Sutter East Bay Medical Foundation Charges for Frequently Used Doctor Services
The services below expand to show charges for frequently used services provided by Sutter East Bay Medical Foundation. If you can’t find the service you are looking for, please call (866) 961-8535.
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 | $63 |
| 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 |
Diagnostic Imaging
| Service | Estimated Charge |
|---|---|
| Diagnostic Imaging | |
| Abdominal ultrasound, limited | $469 |
| Auditory Threshold Evaluation | $146 |
| Bone density scan (dexa scan) | $216 |
| Cardiac Stress Test, complete | $329 |
| Electrocardiogram (ECG) | $75 |
| Pelvic ultrasound exam, complete | $528 |
| Spirometry | $160 |
| Stress Test w/ Doppler | $800 |
| Stress Test w/ Echocardiogram | $983 |
| Tone Screen | $55 |
| Transvaginal ultrasound | $315 |
| Tympanometry | $56 |
Pregnancy & Prenatal Tests
| Service | Estimated Charge |
|---|---|
| Pregnancy & Prenatal Tests | |
| Fetal non-stress test | $191 |
| Obstetric ultrasound, limited | $388 |
| Obstetric ultrasound, after first trimester | $508 |
| Obstetric ultrasound, transvaginal | $437 |
| Pregnancy ultrasound, first trimester | $540 |
| Pregnancy ultrasound, after first trimester | $637 |
| Urine Pregnancy Test | $13 |
Lab Testing
| 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 |
| Bilirubin Test | $29 |
| Blood Folic Acid Test | $83 |
| Blood Sugar Test, monitoring | $13 |
| Calcium test | $29 |
| Carcinoembryonic Antigen Test (CEA) | $106 |
| Chorionic Gonadotropin (hCG) Test | $85 |
| 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 | $164 |
| Hemoglobin Test | $13 |
| Hepatitis B Antibody Test | $60 |
| Hepatitis B Antigen Test | $58 |
| Hepatitis C Antibody Test | $80 |
| Hepatitis C Test | $241 |
| High Sensitivity CRP Test | $73 |
| Insulin Test | $64 |
| Iron Test | $37 |
| Lactate Dehydrogenase (LDH) Test | $34 |
| LDL Cholesterol Test | $53 |
| Lipase Test | $39 |
| 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 |
| Sodium Test | $27 |
| Testosterone Test | $145 |
| Thyroglobulin Test | $89 |
| 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
| 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
| 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 and Chickenpox (MMRV) | $284 |
| Meningitis | $208 |
| Pneumonia - 13 valent | $265 |
| Pneumonia - 23 valent | $123 |
| Polio (IPV) | $50 |
| Rotavirus | $138 |
| Tetanus, Diphtheria, and Pertussis (Tdap) | $73 |
Disclaimer
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.