| Bacterial Culture - Swab | $76 | 0% | $76 |
| Blood Test - Basic Metabolic Panel | $44 | 0% | $44 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $32 | 0% | $32 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $35 | 0% | $35 |
| Blood Test - Comprehensive Metabolic Panel | $51 | 0% | $51 |
| Blood Test - Ferritin (Blood Protein) Level | $79 | 0% | $79 |
| Blood Test - Folic Acid Level | $91 | 0% | $91 |
| Blood Test - General Health Panel | $180 | 0% | $180 |
| Blood Test - Hepatitis C Antibody Level | $140 | 0% | $140 |
| Blood Test - Iron Level | $34 | 0% | $34 |
| Blood Test - Lipase (fat enzyme) Level | $50 | 0% | $50 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $93 | 0% | $93 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $78 | 0% | $78 |
| Blood Test - Vitamin D-3 Level | $223 | 0% | $223 |
| Lab Test - Detection test for HIV-1 and HIV-2 | $53 | 0% | $53 |
| Lab Test - Detection test for Influenza Virus | $42 | 0% | $42 |
| Lab Test - Smear for Microorganism | $34 | 0% | $34 |
| Office Visit - Basic | $76 | 0% | $76 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $197 | 0% | $197 |
| Office Visit - Established Patient, Low Complexity | $117 | 0% | $117 |
| Office Visit - Established Patient, Moderate Complexity | $180 | 0% | $180 |
| Office Visit - New Patient, Low Complexity | $195 | 0% | $195 |
| Office Visit - New Patient, Minor | $128 | 0% | $128 |
| Strep Test (Streptococcus, group A) | $40 | 0% | $40 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $49 | 0% | $49 |
| Urine Test - Automated without Microscope | $15 | 0% | $15 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $57 | 0% | $57 |
| Urine Test - Chlamydia | $106 | 0% | $106 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $111 | 0% | $111 |
| Urine Test - Pregnancy | $29 | 0% | $29 |
| Urine Test - Urinalysis, Manual Test | $15 | 0% | $15 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $68 | 0% | $68 |
