| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $42 | N/A | $42 |
| Blood Test - Cholesterol Test, Lipid Panel | $103 | N/A | $103 |
| Blood Test - Ferritin (Blood Protein) Level | $83 | N/A | $83 |
| Blood Test - General Health Panel | $190 | N/A | $190 |
| Blood Test - Iron Binding Capacity | $39 | N/A | $39 |
| Blood Test - Iron Level | $29 | N/A | $29 |
| Blood Test - Magnesium Level | $39 | N/A | $39 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | N/A | $112 |
| Blood Test - Vitamin D-3 Level | $287 | N/A | $287 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $568 | N/A | $568 |
| Lab Test - Creatinine Level | $60 | N/A | $60 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $58 | N/A | $58 |
| Lab Test - Detection test for Influenza Virus | $53 | N/A | $53 |
| Office Visit - Basic | $130 | N/A | $130 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $351 | N/A | $351 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $406 | N/A | $406 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $314 | N/A | $314 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $335 | N/A | $335 |
| Office Visit - Established Patient, High Complexity | $422 | N/A | $422 |
| Office Visit - Established Patient, Low Complexity | $213 | N/A | $213 |
| Office Visit - Established Patient, Moderate Complexity | $315 | N/A | $315 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $39 | N/A | $39 |
| Urine Test - Microalbumin (Protein) Level | $77 | N/A | $77 |
| Urine Test - Urinalysis, Manual Test | $21 | N/A | $21 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $236 | N/A | $236 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $79 | N/A | $79 |
