| Bacterial Culture - Aerobic Isolates | $54 | 0% | $54 |
| Blood Test - Basic Metabolic Panel | $102 | 0% | $102 |
| Blood Test - Cholesterol Test, Lipid Panel | $152 | 0% | $152 |
| Blood Test - Ferritin (Blood Protein) Level | $107 | 0% | $107 |
| Blood Test - General Health Panel | $427 | 0% | $427 |
| Blood Test - Vitamin D-3 Level | $227 | 0% | $227 |
| Office Visit - Basic | $74 | 0% | $74 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $231 | 0% | $231 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $268 | 0% | $268 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $189 | 0% | $189 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $205 | 0% | $205 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $215 | 0% | $215 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $226 | 0% | $226 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $189 | 0% | $189 |
| Office Visit - Established Patient, High Complexity | $221 | 0% | $221 |
| Office Visit - Established Patient, Low Complexity | $116 | 0% | $116 |
| Office Visit - Established Patient, Moderate Complexity | $168 | 0% | $168 |
| Office Visit - New Patient, Low Complexity | $168 | 0% | $168 |
| Office Visit - New Patient, Moderate Complexity | $252 | 0% | $252 |
| Urine Test - Urinalysis, Manual Test | $16 | 0% | $16 |
