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Outpatient Services

Outpatient Radiology Test

Laboratory Test (Single) CPT Code Price
Antibody COVID-19 TESTING N/A $200
Antigen COVID-19 TESTING N/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 Qualitative 84703 $35
D-Dimer 85379 $60
Uric Acid Level 84550 $25
Urine Pregnancy Test- Qualatative (UAHCG) 81025 $35
Lactate Level (CG4) 82803/83605 $55
Lipase 83690 $55
Lithium Level 80178 $50
Phenytoin Total 80185 $50
Valporic Acid Level 80164 $50
Prothrombin Time with INR (PT-INR) 85730 $35
Prothrombin Time with INR (PT-INR) (Warfarin Therapy
85730 $50
Point of Care Laboratory Test (Single) CPT Code Price
Urine Drug Screen (10 Panel) 80300 $55
Discounted Panels
Name of Panel Included Price
Nutrition Lab Panel CMP, CBC, Iron, Thiamine, Vitamin B12, Folate, Vitamin D, Vitamin C, Zinc. $175
Pre-Operative Lab Panel CBC, 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 Panel TSH, FT3, FT4, T3 Uptake. $115
Study Price
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 $425 labs and IV included
Ultrasound Any Body Part $250
Ultrasound Pregnancy with Labs $350

Other Outpatient Services

Test Why Price
Echocardiogram Echocardiogram-or echo-is an ultrasound of the heart. Your doctor uses it to look at heart size, structure and function-see how well it pumps blood. Your doctor may order an echo to see if symptoms youโ€™re having, such as chest pain or shortness of breath might be related to your heart. $800
Exercise Stress Test (CEMT) A physician may recommend an exercise stress test to: Diagnose coronary artery disease. Diagnose a possible heart-related cause of symptoms such as chest pain, shortness of breath or lightheadedness. Determine a safe level of exercise. $1,000
Peripherally Inserted Central Venous Cath (PICC) A peripherally inserted central catheter, or PICC line, is a central venous catheter. This type of catheter is typically tunneled under the skin through the arm, neck or chest. This type of services requires home health or infusion services colaboration for paitent safety. (Requires Physician Order) $750

Emergency Care Self-Pay Pricing


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