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    Sutter East Bay Medical Foundation
    Charges for Frequently Used Doctor Services

    The services below have drop-down menus that show charges for frequently used services provided by Sutter East Bay Medical Foundation. The amounts you see are the most you would pay before any discounts that may be available to you. The charges also do not include any additional procedures that may be done as part of the visit. Charges for lab tests and vaccines do not include specimen collection fees or fees associated with administering vaccines.

    Cost Estimator Tool

    You can use our new online Cost Estimator tool to find out what medical care costs are for more than 225 most frequently used medical services. Select up to five services, and the location you would like to receive the service to see an estimate of your costs.
    Online Cost Estimator Tool

    Charges for Common Services

    If you can’t find the service you are looking for, please call (866) 961-8535.

    Doctor's Office Visit
    Common Charges for Doctor's Office Visit
    ServiceEstimated Charge
    Doctor's Office Visit for a New Patient
    Nurse Visit$130
    Low-to-Moderate Level Visit$220
    Moderate Level Visit$316
    Moderate-to-High Level Visit$478
    High Level Visit$594
    Doctor's Office Visit for an Established Patient
    Nurse Visit$62
    Low-to-Moderate Level Visit$131
    Moderate Level Visit$215
    Moderate-to-High Level Visit$315
    High Level Visit$420
    Doctor's Office Visit - Specialist Consultation
    Nurse Visit$142
    Low-to-Moderate Level Visit$264
    Moderate Level Visit$360
    Moderate-to-High Level Visit$530
    High Level Visit$644
    Diagnostic Imaging
    Common Charges for Diagnostic Imaging
    ServiceEstimated Charge
    Diagnostic Imaging
    Abdominal ultrasound, limited$458
    Bone density scan (dexa scan)$211
    Breathing Test$156
    Cardiac Stress Test, complete$322
    Electrocardiogram (ECG)$73
    Hearing Threshold Evaluation$143
    Hearing Tone Screen$54
    Middle-Ear Function Test$55
    Pelvic ultrasound exam, complete$528
    Stress Test w/ Doppler$782
    Stress Test w/ Echo$961
    Transvaginal ultrasound$308
    Pregnancy & Prenatal Tests
    Common Charges for Pregnancy & Prenatal Tests
    ServiceEstimated Charge
    Pregnancy & Prenatal Tests
    Fetal non-stress test$187
    Pregnancy ultrasound, first trimester$528
    Pregnancy ultrasound, after first trimester$623
    Obstetric ultrasound, Limited$379
    Obstetric ultrasound, after first trimester$497
    Obstetric ultrasound, transvaginal$427
    Urine Pregnancy Test$13
    Lab Testing
    Common Charges for Lab Testing
    ServiceEstimated Charge
    Lab Testing
    ABO Blood Typing Test$16
    Acute Hepatitis Panel$262
    Alkaline Phosphatase Test$28
    Allergen-specific IgE Antibody Test$29
    Alpha-Fetoprotein (AFP) Test$92
    Amylase Test$36
    Antinuclear Antibodies (ANA) Test$66
    Bacterial Culture$47
    Bacterial Culture, urine Test$44
    Bilirubin Test$28
    Blood Clot Test$22
    Blood Folic Acid Test$81
    Blood Sugar Test, monitoring$13
    Calcium test$28
    Carcinoembryonic Antigen Test (CEA)$104
    Chickenpox Test$71
    Cholesterol Test$24
    Chorionic Gonadotropin (hCG) Test$83
    Cortisol Test$90
    C-Reactive Protein (CRP) Test$28
    Creatine Test$36
    Creatinine Test$28
    DHEA-S Test$122
    Fecal Occult Blood Screening Test$18
    Feces Bacteria Culture Test$52
    Ferritin Test$75
    Flu Test$51
    Gamma Glutamyltransferase Test$40
    Gammaglobulin IgE Test$91
    Glucose Test$22
    Gonorrhea Test$193
    Hemoglobin Test$13
    Hepatitis B Antibody Test$59
    Hepatitis B Antigen Test$57
    Hepatitis C Antibody Test$78
    Hepatitis C Test$236
    High Sensitivity CRP Test$71
    Insulin Test$63
    Iron Test$36
    Lactate Dehydrogenase (LDH) Test$33
    LDL Cholesterol Test$52
    Lipase Test$38
    Liver Function Panel$45
    Magnesium Test$37
    Pap Smear Test$111
    Parathyroid Hormone Test$227
    Phosphorus Test$26
    Potassium Test$25
    Prolactin Test$107
    Prostate-Specific Antigen (PSA) Test$101
    Protein, Urine Test$20
    Rapid Strep Group A Test$51
    Rheumatoid Arthritis Factor Test$31
    Renal Function Panel$48
    RH (D) Blood Typing Test$16
    Screening Culture$36
    Sodium Test$26
    Testosterone Test$142
    Thyroglobulin Test$87
    Thyroxine, total$38
    Transferase Alanine Amino (ALT) Test$29
    Transferase Aspartate Amino (AST) Test$28
    Triglycerides Test$32
    Triidothyronine, free Test$93
    Triidothyronine, total Test$78
    Urea Nitrogen Test$22
    Uric Acid Test$25
    Urine Test$17
    Urine Test, dipstick only$14
    Vitamin B-12 Test$83
    Office Procedures
    Common Charges for Office Procedures
    ServiceEstimated Charge
    Office Procedures
    Abscess Incision and Drainage$467
    Apply Short-Arm Cast$354
    Bronchodilation$270
    Control Nosebleed, simple$381
    Fluid Removal from Intermediate Joint$246
    Fluid Removal from Major Joint$230
    Fluid Removal from Small Joint$180
    Impacted Earwax Removal$165
    Inhalation Treatment$83
    Injection, tendon or ligament$225
    Skin Biopsy$344
    Skin Lesion Destruction$228
    Vaccines
    Common Charges for Vaccines
    ServiceEstimated Charge
    Vaccines
    Chickenpox$178
    Diphtheria, Tetanus, and Pertussis (DTaP)$46
    Diphtheria, Tetanus, Pertussis, Hib and Polio (DTaP-Hib-IPV)$101
    Flu$19
    Flu - High Dose$38
    Flu - Nasal Mist$30
    Hepatitis A - Adult$120
    Hepatitis A - Pediatric$53
    Hepatitis B - Adult$96
    Hepatitis B - Pediatric$76
    HPV$254
    Measles, Mumps, and Rubella (MMR)$100
    Measles, Mumps, Rubella and Chickenpox (MMRV)$278
    Meningitis$203
    Pneumonia - 13 valent$259
    Pneumonia - 23 valent$123
    Polio (IPV)$49
    Rotavirus$135
    Shingles$313
    Tetanus, Diphtheria, and Pertussis (Tdap)$73

    Glossary

    New Patient Visit: A new patient is someone who has not been seen by this specialty at any Sutter East Bay Medical Foundation location in the past three years.

    Nurse Visit: Presenting problem is minor.

    Low-to-Moderate Level Visit: Routine problem like a minor injury that may require an X-ray or a minor illness like a respiratory infection.

    Moderate Level Visit: Several routine problems or a single problem, like abdominal pain, requiring multiple tests such as blood tests and X-rays.

    Moderate-to-High Level Visit: Complicated problem or several problems requiring extensive exams and testing.

    High Level Visit: One or more chronic illnesses with severe symptoms, a new problem requiring extensive testing or acute or chronic illness that may pose a threat to life or bodily function.

    Ultrasound, limited: This test will only show fetal heart beat, placental location, fetal position, and/or amniotic fluid volume.



    Disclaimer
    Please check with your health plan if you need help understanding your benefits for the service chosen. Uninsured patients may be eligible for discounts.