| Blood Test - Basic Metabolic Panel | $30 | N/A | $30 |
| Blood Test - Blood Glucose (Sugar) Level | $14 | N/A | $14 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $35 | N/A | $35 |
| Blood Test - C-reactive Protein (CRP) Level | $19 | N/A | $19 |
| Blood Test - Cholesterol Test, Lipid Panel | $48 | N/A | $48 |
| Blood Test - Clotting Time | $14 | N/A | $14 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $23 | N/A | $23 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $27 | N/A | $27 |
| Blood Test - Comprehensive Metabolic Panel | $38 | N/A | $38 |
| Blood Test - Creatinine Level | $18 | N/A | $18 |
| Blood Test - Ferritin (Blood Protein) Level | $48 | N/A | $48 |
| Blood Test - Folic Acid Level | $53 | N/A | $53 |
| Blood Test - General Health Panel | $125 | N/A | $125 |
| Blood Test - Hepatic (Liver) Function Panel | $29 | N/A | $29 |
| Blood Test - Hepatitis C Antibody Level | $34 | N/A | $34 |
| Blood Test - Iron Binding Capacity | $32 | N/A | $32 |
| Blood Test - Iron Level | $23 | N/A | $23 |
| Blood Test - LDL Cholesterol Level | $33 | N/A | $33 |
| Blood Test - Lipase (fat enzyme) Level | $24 | N/A | $24 |
| Blood Test - Magnesium Level | $24 | N/A | $24 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $66 | N/A | $66 |
| Blood Test - Renal (Kidney) Function Panel | $32 | N/A | $32 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $60 | N/A | $60 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $33 | N/A | $33 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $54 | N/A | $54 |
| Blood Test - Vitamin D-3 Level | $106 | N/A | $106 |
| Developmental Screening | $18 | N/A | $18 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $411 | N/A | $411 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $48 | N/A | $48 |
| Lab Test - Detection test for Coronavirus (COVID-19) | $68 | N/A | $68 |
| Lab Test - Detection test for Influenza Virus | $30 | N/A | $30 |
| Office Visit - Basic | $120 | N/A | $120 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $242 | N/A | $242 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $344 | N/A | $344 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $400 | N/A | $400 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $231 | N/A | $231 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $278 | N/A | $278 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $305 | N/A | $305 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $311 | N/A | $311 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $331 | N/A | $331 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $277 | N/A | $277 |
| Office Visit - Established Patient, High Complexity | $259 | N/A | $259 |
| Office Visit - Established Patient, Low Complexity | $191 | N/A | $191 |
| Office Visit - Established Patient, Moderate Complexity | $281 | N/A | $281 |
| Office Visit - New Patient, Low Complexity | $281 | N/A | $281 |
| Office Visit - New Patient, Minor | $195 | N/A | $195 |
| Office Visit - New Patient, Moderate Complexity | $431 | N/A | $431 |
| Physical Therapy - Application of Blood Vessel Compression or Decompression Device | $53 | 
Above Average
State Average: 3 | $53 |
| Physical Therapy - Application of Mechanical Traction | $53 | 
Below Average
State Average: 3 | $53 |
| Physical Therapy - Electrical Stimulation Therapy | $53 |
Below Average
State Average: 3 | $53 |
| Physical Therapy - High Complexity Evaluation | $210 | 
Near Average
State Average: 1 | $210 |
| Physical Therapy - Manual Therapy | $74 |
Below Average
State Average: 4 | $74 |
| Physical Therapy - Moderate Complexity Evaluation | $210 |
Near Average
State Average: 1 | $210 |
| Physical Therapy - Neuromuscular Reeducation | $89 |
Below Average
State Average: 4 | $89 |
| Physical Therapy - Re-Evaluation | $95 |
Near Average
State Average: 1 | $95 |
| Physical Therapy - Therapeutic Exercises | $91 |
Below Average
State Average: 4 | $91 |
| Urine Test - Automated with Microscope Examination | $12 | N/A | $12 |
| Urine Test - Automated without Microscope | $8 | N/A | $8 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $29 | N/A | $29 |
| Urine Test - Chlamydia | $170 | N/A | $170 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $170 | N/A | $170 |
| Urine Test - Microalbumin (Protein) Level | $19 | N/A | $19 |
| Urine Test - Pregnancy | $23 | N/A | $23 |
| Urine Test - Urinalysis, Manual Test | $20 | N/A | $20 |
| Vaccine - Influenza for Injection into Muscle | $37 | N/A | $37 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $210 | N/A | $210 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $87 | N/A | $87 |
