Pricing effective if paid at time of service and there is no insurance to be billed.
*As of 2/1/2024
| OFFICE VISITS |
|
ORTHO |
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| Office Visit |
$125.00 |
Finger Splint Application/Supplies |
$30.00 |
| Sports/Camp/Day Care Physical |
$30.00 |
Short Arm Application/Supplies |
$75.00 |
| DOT/Pre-Employment Physical |
$90.00 |
Short Leg Application/Supplies |
$80.00 |
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Long Arm Application/Supplies |
$90.00 |
| IMMUNIZATIONS |
|
Radial Head Sublexion |
$55.00 |
| TB-Mantoux |
$30.00 |
Manipulation |
$100.00 |
| Tdap |
$75.00 |
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| Influenza |
$30.00 |
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| MEDICATIONS |
|
SUPPLIES |
|
| Depomedrol 40mg |
$20.00 |
Ace Wraps |
$5.00 |
| Depomedrol 80mg |
$30.00 |
Coban |
$5.00 |
| Epinephrine 25 |
$15.00 |
Silvadene Dressing |
$20.00 |
| GI Cocktail |
$10.00 |
Gauze Rolls (1 roll) |
$5.00 |
| Toradol 30mg |
$10.00 |
Telfa (non-adherent dressing) |
$5.00 |
| Phenergan 25mg |
$15.00 |
Cavit |
$15.00 |
| Rocephin 1gm |
$20.00 |
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| Rocephin 250 mg |
$15.00 |
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| Solumedrol 125mg |
$25.00 |
IV THERAPY |
|
| Toradol 60mg |
$15.00 |
IV insertion/injection |
$90.00 |
| Ancef 1gm |
$15.00 |
2nd liter NS |
$40.00 |
| Diphenhydramine 50mg/ml |
$10.00 |
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| Zofran 4mg (injectable) |
$15.00 |
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| Zofran ODT |
$5.00 |
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| Decadron 8mg |
$15.00 |
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| Decadron 4mg |
$10.00 |
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| RESPIRATORY |
|
PROCEDURES/I&D |
|
| *Injection fee included |
|
EKG Complete |
$60.00 |
| Inhalation Treatment – 1st Dose |
$50.00 |
Ear Wash/Wax Removal |
$40.00 |
| Inhalation Treatment – 2nd Dose |
$20.00 |
Suture Removal |
$15.00 |
| Spirometry |
$55.00 |
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I & D Abscess – Simple |
$100.00 |
| IN HOUSE LABS |
|
I & D Abscess – Comp/Multi |
$150.00 |
| Hair Follicle Drug Screen |
$110.00 |
I & D Paronychia |
$100.00 |
| Urinalysis Dipstick |
$10.00 |
Eye Foreign Body Rem-Cornea |
$75.00 |
| Urine Drug Screen |
$40.00 |
Nail Removal |
$100.00 |
| Blood Sugar |
$15.00 |
Nasal Hemorrhage |
$75.00 |
| Breath Alcohol |
$50.00 |
Wart Removal (per wart) |
$50.00 |
| Strep |
$15.00 |
Ext. Hemorrhoid Thrombosed |
$200.00 |
| Fecal Occult Blood |
$15.00 |
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| Mono Test |
$15.00 |
Skin Tag Removal |
$55.00 |
| Urine Pregnancy Test |
$5.00 |
Subungual Hematoma |
$25.00 |
| COVID/Flu Combo |
$40.00 |
Burn (Dressing &/or Debridement) |
|
| Phlebotomy Fee |
$20.00 |
1st Degree |
$75.00 |
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2nd or 3rd Degree (small) |
$100.00 |
| X-RAYS |
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| Abdomen, flat & upright |
$50.00 |
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| Ankle |
$75.00 |
LACERATIONS |
|
| Chest |
$75.00 |
Simple (All Face Except Scalp) |
|
| Clavicle |
$50.00 |
<=2.5 cm |
$80.00 |
| C-Spine |
$75.00 |
2.6-5.0 cm |
$130.00 |
| Elbow |
$75.00 |
5.1-7.5 cm |
$180.00 |
| Femur |
$75.00 |
Simple (Scalp, Trunk, Extremities) |
|
| Finger |
$50.00 |
<=2.5 cm |
$80.00 |
| Foot |
$75.00 |
2.6-7.5 cm |
$130.00 |
| Forearm |
$50.00 |
7.6-12.5 cm |
$180.00 |
| Hand |
$75.00 |
Debridement Skin |
$135.00 |
| Hip |
$75.00 |
Digit Block |
$45.00 |
| Humerus |
$50.00 |
Nail Bed Repair |
$100.00 |
| Knee |
$75.00 |
Foreign Body Removal –SC |
$75.00 |
| KUB |
$50.00 |
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| L-Spine |
$50.00 |
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| Pelvis |
$50.00 |
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| Ribs |
$50.00 |
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| Shoulder |
$75.00 |
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| Skull |
$100.00 |
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| Tib/Fib |
$75.00 |
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| Toes |
$50.00 |
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| T-Spine |
$50.00 |
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| Wrist |
$75.00 |
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