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Outpatient Services

Outpatient Radiology Test

Laboratory Test (Single)CPT CodePrice
Antibody COVID-19 TESTINGN/A$200
Antigen COVID-19 TESTINGN/A$200
Complete Blood Count (CBC)85027$60
Basic Metabolic Panel (BMP)80048$55
Comprehensive Metabolic Panel (CMP)80053$60
Hepatic Panel (LFT)80076$55
Urinalysis - Routine (UA)81001$35
Urinalysis Culture (UAC)87088$55
Serum Pregnancy Qualitative84703$35
Uric Acid Level84550$25
Urine Pregnancy Test- Qualatative (UAHCG)81025$35
Lactate Level (CG4)82803/83605$55
Lithium Level80178$50
Phenytoin Total80185$50
Valporic Acid Level80164$50
Prothrombin Time with INR (PT-INR)85730$35
Prothrombin Time with INR (PT-INR) (Warfarin Therapy
Point of Care Laboratory Test (Single)CPT CodePrice
Urine Drug Screen (10 Panel)80300$55
Discounted Panels
Name of PanelIncludedPrice
Nutrition Lab PanelCMP, CBC, Iron, Thiamine, Vitamin B12, Folate, Vitamin D, Vitamin C, Zinc.$175
Pre-Operative Lab PanelCBC, CMP, RH Factor, PT INR, aPTT.$140
STD Panel 1 (NAAT)GC, Chlamidia, Trich.$650
STD Panel 2 (NAAT)GC, Chlamidia, Trich, Herpes$750
Thyroid PanelTSH, FT3, FT4, T3 Uptake.$115
X-ray Any Single Extremity or Joint, 2 views/3 views$75
Chest X-ray, 1 View$75
Chest X-ray PA & LAT, 2 Views$95
CT Any Body Part Without Contrast$250
CT Any Body Part With Contrast$325 labs and IV included
CT Any Body Part With and Without Contrast$400 labs and IV included
CT Angiogram Any Body Part$400 labs and IV included
Ultrasound Any Body Part$250
Ultrasound Pregnancy with Labs$350

Emergency Care Self-Pay Pricing


Tier 1Minor care$300
Tier 2Low Severity$660
Tier 3Medium Severity$1260
Tier 4Moderate Severity$1500
Tier 5High Severity / Threat$1800
Tier 6Observation Care$3300
Critical care and extended observation services are not included in the pricing above