Main content

    Sutter Medical Group of the Redwoods
    Charges for Frequently Used Doctor Services

    The services below have drop-down menus that show charges for frequently used services provided by Sutter Medical Group of the Redwoods. 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 $133
    Low-to-Moderate Level Visit $225
    Moderate Level Visit $323
    Moderate-to-High Level Visit $489
    High Level Visit $608
    Doctor's Office Visit for an Established Patient
    Low Level Visit$68
    Low-to-Moderate Level Visit $134
    Moderate Level Visit $220
    Moderate-to-High Level Visit $322
    High Level Visit $430
    Doctor's Office Visit - Specialist Consultation
    Low Level Visit$145
    Low-to-Moderate Level Visit $270
    Moderate Level Visit $368
    Moderate-to-High Level Visit $542
    High Level Visit $659
    Physical/Occupational Therapy
    Common Charges for Physical/Occupational Therapy
    Service Estimated Charge
    Physical/Occupational Therapy
    Physical Therapy Evaluation $292
    Physical Therapy Re-evaluation $199
    Electric stimulation therapy, treatment only $55
    Physical Therapy Exercises, treatment only $108
    Physical Therapy ‐ manual therapy $101
    Allergy Injections
    Common Charges for Allergy Injections
    Service Estimated Charge
    Allergy Injections
    Allergy shot ‐ two or more injections $47
    Diagnostic Imaging
    Common Charges for Diagnostic Imaging
    Service Estimated Charge
    Diagnostic Imaging
    Abdomen CT Scan $770
    Abdomen CT Scan, including dye $1,231
    Abdomen CT Scan with and without dye $1,419
    Abdomen X-ray $105
    Abdomen/Pelvis CT scan $987
    Abdomen/Pelvis CT scan, including dye $1,515
    Abdomen/Pelvis CT scan with and without dye $1,777
    Abdominal ultrasound $618
    Abdominal ultrasound, limited $476
    Ankle X-ray (3+ views) $149
    Bone density scan (dexa scan) $219
    Brain MRI with and without dye $2,499
    Brain MRI without dye $1,922
    Breast MRI with and without dye $2,768
    Breathing Test $160
    Bronchography $155
    Cervical Spine X-ray, minimun 4-5 views $211
    Chest CT scan $926
    Chest CT scan, including dye $1,159
    Chest X-ray (One views) $99
    Chest x-ray (two views) $129
    Elbow X-ray, complete $149
    Electrocardiogram (ECG) $75
    Femur X-ray (1 view) $107
    Femur X-ray (2+ views) $125
    Finger X-ray $152
    Foot X-ray (complete) $140
    Hand X-ray, complete $145
    Head CT scan $725
    Hearing Tone Screen $55
    Hip X-ray (1 view) $116
    Hip X-ray (2-3 views) $162
    Hip X-ray (4+ views) $200
    Knee MRI without dye $1,223
    Knee X-ray 3 views $167
    Knee X-ray one or two views $137
    Knee X-ray, bilateral $160
    Knee X-ray, complete, 4+ views $195
    Lumbar Spine MRI without dye $1,671
    Lumbar spine x-ray (two or three views) $156
    Pelvic ultrasound exam, complete $549
    Pelvis CT Scan $758
    Pelvis CT Scan, including dye $1,213
    Pelvis MRI $1,898
    Pelvis X-ray, AP view only $127
    Scan of Extracranial Arteries $1,064
    Shoulder X-ray complete $135
    Sinus CT scan $1,005
    Toe X-ray, minimum 2 views $137
    Transvaginal ultrasound $320
    Tympanometry$56
    Ultrasound breast complete $465
    Ultrasound breast limited $379
    Upper Extremity Joint MRI without dye $1,223
    Wrist X-ray, 2 views $142
    Wrist X-ray, complete $169
    Pregnancy & Prenatal Tests
    Common Charges for Pregnancy & Prenatal Tests
    Service Estimated Charge
    Pregnancy & Prenatal Tests
    Fetal non-stress test $191
    Pregnancy ultrasound, first trimester $549
    Pregnancy ultrasound, after first trimester $647
    Obstetric ultrasound, limited $394
    Obstetric ultrasound, after first trimester $516
    Obstetric ultrasound, transvaginal $444
    Urine Pregnancy Test $13
    Lab Testing
    Common Charges for Lab Tests
    Service Estimated Charge
    Lab Testing
    ABO Blood Typing Test $16
    Acute Hepatitis Panel $272
    Alkaline Phosphatase Test $29
    Allergen-specific IgE Antibody Test $30
    Alpha-Fetoprotein (AFP) Test $95
    Amylase Test $37
    Antinuclear Antibodies (ANA) Test $69
    Bacterial Culture $49
    Bacterial Culture, urine Test $45
    Basic Metabolic Panel $48
    Bilirubin Test $29
    Blood Folic Acid Test $84
    Blood Serology (RPR) Test $24
    Blood Sugar Test, monitoring $13
    Calcium test $29
    Carcinoembryonic Antigen Test (CEA) $108
    Chlamydia Test $184
    Chorionic Gonadotropin (hCG) Test $86
    Complete Blood Count $44
    Comprehensive Metabolic Panel $60
    Cortisol Test $93
    C-Reactive Protein (CRP) Test $29
    Creatine Test $37
    Creatinine Test $29
    DHEA-S Test $127
    Fecal Occult Blood Screening Test $18
    Feces Bacteria Culture Test $54
    Ferritin Test $78
    Flu Test $53
    Gamma Glutamyltransferase Test $41
    Gammaglobulin IgE Test $94
    Glucose Test $23
    Gonorrhea Test $184
    Hemoglobin A1c Test $55
    Hemoglobin Test $13
    Hepatitis B Antibody Test $61
    Hepatitis B Antigen Test $59
    Hepatitis C Antibody Test $81
    Hepatitis C Test $245
    High Sensitivity CRP Test $74
    HIV-1/HIV-2 Test $78
    Insulin Test $65
    Iron Test $37
    Lactate Dehydrogenase (LDH) Test $34
    LDL Cholesterol Test $54
    Lipase Test $39
    Lipid Panel Test $76
    Magnesium Test $38
    Pap Smear Test $114
    Parathyroid Hormone Test $236
    Phosphorus Test $27
    Potassium Test $26
    Prolactin Test $111
    Prostate-Specific Antigen (PSA) Test $105
    Protein, Urine Test $20
    Rapid Strep Group A Test $53
    Rheumatoid Arthritis Factor Test $32
    Renal Function Panel $50
    RH (D) Blood Typing Test $16
    Screening Culture $37
    Sedimentation Rate Test $20
    Sodium Test $27
    Testosterone Test $147
    Thyroglobulin Test $90
    Thyroid Peroxidase (TPO) Test $83
    Thyroid Stimulating Hormone (TSH) Test $94
    Thyroxine, free $52
    Thyroxine, total $39
    Transferase Alanine Amino (ALT) Test $30
    Transferase Aspartate Amino (AST) Test $29
    Triglycerides Test $33
    Triidothyronine, free Test $96
    Triidothyronine, total Test $81
    Urea Nitrogen Test $23
    Uric Acid Test $26
    Urine Test $17
    Urine Test, dipstick only $14
    Vitamin B-12 Test $85
    Office Procedures
    Common Charges for Office Procedures
    Service Estimated Charge
    Office Procedures
    Abscess Incision and Drainage $478
    Apply Short-Arm Cast $362
    Bronchodilation $270
    Control Nosebleed, simple $390
    Impacted Cerumen Removal $165
    Inhalation Treatment $85
    Injection, tendon or ligament $230
    Skin Biopsy $344
    Skin Lesion Destruction $228
    Vaccines
    Common Charges for Vaccines
    Service Estimated Charge
    Vaccines
    Chickenpox $185
    Diphtheria, Tetanus, and Pertussis (DTaP) $49
    Diphtheria, Tetanus, and Pertussis (DTaP-Hib-IPV) $105
    Flu $19
    Flu - High Dose $39
    Flu - Nasal Mist $31
    Hepatitis A - Adult $125
    Hepatitis A - Pediatric $55
    Hepatitis B - Adult $98
    Hepatitis B - Pediatric $79
    HPV $264
    Measles, Mumps, and Rubella (MMR) $104
    Measles, Mumps, Rubella (MMRV) $289
    Meningitis $211
    Pneumonia - 13 valent $269
    Pneumonia - 23 valent $126
    Polio (IPV) $51
    Rotavirus $140
    Shingles $325
    Tetanus, Diphtheria, and Pertussis (Tdap) $75

    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.