| Test or Procedure | Cost |
|---|---|
|
Unilateral X-Ray |
$100 |
|
Bilateral X-Ray |
$175 |
| Test or Procedure | Cost |
|---|---|
|
SIMPLE (1 layer sutures) |
$50 |
|
SIMPLE (Dermabond + Steri Strips + Mastisol) |
$75 |
|
INTERMEDIATE (2 layers of sutures) |
$100 |
| Test or Procedure | Cost |
|---|---|
|
Ear Lavage (Unilateral) |
$25 |
|
Ear Lavage (Bilateral) |
$35 |
|
Cerumen Removal Curette (Unilateral) |
$40 |
|
Cerumen Removal Curette (Bilateral) |
$45 |
|
Nose, Eye, Ear (use Slit Lamp Forceps, splinter removal, q-tip) |
$175 |
|
Splinter Removal with Skin Incision |
$200 |
| Test or Procedure | Cost |
|---|---|
|
IV Hydration |
$135 |
|
Immunization – Influenza |
$25 |
|
Immunization – Tdap |
$85 |
|
Medication Administration SQ/IM (Zofran, Promethazine,
Reglan, Benadryl, Toradol, Solumedrol, Depo-Medrol,
Rocephin) |
$85 |
|
Joint Injection with Triamcinolone |
$45 |
|
Joint Injection with hyaluronic acid |
$420 |
|
Wound Debridement |
$30 |
|
Control Nasal Bleeding |
$45 |
|
EKG |
$100 |
|
Nebulizer Treatment (includes machine, mask, and
medication) |
$110 |
|
TB Skin Testing + Reading |
$55 |
|
QuantiFERON®-TB Gold Plus, 4 Tubes, Draw Site Incubated |
$100 |
|
Skin Biopsy – Shave/Punch Biopsy (without pathology fees) |
$60 |
|
Skin Tag Removal (1-5 without lidocaine) |
$35 |
|
Skin Tag Removal (6-10 without lidocaine) |
$40 |
|
Skin Tag Removal (with lidocaine) |
$50 |
|
Excisional Biopsy |
$75 |
|
Skin Mole Cryotherapy (1-5 Moles/Tags at a time) |
$40 |
|
Ortho Glass Splinting |
$50 |
| Test or Procedure | Cost |
|---|---|
|
Urinalysis |
$15 |
|
Strep Test |
$20 |
|
RSV Test |
$20 |
|
Covid/Flu Rapid Antigen Test |
$20 |
|
Pregnancy Test |
$15 |
|
Mono Screening |
$20 |
|
Glucose Check(Accucheck) |
$12 |
|
Occult Blood Test |
$15 |
| Test or Procedure | Cost |
|---|---|
|
Hemoglobin A1C |
$35 |
|
Basic Metabolic Panel (BMP) |
$35 |
|
Complete Blood Count (CBC) |
$35 |
|
Chlamydia/Gonorrhea (NAAT, amplified probe) Comprehensive Metabolic Panel (CMP) |
$35 |
|
Culture, Aerobic & Anaerobic |
$35 |
|
Culture, Stool |
$35 |
|
Culture, Throat |
$35 |
|
Culture, Urine |
$35 |
|
Hepatic Function Panel |
$35 |
|
Hepatitis Panel, Acute w/ Reflex |
$35 |
|
Hepatitis B Core Antibody, Total |
$35 |
|
Hepatitis C Antibody w/ Reflex |
$35 |
|
Hepatitis B Surface Antigen w/ Reflex |
$35 |
|
Hepatitis B Surface Antibody |
$35 |
|
Hepatitis A Antibody, Total w/ Reflex |
$35 |
|
HIV (4th Gen, Ag/Ab combo) |
$35 |
|
HSV PCR |
$35 |
|
HSV Culture |
$35 |
|
HSV 1 Antibody (IgG) |
$35 |
|
HSV 2 Antibody (IgG) |
$35 |
|
Lipid Panel |
$35 |
|
MMR Titer |
$35 |
|
Pregnancy Test (urine, qualitative) |
$35 |
|
RPR / Syphilis Test |
$35 |
|
Uric Acid |
$35 |
|
Vaginitis Panel |
$35 |
|
Varicella Titer (IgG antibody) |
$35 |
|
Stool PCR GI Profile |
$35 |
|
Ova & Stool Parasite |
$35 |
| Test or Procedure | Cost |
|---|---|
|
Sports/Camp Physical – (Grades K-12) |
$45 |
|
School Physical (for students in grades K-12) (yellow form) |
$45 |
|
Skin Wellness Examination + Recommendations |
$85 |