| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $32 | N/A | $32 |
| Blood Test - Cholesterol Test, Lipid Panel | $156 | N/A | $156 |
| Blood Test - Clotting Time | $42 | N/A | $42 |
| Blood Test - Ferritin (Blood Protein) Level | $118 | N/A | $118 |
| Blood Test - Folic Acid Level | $124 | N/A | $124 |
| Blood Test - General Health Panel | $277 | N/A | $277 |
| Blood Test - Iron Binding Capacity | $48 | N/A | $48 |
| Blood Test - Iron Level | $46 | N/A | $46 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $126 | N/A | $126 |
| Blood Test - Vitamin D-3 Level | $254 | N/A | $254 |
| Lab Test - Creatinine Level | $60 | N/A | $60 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $69 | N/A | $69 |
| Lab Test - Detection test for Influenza Virus | $75 | N/A | $75 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $383 | N/A | $383 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $332 | N/A | $332 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $361 | N/A | $361 |
| Office Visit - Established Patient, High Complexity | $470 | N/A | $470 |
| Office Visit - Established Patient, Low Complexity | $235 | N/A | $235 |
| Office Visit - Established Patient, Moderate Complexity | $351 | N/A | $351 |
| Office Visit - New Patient, Low Complexity | $350 | N/A | $350 |
| Urine Test - Automated with Microscope Examination | $50 | N/A | $50 |
| Urine Test - Microalbumin (Protein) Level | $77 | N/A | $77 |
| Urine Test - Urinalysis, Manual Test | $21 | N/A | $21 |
| Vaccine - Influenza for Injection into Muscle | $53 | N/A | $53 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $105 | N/A | $105 |
