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For Self Pay Blood Tests: Click Here
|
Self Pay Costs
|
| Office Visit |
$110.00 |
|
Physicals
|
| School/ Sports Physical |
|
$28.00 |
| Physicals - College/ Trade Schools |
$50.00 |
| Work Physicals |
|
$110.00 |
| DOT Physical |
|
$95.00 |
| *Immunizations are an additional charge |
|
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X-Rays
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| Chest |
|
|
$66.00 |
| Shoulder |
|
|
$67.00 |
| Elbow |
|
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$54.00 |
| Forearm |
|
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$55.00 |
| Wrist |
|
|
$60.00 |
| Hand |
|
|
$52.00 |
| Finger |
|
|
$48.00 |
| Hip, Unilateral single view |
$62.00 |
| Hips, Bilateral 2 views |
|
$120.00 |
| Femur |
|
|
$68.00 |
| Knee/ Tib Fib |
|
$64.00 |
| Knees, Both Standing |
|
$69.00 |
| Ankle |
|
|
$64.00 |
| Foot |
|
|
$64.00 |
| Humerus |
|
|
$45.00 |
| Rib - Bilateral 3 view |
|
$50.00 |
| Rib - Unilateral 2 view |
|
$40.00 |
| Abdomen |
|
|
$55.00 |
| Abdmoninal Series |
|
$80.00 |
| C-Spine, T-Spine, L-Spine |
$67.00 |
|
Procedures
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| Staples |
|
|
$156.00 |
| Incision & Drainage of abcess/ cyst |
$156.00 |
| Incision & Drainage of Comlicated or Multiple |
$246.00 |
| Suture Simple Repair </=2.5cm |
$156.00 |
|
|
>2.6 - 7.5cm |
$185.00 |
| Suture Simple Repair Face/ Ear/ Hand </=2.5cm |
$186.00 |
|
|
>2.6 - 7.5cm |
$228.00 |
| Ingrown Toenail Removal |
$115.00 |
| Finger/ Toe Nail Drainage |
$145.00 |
| FB Removal Ear |
$74.00 |
| Ear Lavage - Removal Impacted Cerumen (1) |
$56.00 |
| Both Ears |
$76.00 |
| EKG |
|
|
$35.00 |
| Pap |
|
|
$20.00 |
| Vaginal Exam |
|
$30.00 |
| Splint Small / Large |
$30.00/ $60.00 |
| Crutches |
|
|
$25.00 |
| Steri Strips/ Dermabond |
|
$100.00 |
| Wound Cleaning and Repacking |
$25.00 |
| Male STD Swabs |
|
$30.00 |
| Simple Skin Tag Removal |
$45.00 |
|
Medicine
|
| Depo-Medrol 40mg IM |
|
$25.00 |
| Depo-medrol 80mg IM |
|
$30.00 |
| Tetanus/ Diptheria IM |
|
$35.00 |
| Benadryl 25mg IM |
|
$25.00 |
| Lincocin 300 mg Injection |
$45.00 |
| Lincocin 600 mg Injection |
$55.00 |
| Epipen Jr |
|
|
$110.00 |
| Epipen |
|
|
$140.00 |
| Toradol 30mg IM |
|
$25.00 |
| Toradol 60 mg IM |
|
$40.00 |
| Rocephin 500mg IM |
|
$38.00 |
| Rocephin 1gm IM |
|
$55.00 |
| Zithromax 1gm PO |
|
$25.00 |
| Regular Insulin |
|
$13.00 |
| Phenergan 12.5mg IM/IV |
$27.00 |
| Phenergan 25mg IM/ IV |
|
$36.00 |
| Phenergan Supp 12.5mg |
|
$27.00 |
| Phenergan Supp 25mg |
|
$36.00 |
| Amp of D50 |
|
|
$60.00 |
| Narcan |
|
|
$125.00 |
| Sodium Chloride/ D5 1/2 NS 1L IV |
$60.00 |
| Valium 5mg IM or IV |
|
$95.00 |
| Silvadene Crème |
|
$16.00 |
| Acetominophen |
|
$6.00 |
| Ibuprofen |
|
|
$6.00 |
| Maalox |
|
|
$6.00 |
| Pepto |
|
|
$6.00 |
| Lortab 5mg |
|
|
$12.00 |
| Lortab 10mg |
|
$14.00 |
| Lorab Elixir |
|
|
$20.00 |
| Albuterol/ Atrovent Neb TX |
$25.00 |
| Silver Nitrate |
|
$25.00 |
|
Vaccines
|
| Hep B - Adult |
|
$55.00 |
| Tdap (Boostrix) |
|
$50.00 |
| Td (tetanus, dip) |
|
$35.00 |
| PPD (TB) test |
|
$35.00 |
| Pneumonia (Pneuovax) |
|
$40.00 |
| Meningitis (Meomune) |
|
$110.00 |
| Gardasil |
|
|
$150.00 |
| Flu (Adult, child) |
|
$25.00 |
| Chicken Pox (Varivax) |
|
$100.00 |
|
In- House Tests
|
| Influenza Test |
|
$20.00 |
| Urinalysis |
|
|
$25.00 |
| Rapid Strep |
|
|
$20.00 |
| Mono Test |
|
|
$20.00 |
| Urine Pregnancy Test |
|
$15.00 |
| Glucose |
|
|
$6.00 |
| Drug Screen |
|
$35.00 |
| DOT Drug Screen |
|
$15.00 |
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