SERVICES | TIER | FEE |
Consultation / Evaluation with the provider – Includes basic physical, prescription to pharmacy.
|
1
|
$100
|
Evaluation – X-Ray is $50 each for ONE body part; for each additional X-Ray, add $50.
Or Evaluation – (plus one of these services; for each additional service, add $25) Basic labs “CBC”, Influenza test, Mono Test, Step Test, Glucose, INR, Medication Dispensed ORAL, Urinalysis includes HCG, simple wound (wound cleaning included). (There are additional fees if specimen collected requires to be analyzed by an outside facility, see below.*)
|
2
|
$150
|
Evaluation – (plus one of these services; for each additional service add $25) Breathing Treatment, BMP, CMP, LFT, Eye irrigation with Morgan’s lenses, Intramuscular Injectable Medication x1 (Intramuscular Medication injections after the 1st injectable add $25 for each additional).
|
3
|
$175
|
Evaluation – IV placement w/IV hydration fluids 1000 mL (for each additional 500 mL of fluids add $50, and for IV medications $50 each).
|
4
|
$200
|
Evaluation – (Standard cardiac work up) EKG, Cardiac Markers, CMP or BMP.
Or Evaluation – Wound with Stitches, or Sutures: wound cleansing, wrapping with ready ICE included. (Crutches, immobilization products like: splints, straight shoes, knee braces are additional. See pricing below.)
|
5
|
$225
|
All patients please note: the following are non-covered services even with insurance.
Immunizations Td or TDAP $75 | Crutches are $25 Immobilization Splints – Gel ankle splints, Straight Ortho shoes – wrist/knee/neck brace Rhino Rocket – Arm Sling – Finger Splint
|
Add Add
|
$20 each $10 each
|
Radiology Services Acute Care with same day STAT results:
X-ray $50 each | Dexa Scan $100 each | Ultrasound per CPT $150 CT w/o Contrast $275 | CT with Contrast $300 | CT w & w/o Contrast $325 MRI w/o Contrast $275 | MRI with Contrast $300 | MRI w & w/o Contrast $325
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|
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*There are additional fees if specimen collected requires to be analyzed by an outside facility “Quest.” Our team will review our discounted contract rates and advise you of the cost.
Wound Culture; Aerobic Bac Culture $80 | Culture Aero/Anaer $115 | Chlamydia / GC RNA TMA $50 | Urine Culture $50