| Bacterial Culture - Aerobic Isolates | $64 | N/A | $64 |
| Bacterial Culture - Swab | $68 | N/A | $68 |
| Blood Test - Basic Metabolic Panel | $109 | N/A | $109 |
| Blood Test - Blood Glucose (Sugar) Level | $36 | N/A | $36 |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $47 | N/A | $47 |
| Blood Test - C-reactive Protein (CRP) Level | $67 | N/A | $67 |
| Blood Test - Cholesterol Test, Lipid Panel | $173 | N/A | $173 |
| Blood Test - Clotting Time | $21 | N/A | $21 |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $89 | N/A | $89 |
| Blood Test - Complete Blood Cell Count and Automated WBC | $107 | N/A | $107 |
| Blood Test - Comprehensive Metabolic Panel | $137 | N/A | $137 |
| Blood Test - Creatinine Level | $66 | N/A | $66 |
| Blood Test - Ferritin (Blood Protein) Level | $176 | N/A | $176 |
| Blood Test - General Health Panel | $462 | N/A | $462 |
| Blood Test - Hepatic (Liver) Function Panel | $106 | N/A | $106 |
| Blood Test - Hepatitis B Surface Antibody Level | $140 | N/A | $140 |
| Blood Test - Hepatitis C Antibody Level | $185 | N/A | $185 |
| Blood Test - Iron Binding Capacity | $113 | N/A | $113 |
| Blood Test - Iron Level | $84 | N/A | $84 |
| Blood Test - Lead Level | $34 | N/A | $34 |
| Blood Test - Lipase (fat enzyme) Level | $89 | N/A | $89 |
| Blood Test - Magnesium Level | $87 | N/A | $87 |
| Blood Test - Prostate Specific Antigen (PSA) Level | $112 | N/A | $112 |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $218 | N/A | $218 |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $117 | N/A | $117 |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $75 | N/A | $75 |
| Electrocardiogram (ECG or EKG), Tracing | $847 | N/A | $847 |
| Electrocardiogram (ECG or EKG), with Report and Interpretation | $461 | N/A | $461 |
| Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) | $147 | N/A | $147 |
| Lab Test - Creatinine Level | $59 | N/A | $59 |
| Lab Test - Detection for Strep (Streptococcus, group A) | $51 | N/A | $51 |
| Lab Test - Detection test for Coronavirus (COVID-19) | $158 | N/A | $158 |
| Lab Test - Detection test for Hepatitis B Surface Antigen | $134 | N/A | $134 |
| Lab Test - Detection test for HIV-1 and HIV-2 | $176 | N/A | $176 |
| Lab Test - Detection test for Human Papillomavirus (HPV) | $249 | N/A | $249 |
| Lab Test - Detection test for Influenza Virus | $54 | N/A | $54 |
| Lab Test - Smear for Microorganism | $34 | N/A | $34 |
| Laryngoscopy - Diagnostic | $604 | N/A | $604 |
| Mammogram (outpatient) | $804 | N/A | $804 |
| Nasal Endoscopy - Diagnostic | $705 | N/A | $705 |
| Office Visit - Basic | $142 | N/A | $142 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $364 | N/A | $364 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $414 | N/A | $414 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $389 | N/A | $389 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $449 | N/A | $449 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $379 | N/A | $379 |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $336 | N/A | $336 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $364 | N/A | $364 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $296 | N/A | $296 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $317 | N/A | $317 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $339 | N/A | $339 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $302 | N/A | $302 |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $313 | N/A | $313 |
| Office Visit - Established Patient, High Complexity | $407 | N/A | $407 |
| Office Visit - Established Patient, Low Complexity | $210 | N/A | $210 |
| Office Visit - Established Patient, Moderate Complexity | $305 | N/A | $305 |
| Office Visit - New Patient, Low Complexity | $303 | N/A | $303 |
| Office Visit - New Patient, Minor | $211 | N/A | $211 |
| Office Visit - New Patient, Moderate Complexity | $372 | N/A | $372 |
| Psychiatric Diagnostic Evaluation | $205 | 
Near Average
State Average: 1 | $205 |
| Psychotherapy - 30 Minutes | $176 | 
Above Average
State Average: 1 | $176 |
| Psychotherapy - 45 Minutes | $84 | 
Below Average
State Average: 4 | $84 |
| Psychotherapy - 60 Minutes | $137 |
Below Average
State Average: 5 | $137 |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $53 | N/A | $53 |
| Urine Test - Automated with Microscope Examination | $43 | N/A | $43 |
| Urine Test - Automated without Microscope | $7 | N/A | $7 |
| Urine Test - Bacterial Culture, Quantitative Colony Count | $64 | N/A | $64 |
| Urine Test - Chlamydia | $129 | N/A | $129 |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $129 | N/A | $129 |
| Urine Test - Microalbumin (Protein) Level | $75 | N/A | $75 |
| Urine Test - Pregnancy | $27 | N/A | $27 |
| Urine Test - Urinalysis, Manual Test | $24 | N/A | $24 |
| Vaccine - Influenza for Injection into Muscle | $25 | N/A | $25 |
| Vaccine - Pneumococcal Conjugate for Injection into Muscle | $433 | N/A | $433 |
| Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle | $91 | N/A | $91 |
