | $24 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $30 | 0% | $30 |
| Blood Test - Cholesterol Test, Lipid Panel | $41 | 0% | $41 |
| Blood Test - Clotting Time | $19 | 0% | $19 |
| Blood Test - Coagulation Assessment | $31 | 0% | $31 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $17 | 0% | $17 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $23 | 0% | $23 |
| Blood Test - Comprehensive Metabolic Panel | $27 | 0% | $27 |
| Blood Test - Electrolytes Panel | $28 | 0% | $28 |
| Blood Test - Ferritin (Blood Protein) Level | $59 | 0% | $59 |
| Blood Test - Folic Acid Level | $32 | 0% | $32 |
| Blood Test - General Health Panel | $110 | 0% | $110 |
| Blood Test - Hepatic (Liver) Function Panel | $23 | 0% | $23 |
| Blood Test - Hepatitis C Antibody Level | $52 | 0% | $52 |
| Blood Test - Iron Level | $15 | 0% | $15 |
| Blood Test - LDL Cholesterol Level | $56 | 0% | $56 |
| Blood Test - Lipase (fat enzyme) Level | $21 | 0% | $21 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $49 | 0% | $49 |
| Blood Test - Renal (Kidney) Function Panel | $27 | 0% | $27 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $60 | 0% | $60 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $36 | 0% | $36 |
| Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement | $81 | 0% | $81 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $39 | 0% | $39 |
| Blood Test - Vitamin D-3 Level | $108 | 0% | $108 |
| Detection test for Human Papillomavirus (HPV) | $76 | 0% | $76 |
| Electrocardiogram (ECG or EKG) | $381 | 0% | $381 |
| Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) | $72 | 0% | $72 |
| Lab Test - Detection test for Hepatitis B Surface Antigen | $32 | 0% | $32 |
| Lab Test - Detection test for HIV-1 and HIV-2 | $25 | 0% | $25 |
| Lab Test - Detection test for Influenza Virus | $35 | 0% | $35 |
| Lab Test - Smear for Microorganism | $8 | 0% | $8 |
| Office Visit - Basic | $114 | 0% | $114 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $228 | 0% | $228 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $228 | 0% | $228 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $261 | 0% | $261 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $193 | 0% | $193 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $210 | 0% | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $210 | 0% | $210 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $228 | 0% | $228 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $193 | 0% | $193 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $176 | 0% | $176 |
| Office Visit - Established Patient, High Complexity | $223 | 0% | $223 |
| Office Visit - Established Patient, Low Complexity | $147 | 0% | $147 |
| Office Visit - Established Patient, Moderate Complexity | $183 | 0% | $183 |
| Office Visit - New Patient, Low Complexity | $180 | 0% | $180 |
| Office Visit - New Patient, Minor | $147 | 0% | $147 |
| Office Visit - New Patient, Moderate Complexity | $249 | 0% | $249 |
| Pap Test | $126 | 0% | $126 |
| Strep Test (Streptococcus, group A) | $48 | 0% | $48 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $28 | 0% | $28 |
| Urine Test - Automated with Microscope Examination | $13 | 0% | $13 |
| Urine Test - Automated without Microscope | $11 | 0% | $11 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $41 | 0% | $41 |
| Urine Test - Chlamydia | $57 | 0% | $57 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $57 | 0% | $57 |
| Urine Test - Microalbumin (Protein) Level | $31 | 0% | $31 |
| Urine Test - Pregnancy | $89 | 0% | $89 |
| Urine Test - Urinalysis, Manual Test | $12 | 0% | $12 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $51 | 0% | $51 |
