| OFFICE VISITS | ANCILLARY | ||||
| New Patients | Dexa- Axial | $220.00 | |||
| Level I | $55.00 | Digital Mammogram | $263.00 | ||
| Level II | $95.00 | GYN Ultrasound | $220.00 | ||
| Level III | $138.00 | Sonohysterogram | $441.00 | ||
| Level IV | $215.00 | OBSTETRICS | |||
| Level V | $271.00 | OB Ultrasound | $269.00 | ||
| Preventative 12-17 years | $175.00 | Elective Ultrasound Scan & CD | $100.00 | ||
| Preventative 18-39 years | $175.00 | Fetal Non-Stress Test | $82.00 | ||
| Preventative 40-64 years | $215.00 | Vaginal Delivery Global Fee | $2,727.00 | ||
| Preventative 65 & Older | $235.00 | C-Section Delivery Global Fee | $3,088.00 | ||
| Pap Smear | $70.00 | Post-Partum Check | $0.00 | ||
| Established Patients | SURGERY'S | ||||
| Level I | $27.00 | Anterior & Posterior Repair | $1,512.00 | ||
| Level II | $55.00 | D&C | $456.00 | ||
| Level III | $93.00 | Laparoscopic Tubal Ligation | $666.00 | ||
| Level IV | $140.00 | Laparoscopy | $577.00 | ||
| Level V | $188.00 | Sterilization w/ C-Section | $145.00 | ||
| Preventative 12-17 years | $155.00 | Sterilization w/ Vaginal Delivery | $600.00 | ||
| Preventative 18-39 years | $155.00 | Total Abdominal Hysterectomy | $1,816.00 | ||
| Preventative 40-64 years | $175.00 | Vaginal Hysterectomy | $1,689.00 | ||
| Preventative 65 & Older | $195.00 | IN-HOUSE LAB PRICING | |||
| Pap Smear | $70.00 | CBC w/ Auto Diff | $15.00 | ||
| Consultations/Referrals | Estradiol | $90.00 | |||
| Level I | $70.00 | FSH | $70.00 | ||
| Level II | $130.00 | Glucose | $15.00 | ||
| Level III | $180.00 | HCG Quantitative | $42.00 | ||
| Level IV | $265.00 | Hemogram | $13.00 | ||
| Level V | $325.00 | Lipid Panel | $38.00 | ||
| OFFICE PROCEDURES | Obstetric Panel | $88.00 | |||
| Ablation | $3,185.00 | Progesterone | $79.00 | ||
| Colposcopy | $258.00 | Prolactin | $73.00 | ||
| Cryocautery | $262.00 | Rubella. IGG | $45.00 | ||
| Endo Biospy | $198.00 | TSH | $47.00 | ||
| Essure | $3,644.00 | T4 Free | $25.00 | ||
| LEEP | $470.00 | Pregnancy- Serum Test | $30.00 | ||
| IUD- Insertion | $185.00 | Syphilis Test (RPR) | $16.00 | ||
| IUD- Mirena | $824.00 | Urinalysis, Automated w/ Micro | $9.00 | ||
| IUD- Paragard | $664.00 | Urine Pregnancy Test | $24.00 | ||
| IUD- Removal | $172.00 | VACCINES/INJECTIONS | |||
| Implanon- Insertion | $205.00 | Depo Lupron | $950.00 | ||
| Implanon Implant Device | $789.00 | Depo Provera for Contraception | $124.00 | ||
| Vaginal Biospy | $158.00 | HPV/Gardasil Vaccine | $239.00 | ||
| Urodynamics | $1,001.00 |