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 Service Estimated 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 Service Estimated 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 Service Estimated 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 Service Estimated 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 Service Estimated 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
Common Charges for Vaccines Service Estimated 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
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.
Please check with your health plan if you need help understanding your benefits for the service chosen. Uninsured patients may be eligible for discounts.