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. If you can't find the service you are looking for, please call (866) 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-to-Moderate Level Visit $240 Moderate Level Visit $344 Moderate-to-High Level Visit $522 High Level Visit $650 Doctor's Office Visit for an Established Patient Low Level Visit $69 Low-to-Moderate Level Visit $144 Moderate Level Visit $233 Moderate-to-High Level Visit $343 High Level Visit $461 Doctor's Office Visit - Specialist Consultation Low Level Visit $154 Low-to-Moderate Level Visit $286 Moderate Level Visit $389 Moderate-to-High Level Visit $571 High Level Visit $696
Eye Exams
Common Charges for Eye Exams Service Estimated Charge Eye Exams New Patient Intermediate Eye Exam $269 New Patient Comprehensive Eye Exam $476 Established Patient Intermediate Eye Exam $284 Established Patient Comprehensive Eye Exam $399 Eye Refraction for Vision Correction $59
Physical/Occupational Therapy
Common Charges for Physical/Occupational Therapy Service Estimated Charge Physical/Occupational Therapy Occupational Therapy Evaluation (Low Level Visit) $290 Occupational Therapy Evaluation (Moderate Level Visit) $290 Occupational Therapy Evaluation (High Level Visit) $283 Occupational Therapy Re-evaluation $191 Electric Stimulation Therapy, Treatment Only $56 Physical Therapy Evaluation (Low Level Visit) $299 Physical Therapy Evaluation (Moderate Level Visit) $299 Physical Therapy Evaluation (High Level Visit) $299 Physical Therapy Re-evaluation $204 Physical Therapy Exercises, Treatment Only $111 Physical Therapy Ultrasound, Treatment Only $49 Physical Therapy ‐ Manual therapy $103
Allergy Injections
Common Charges for Allergy Injections Service Estimated Charge Allergy Injections Allergy shot ‐ single injection $42 Allergy shot ‐ two or more injections $48
Diagnostic Imaging
Common Charges for Diagnostic Imaging Service Estimated Charge Diagnostic Imaging Abdomen CT Scan $812 Abdomen CT Scan with and without dye $1,496 Abdomen CT Scan, including dye $1,298 Abdomen X-ray $112 Abdomen/Pelvis CT scan $1,040 Abdomen/Pelvis CT scan with and without dye $1,873 Abdomen/Pelvis CT scan, including dye $1,597 Abdominal ultrasound $652 Abdominal ultrasound, limited $502 Ankle X-ray (3+ views) $156 Auditory Threshold Evaluation $149 Bone density scan (dexa scan) $231 Brain MRI with and without dye $2,634 Brain MRI without dye $2,025 Breast MRI $2,727 Breast MRI with CAD $2,797 Breathing Test (spirometry) $164 Bronchography $163 Cardiac Stress Test, complete $337 Cervical Spine MRI without dye $1,781 Cervical Spine X-ray, minimum 4-5 views $222 Chest CT Scan $975 Chest CT scan, including dye $1,221 Chest X-ray (One views) $80 Chest X-ray (two views) $124 Diagnostic mammography, including CAD unilateral $555 Diagnostic mammography, including CAD bilateral $703 Doppler Color Flow, add-on $87 Duplex scan of Extracranial Arteries $1,089 Echocardiogram, doppler $190 Elbow X-ray, complete $156 Electrocardiogram (ECG) $77 Femur X-ray (1 view) $113 Femur X-ray (2+ views) $132 Finger X-ray $161 Foot X-ray, complete $147 Hand X-ray, complete $152 Head CT Scan $764 Hip X-ray (1 view) $123 Hip X-ray (2-3 views) $171 Hip X-ray (4+ views) $206 Knee MRI without dye $1,289 Knee X-ray 3 views $176 Knee X-ray one or two views $144 Knee X-ray, bilateral $169 Knee X-ray, complete, 4+ views $205 Lumbar Spine MRI without dye $1,761 Lumbar spine x-ray (two or three views) $164 Pelvic ultrasound exam, complete $579 Pelvis CT Scan $799 Pelvis CT Scan, including dye $1,279 Pelvis MRI $2,001 Pelvis X-ray, AP view only $134 Radiologic Stress Test $2,330 Screening mammography, bilateral including CAD $568 Shoulder X-ray, complete $142 Sinus CT Scan $1,059 Stress Test w/ Doppler, complete $818 Stress Test w/ Echocardiogram, real-time image $1,006 Toe X-ray, minimum 2 views $144 Tone Screening Test
$56 Transvaginal ultrasound $337 Tympanometry $57 Ultrasound breast, complete $490 Ultrasound breast, limited $400 Upper Extremity Joint MRI without dye $1,289 Wrist X-ray, 2 views $149 Wrist X-ray, complete $178
Pregnancy & Prenatal Tests
Common Charges for Pregnancy & Prenatal Tests Service Estimated Charge Pregnancy & Prenatal Tests Fetal non-stress test $195 Pregnancy ultrasound, first trimester $579 Pregnancy ultrasound, after first trimester $682 Obstetric ultrasound, limited $416 Obstetric ultrasound, after first trimester $544 Obstetric ultrasound, transvaginal $467 Urine Pregnancy Test $15
Lab Testing
Common Charges for Lab Tests Service Estimated Charge Lab Testing ABO Blood Typing Test $18 Acute Hepatitis Panel $284 Alkaline Phosphatase, serum $31 Allergen-specific IgE Antibody Test $32 Alpha-Fetoprotein-Serum $100 Amylase Test, serum $39 Antinuclear Antibodies, direct $72 Assay of Calcium $31 Assay of Ferritin $82 Assay of Iron $39 Assay of Magnesium $40 Assay of Phosphorus $29 Assay of Testosterone, total $153 Assay of Thyroxine, total $41 Assay of Triidothyronine, total $85 Assay of Urea Nitrogen $24 Bacterial Culture, other source $52 Bacterial Culture, urine $49 Basic Metabolic Panel $52 Bilirubin Test, total $31 Blood Folic Acid Serum $88 Blood Serology, qualitative $26 Blood Sugar Test, monitoring $15 Carcinoembryonic Antigen $113 Chlamydia $207 Chorionic Gonadotropin Test $90 Complete Blood Count $47 Comprehensive Metabolic Panel $63 Cortisol, total $98 COVID 19 Antibody $65 COVID 19 Detection by High Throughput Technology $100 COVID 19 Detection by Nucleic Acid (DNA or RNA) $69 C-Reactive Protein $31 Creatine Kinase $39 Creatinine $31 Dehydrepiandrosterone Sulfate $133 Fecal Blood Occult $20 Feces Culture, bacteria $57 Gamma Glutamyltransferase $44 Gammaglobulin IgE $99 Glucose Test $24 Gonorrhea Test $207 Hemoglobin Test $15 Hemoglobin A1c Test $58 Hepatic Function Panel $50 Hepatitis B Surface Antigen $64 Hepatitis B Surface Antigen Test $62 Hepatitis C Antibody Test $85 Hepatitis C Test $256 High Sensitivity C-Reactive Protein Test $78 HIV-1/HIV-2 Single Assay Test $78 Influenza Test $56 Insulin Test, total $68 Lactate Dehydrogenase Test $36 LDL Cholesterol Test $57 Lipase Test $41 Lipid Panel Test $80 Pap Smear $114 Parathyroid Hormone, intact $246 Potassium Test $28 Prolactin Test $116 Prostate-Specific Antigen (PSA) Test $109 Prothrombin Time $24 Rheumatoid Arthritis Factor Test $34 Renal Function Panel $53 RH (D) Blood Typing Test $18 Screening Culture $39 Sedimentation Rate Test $22 Sodium, serum $29 Strep Group A $56 Thyroglobulin Antibody Test $95 Thyroid Peroxidase Antibody Test $87 Thyroid Stimulating Hormone Test $100 Thyroxine $55 Total Cholesterol Test $27 Total Protein, urine $22 Transferase Alanine Amino (ALT) Test $32 Transferase Aspartate Amino (AST) Test $31 Triglycerides Test $35 Triidothyronine, free $101 Uric Acid Test $28 Urinalysis $19 Urine Test $19 Urine Test, dipstick only $16 Urine Test, microanalysis only $19 Varicella-Zoster Antibody Test $78 Vitamin B-12 Test $90
Office Procedures
Common Charges for Office Procedures Service Estimated Charge Office Procedures Apply Short-Arm Cast $370 Arthrocentesis $247 Bronchodilation $276 Control Nosebleed, simple $399 Impacted Cerumen Removal $174 Incision and Drainage $489 Inhalation Treatment $87 Injection, tendon $235 Injection/Aspiration, intermediate joint/bursa $258 Injection/Aspiration, small joint/bursa $188 Tangential Skin Biopsy $353 Punch Skin Biopsy $426 Incisional Skin Biopsy $515 Skin Lesion Destruction $233
Vaccines
Common Charges for Vaccines Service Estimated Charge Vaccines Diphtheria, Tetanus, and Pertussis (DTaP) $51 Diphtheria, Tetanus, and Pertussis (DTaP-Hib-IPV) $110 Flu $22 Flu - High Dose $64 Flu - Nasal Mist $26 H Papilloma Vaccine, 2 or 3 dose $451 Hepatitis A $61 Hepatitis A - Adult $138 Hepatitis B - Adult $103 Hepatitis B - Pediatric $81 Measles, Mumps, and Rubella (MMR) $114 Measles, Mumps, Rubella (MMRV) $318 Meningococcal $222 Pneumococcal, 13 valent $275 Pneumococcal, 23 valent $143 Polio $56 Rotavirus $143 Tetanus, Diphtheria, and Pertussis (TdaP) $79 Varicella Virus $204 Zoster $193
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.