Fees
OFFICE VISITS |
|
| New Patients | |
| Level I | $60.00 |
| Level II | $103.00 |
| Level III | $149.00 |
| Level IV | $228.00 |
| Level V | $284.00 |
| Preventative 12-17 years | $200.00 |
| Preventative 18-39 years | $200.00 |
| Preventative 40-64 years | $200.00 |
| Preventative 65 & Older | $200.00 |
| Pap Smear | $55.00 |
| Established Patients | |
| Level I | $28.00 |
| Level II | $60.00 |
| Level III | $100.00 |
| Level IV | $149.00 |
| Level V | $200.00 |
| Preventative 12-17 years | $175.00 |
| Preventative 18-39 years | $175.00 |
| Preventative 40-64 years | $175.00 |
| Preventative 65 & Older | $175.00 |
| Pap Smear | $55.00 |
| Consultations/Referrals | |
| Level I | $70.00 |
| Level II | $130.00 |
| Level III | $180.00 |
| Level IV | $265.00 |
| Level V | $325.00 |
OFFICE PROCEDURES |
|
| Ablation | $3,400.00 |
| Colposcopy | $206.00 |
| Cryocautery | $291.00 |
| Endo Biospy | $208.00 |
| Essure | $3,600.00 |
| LEEP | $500.00 |
| IUD- Insertion | $185.00 |
| IUD- Mirena | $824.00 |
| IUD- Paragard | $664.00 |
| IUD- Removal | $181.00 |
| Implanon & Insertion | $1,042.00 |
| Implanon Removal | $285.00 |
| Potassium Challenge Test | $312.00 |
| Prolia | $1268.00 |
| Reclast Infusion | $3200 -$6000 |
| Rescue Solution | $237.00 |
| Urodynamics | $919.00 |
VACCINES/INJECTIONS |
|
| Depo Lupron | $980.00 |
| Depo Provera for Contraception | $125.00 |
| Flu Shot | $25.00 |
| HPV/Gardasil Vaccine | $240.00 |
| Injection Fee | $30.00 |
| Updated 02-06-12 | |
RADIOLOGY |
|
| Dexa- Axial | $152.00 |
| Digital Mammogram | $245.00 |
| Follicle Study Ultrasound | $160.00 |
| GYN Ultrasound | $205.00 |
| Salpingogram (Office) | $227.00 |
| Salpingogram (Imaging Center/Hospital) | $600-$1200 |
| Sonohysterogram | $434.00 |
OBSTETRICS |
|
| Amniocentesis | $295.00 |
| OB Ultrasound - Transvaginal | $168.00 |
| OB Ultrasound - Abdominal | $243.00 |
| Elective Ultrasound Scan & CD | $100.00 |
| Fetal Non-Stress Test | $89.00 |
| Vaginal Delivery Global Fee | $3,000.00 |
| C-Section Delivery Global Fee | $3,500.00 |
| Post-Partum Check | $0.00 |
SURGERY'S |
|
| Ablation @ Hospital | $553.00 |
| Anterior & Posterior Repair | $1,580.00 |
| D&C | $485.00 |
| Essure @ Hospital | $826.00 |
| Laparoscopic Tubal Ligation | $696.00 |
| Laparoscopy - Surgical | $1342.00 |
| Sterilization w/ C-Section | $148.00 |
| Sterilization w/ Vaginal Delivery | $627.00 |
| Total Abdominal Hysterectomy | $1,897.00 |
| Vaginal Hysterectomy | $1,757.00 |
IN-HOUSE LAB PRICING |
|
| 28 Week Labs | $55.00 |
| CBC w/ Auto Diff | $17.00 |
| Estradiol | $59.00 |
| FSH | $39.00 |
| Glucose | $10.00 |
| HCG Quantitative | $15.00 |
| Hemogram | $5.00 |
| Lipid Panel | $29.00 |
| Obstetric Panel | $190.00 |
| Progesterone | $44.00 |
| Prolactin | $41.00 |
| Rubella. IGG | $31.00 |
| TSH | $36.00 |
| T4 Free | $19.00 |
| Pregnancy- Serum Test | $15.00 |
| Syphilis Test (RPR) | $9.00 |
| Urinalysis, Automated w/ Micro | $7.00 |
| Urine Pregnancy Test | $13.00 |
LAB PANELS |
|
| BRACA Testing | $3300.00 |
| CA-125 | $45.00 |
| GC/Chlamydia Testing | $248.00 |
| HPV Testing | $125.00 |
| Quad Screening | $150.00 |
| STD Testing | $500.00 |
| Triple Screening | $110.00 |
| Vaginitis Panel | $85.00 |
