| Bacterial Culture - Swab | $98 | N/A | $98 |
| Blood Test - Basic Metabolic Panel | $66 | N/A | $66 |
| Blood Test - Blood Typing (Rh (D)) | $28 | N/A | $28 |
| Blood Test - Creatinine Level | $60 | N/A | $60 |
| Blood Test - Hepatitis C Antibody Level | $87 | N/A | $87 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $64 | N/A | $64 |
| Lab Test - Detection test for Hepatitis B Surface Antigen | $66 | N/A | $66 |
| Lab Test - Detection test for HIV-1 and HIV-2 | $70 | N/A | $70 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $143 | N/A | $143 |
| Office Visit - Basic | $130 | N/A | $130 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $405 | N/A | $405 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $468 | N/A | $468 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $366 | N/A | $366 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $390 | N/A | $390 |
| Office Visit - Established Patient, High Complexity | $512 | N/A | $512 |
| Office Visit - Established Patient, Low Complexity | $216 | N/A | $216 |
| Office Visit - Established Patient, Moderate Complexity | $318 | N/A | $318 |
| Office Visit - New Patient, Moderate Complexity | $544 | N/A | $544 |
| Pap Test, manual screening | $123 | N/A | $123 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $102 | N/A | $102 |
| Urine Test - Chlamydia | $69 | N/A | $69 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $69 | N/A | $69 |
| Urine Test - Pregnancy | $40 | N/A | $40 |
| Urine Test - Urinalysis, Manual Test | $16 | N/A | $16 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $144 | N/A | $144 |
