Sutter Medical Group & Sutter North Medical Group 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 and Sutter North Medical Group. If you can't find the service you are looking for, please call (866) 961-8538.
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 $226 Moderate Level Visit $324 Moderate-to-High Level Visit $491 High Level Visit $613 Doctor's Office Visit for an Established Patient Low-Level Visit $65 Low-to-Moderate Level Visit $135 Moderate Level Visit $220 Moderate-to-High Level Visit $323 High Level Visit $435 Doctor's Office Visit - Specialist Consultation Low-Level Visit $145 Low-to-Moderate Level Visit $269 Moderate Level Visit $367 Moderate-to-High Level Visit $538 High Level Visit $655
Common Charges for Eye Exams Service Estimated Charge Eye Exams New Patient Intermediate Eye Exam $245 New Patient Comprehensive Eye Exam $446 Established Patient Intermediate Eye Exam $259 Established Patient Comprehensive Eye Exam $372 Eye Refraction for Vision Correction $58
Common Charges for Physical/Occupational Therapy Service Estimated Charge Physical/Occupational Therapy Occupational Therapy Evaluation (Low Level Visit) $287 Occupational Therapy Evaluation (Moderate Level Visit) $287 Occupational Therapy Evaluation (High Level Visit) $287 Occupational Therapy Re-evaluation $185 Electric Stimulation Therapy, Treatment Only $56 Physical Therapy Evaluation (Low Level Visit) $297 Physical Therapy Evaluation (Moderate Level Visit) $297 Physical Therapy Evaluation (High Level Visit) $297 Physical Therapy Re-evaluation $203 Physical Therapy Exercises, Treatment Only $108 Physical Therapy Ultrasound, Treatment Only $46 Physical Therapy ‐ Manual therapy $101
Common Charges for Allergy Injections Service Estimated Charge Allergy Injections Allergy shot ‐ single injection $36 Allergy shot ‐ two or more injections $41
Common Charges for Diagnostic Imaging Service Estimated Charge Diagnostic Imaging Abdomen CT Scan $674 Abdomen CT Scan with and without dye $1,227 Abdomen CT Scan, including dye $1,063 Abdomen X-ray $94 Abdomen/Pelvis CT scan $867 Abdomen/Pelvis CT scan with and without dye $1,540 Abdomen/Pelvis CT scan, including dye $1,313 Abdominal ultrasound $540 Abdominal ultrasound, limited $416 Ankle X-ray (3+ views) $132 Auditory Threshold Evaluation $137 Bone density scan (dexa scan) $191 Brain MRI with and without dye $2,154 Brain MRI without dye $1,651 Breast MRI $2,367 Breast MRI with CAD $2,456 Breathing Test (spirometry) $137 Bronchography $138 Cardiac Stress Test, complete $298 Cervical Spine MRI without dye $1,457 Cervical Spine X-ray, minimum 4-5 views $187 Chest CT Scan $802 Chest CT scan, including dye $1,002 Chest X-ray (One views) $90 Chest X-ray (two views) $118 Diagnostic mammography, including CAD unilateral $687 Diagnostic mammography, including CAD bilateral $872 Doppler Color Flow, add-on $75 Duplex scan of Extracranial Arteries $902 Echocardiogram, doppler $164 Elbow X-ray, complete $132 Electrocardiogram (ECG) $67 Femur X-ray (1 view) $145 Femur X-ray (2+ views) $170 Finger X-ray $134 Foot X-ray, complete $124 Hand X-ray, complete $128 Head CT Scan $631 Hip X-ray (1 view) $154 Hip X-ray (2-3 views) $217 Hip X-ray (4+ views) $267 Knee MRI without dye $1,061 Knee X-ray 3 views $146 Knee X-ray one or two views $121 Knee X-ray, bilateral $141 Knee X-ray, complete, 4+ views $171 Lumbar Spine MRI without dye $1,440 Lumbar spine x-ray (two or three views) $140 Pelvic ultrasound exam, complete $477 Pelvis CT Scan $661 Pelvis CT Scan, including dye $1,047 Pelvis MRI $1,630 Pelvis X-ray, AP view only $111 Radiologic Stress Test $1,896 Screening mammography, bilateral including CAD $705 Shoulder X-ray, complete $118 Sinus CT Scan $871 Stress Test w/ Doppler, complete $697 Stress Test w/ Echocardiogram, real-time image $861 Toe X-ray, minimum 2 views $121 Tone Screening Test
$49 Transvaginal ultrasound $284 Tympanometry $54 Ultrasound breast, complete $410 Ultrasound breast, limited $337 Upper Extremity Joint MRI without dye $1,060 Wrist X-ray, 2 views $126 Wrist X-ray, complete $147
Pregnancy & Prenatal Tests
Common Charges for Pregnancy & Prenatal Tests Service Estimated Charge Pregnancy & Prenatal Tests Fetal non-stress test $172 Pregnancy ultrasound, first trimester $483 Pregnancy ultrasound, after first trimester $566 Obstetric ultrasound, limited $345 Obstetric ultrasound, after first trimester $454 Obstetric ultrasound, transvaginal $391 Urine Pregnancy Test $15
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 $81 Influenza Test $56 Insulin Test, total $68 Lactate Dehydrogenase Test $36 LDL Cholesterol Test $57 Lipase Test $41 Lipid Panel Test $80 Pap Smear $117 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
Common Charges for Office Procedures Service Estimated Charge Office Procedures Apply Short-Arm Cast $327 Arthrocentesis $218 Bronchodilation $236 Control Nosebleed, simple $357 Impacted Cerumen Removal $156 Incision and Drainage $435 Inhalation Treatment $74 Injection, tendon $214 Injection/Aspiration, intermediate joint/bursa $237 Injection/Aspiration, small joint/bursa $172 Tangential Skin Biopsy $321 Punch Skin Biopsy $383 Incisional Skin Biopsy $460 Skin Lesion Destruction $209
Common Charges for Vaccines Service Estimated Charge Vaccines Diphtheria, Tetanus, and Pertussis (DTaP) $50 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 $244 Hepatitis A $59 Hepatitis A - Adult $131 Hepatitis B - Adult $102 Hepatitis B - Pediatric $82 Measles, Mumps, and Rubella (MMR) $109 Measles, Mumps, Rubella (MMRV) $302 Meningococcal $220 Pneumococcal, 13 valent $280 Pneumococcal, 23 valent $219 Polio $55 Rotavirus $143 Tetanus, Diphtheria, and Pertussis (TdaP) $79 Varicella Virus $194 Zoster $165
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.