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
| 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
| 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
| Service | Estimated Charge |
|---|---|
| Allergy Injections | |
| Allergy shot ‐ two or more injections | $47 |
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 | $106 |
| 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) | $76 |
| Chest x-ray (two views) | $118 |
| 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
| 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
| 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
| 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 | |
| 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 |
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.