| Blood Test - C-reactive Protein (CRP) Level | $107 | N/A | $107 |
| Blood Test - Cholesterol Test, Lipid Panel | $116 | N/A | $116 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $68 | N/A | $68 |
| Blood Test - Comprehensive Metabolic Panel | $90 | N/A | $90 |
| Blood Test - General Health Panel | $306 | N/A | $306 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $209 | N/A | $209 |
| Lab Test - Creatinine Level | $112 | N/A | $112 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $42 | N/A | $42 |
| Lab Test - Detection test for Influenza Virus | $50 | N/A | $50 |
| Office Visit - Basic | $118 | N/A | $118 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $359 | N/A | $359 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $402 | N/A | $402 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $312 | N/A | $312 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $333 | N/A | $333 |
| Office Visit - Established Patient, High Complexity | $381 | N/A | $381 |
| Office Visit - Established Patient, Low Complexity | $194 | N/A | $194 |
| Office Visit - Established Patient, Moderate Complexity | $286 | N/A | $286 |
| Office Visit - New Patient, Low Complexity | $289 | N/A | $289 |
| Office Visit - New Patient, Minor | $200 | N/A | $200 |
| Urine Test - Pregnancy | $23 | N/A | $23 |
| Urine Test - Urinalysis, Manual Test | $9 | N/A | $9 |
| Vaccine - Influenza for Injection into Muscle | $53 | N/A | $53 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $439 | N/A | $439 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $95 | N/A | $95 |
