| Blood Test - C-reactive Protein (CRP) Level | $38 | N/A | $38 |
| Blood Test - Clotting Time | $13 | N/A | $13 |
| Blood Test - Coagulation Assessment | $19 | N/A | $19 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $23 | N/A | $23 |
| Blood Test - Comprehensive Metabolic Panel | $107 | N/A | $107 |
| Blood Test - Ferritin (Blood Protein) Level | $42 | N/A | $42 |
| Blood Test - Folic Acid Level | $44 | N/A | $44 |
| Blood Test - General Health Panel | $74 | N/A | $74 |
| Blood Test - Iron Binding Capacity | $27 | N/A | $27 |
| Blood Test - Iron Level | $19 | N/A | $19 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $27 | N/A | $27 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $36 | N/A | $36 |
| Blood Test - Vitamin D-3 Level | $63 | N/A | $63 |
| Office Visit - Basic | $126 | N/A | $126 |
| Office Visit - Established Patient, High Complexity | $415 | N/A | $415 |
| Office Visit - Established Patient, Low Complexity | $215 | N/A | $215 |
| Office Visit - Established Patient, Moderate Complexity | $310 | N/A | $310 |
| Office Visit - New Patient, Low Complexity | $315 | N/A | $315 |
| Vaccine - Influenza for Injection into Muscle | $32 | N/A | $32 |
