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    Marin Headlands Medical Group
    Charges for Frequently Used Doctor Services

    The services below have drop-down menus that show charges for frequently used services provided by Marin Headlands Medical Group. 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.

    If you can’t find the service you are looking for, please call (888) 699-3627.

    Doctor's Office Visit
    Common Charges for Doctor's Office Visit
    Service Estimated Charge
    Doctor's Office Visit for a New Patient
    Low Level Visit $146
    Low-to-Moderate Level Visit $248
    Moderate Level Visit $356
    Moderate-to-High Level Visit $538
    High Level Visit $668
    Doctor's Office Visit for an Established Patient
    Low Level Visit $70
    Low-to-Moderate Level Visit $147
    Moderate Level Visit $242
    Moderate-to-High Level Visit $355
    High Level Visit $473
    Doctor's Office Visit - Specialist Consultation
    Low Level Visit $160
    Low-to-Moderate Level Visit $297
    Moderate Level Visit $405
    Moderate-to-High Level Visit $596
    High Level Visit $724
    Physical/Occupational Therapy
    Common Charges for Physical/Occupational Therapy
    Service Estimated Charge
    Physical/Occupational Therapy
    Physical Therapy Evaluation $348
    Physical Therapy Re-evaluation $238
    Physical Therapy Exercises, treatment only $120
    Physical Therapy ‐ manual therapy $112
    Diagnostic Imaging
    Common Charges for Diagnostic Imaging
    Service Estimated Charge
    Diagnostic Imaging
    Abdominal ultrasound $669
    Cardiac Stress Test, complete $329
    Doppler Color Flow, add-on $90
    Echocardiogram, doppler $186
    Electrocardiogram (ECG) $75
    Hearing Tone Screen $146
    Radiologic Stress Test $2,176
    Scan of Extracranial Arteries $1,064
    Spirometry$160
    Stress Test w/ Doppler $800
    Stress Test w/ Echo $910
    Transvaginal ultrasound $315
    Pregnancy & Prenatal Tests
    Common Charges for Pregnancy & Prenatal Tests
    Service Estimated Charge
    Pregnancy & Prenatal Tests
    Fetal non-stress test $211
    Pregnancy ultrasound, first trimester $594
    Pregnancy ultrasound, after first trimester $701
    Obstetric ultrasound, limited $427
    Obstetric ultrasound, after first trimester $559
    Obstetric ultrasound, transvaginal $481
    Urine Pregnancy Test $13
    Lab Testing
    Common Charges for Lab Tests
    Service Estimated Charge
    Lab Testing
    ABO Blood Typing Test $16
    Acute Hepatitis Panel $268
    Alkaline Phosphatase Test $29
    Allergen-specific IgE Antibody Test $30
    Alpha-Fetoprotein (AFP) Test $94
    Amylase Test $37
    Antinuclear Antibodies (ANA) Test $68
    Bacterial Culture $48
    Bacterial Culture, urine Test $45
    Basic Metabolic Panel $47
    Bilirubin Test $29
    Blood Folic Acid Test $83
    Blood Serology (RPR) Test $24
    Blood Sugar Test, monitoring $13
    Calcium test $29
    Carcinoembryonic Antigen Test (CEA) $106
    Chlamydia Test $193
    Chorionic Gonadotropin (hCG) Test $85
    Complete Blood Count $43
    Comprehensive Metabolic Panel $59
    Cortisol Test $92
    C-Reactive Protein (CRP) Test $29
    Creatine Test $37
    Creatinine Test $29
    DHEA-S Test $125
    Fecal Occult Blood Screening Test $18
    Feces Bacteria Culture Test $53
    Ferritin Test $77
    Flu Test $52
    Gamma Glutamyltransferase Test $41
    Gammaglobulin IgE Test $93
    Glucose Test $23
    Gonorrhea Test $193
    Hemoglobin A1c Test $54
    Hemoglobin Test $12
    Hepatitis B Antibody Test $60
    Hepatitis B Antigen Test $58
    Hepatitis C Antibody Test $80
    Hepatitis C Test $241
    High Sensitivity CRP Test $73
    HIV-1/HIV-2 Test $77
    Insulin Test $64
    Iron Test $37
    Lactate Dehydrogenase (LDH) Test $34
    LDL Cholesterol Test $53
    Lipase Test $39
    Lipid Panel Test $74
    Magnesium Test $38
    Pap Smear Test $114
    Parathyroid Hormone Test $232
    Phosphorus Test $27
    Potassium Test $26
    Prolactin Test $109
    Prostate-Specific Antigen (PSA) Test $103
    Protein, Urine Test $20
    Rapid Strep Group A Test $52
    Rheumatoid Arthritis Factor Test $32
    Renal Function Panel $49
    RH (D) Blood Typing Test $16
    Screening Culture $37
    Sedimentation Rate Test $20
    Sodium Test $27
    Testosterone Test $145
    Thyroglobulin Test $89
    Thyroid Peroxidase (TPO) Test $82
    Thyroid Stimulating Hormone (TSH) Test $92
    Thyroxine, free $51
    Thyroxine, total $39
    Transferase Alanine Amino (ALT) Test $30
    Transferase Aspartate Amino (AST) Test $29
    Triglycerides Test $33
    Triidothyronine, free Test $95
    Triidothyronine, total Test $80
    Urea Nitrogen Test $23
    Uric Acid Test $26
    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 $478
    Bronchodilation $270
    Impacted Cerumen Removal $165
    Inhalation Treatment $85
    Skin Biopsy $344
    Skin Lesion Destruction $228
    Vaccines
    Common Charges for Vaccines
    Service Estimated Charge
    Vaccines
    Diphtheria, Tetanus, and Pertussis (DTaP) $47
    Diphtheria, Tetanus, and Pertussis (DTaP-Hib-IPV) $103
    Flu $19
    Flu - High Dose $38
    Flu - Nasal Mist $31
    Hepatitis A - Adult $123
    Hepatitis A - Pediatric $54
    Hepatitis B - Adult $96
    Hepatitis B - Pediatric $78
    HPV $260
    Measles, Mumps, and Rubella (MMR) $102
    Measles, Mumps, Rubella (MMRV) $284
    Meningitis $208
    Pneumonia - 13 valent $265
    Pneumonia - 23 valent $123
    Polio (IPV) $50
    Rotavirus $138
    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 Pacific 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.