Procedure Pricing

These rates show our standard fees for common procedures provided by our office.  We are happy to offer you a 20% cash discount if you don’t have insurance and if you pay in full at the time of service.

 If you have health insurance, these rates will be discounted according to our contract with your insurance company. If you have insurance and would like to get an estimate of your cost, please contact your insurance provider beforehand.

 If you have any questions or concerns with your bill, need to make payment arrangements or discuss assistance with resolving your debt, please call our billing office at 801-894-1335.

Office Visits

  • Established Patient Office Visit, Level 1 $38.00
  • Established Patient Office Visit, Level 2 $67
  • Established Patient Office Visit, Level 3 $114.00
  • Established Patient Office Visit, Level 4 $168.00
  • Established Patient Office Visit, Level 5 $227.00
  • Medical Services After Hours, Office $28.00
  • New Patient Office Visit, Level 2 $115.00
  • New Patient Office Visit, Level 3 $169.00
  • New Patient Office Visit, Level 4 $260.00
  • New Patient Office Visit, Level 5 $325.00

Fracture Care

  • Application of Forearm Cast $160.00
  • Closed Treat Distal Fibular Fracture $614.00
  • Closed Treatment, Distal Radial Fracture w/o manipulation $524.00
  • Closed Treatment, Finger/Thumb Fracture w/o manipulation $383.00
  • Closed Treatment, Metacarpal fracture w/o manipulation $660.00
  • Treat Metatarsal Fracture $429.00

Hospital Care

  • Follow-up Hospital Care, brief $65.00
  • Follow-up Hospital Care, moderate $96.00
  • Follow-up Hospital Care, extensive $138.00
  • Hospital Discharge, day care $108.00
  • Initial Care, normal newborn $208.00
  • Initial Hospital Care, moderate $184.00
  • Initial Hospital Care, high $271.00
  • Subsequent Intensive Care, per day, low birth weight $312.00

Immunizations

  • Adacel (TDaP) $75.00
  • Chicken Pox Vaccine $147.00
  • DTaP vaccine, intramuscular $48.00
  • Gardasil (HPV) $284.00
  • Homphilus influenza B vaccine (HIB) $42.00
  • Hepatitis A Vaccine, pediatric/adolescent $108.00
  • Hepatitis A Vaccine, adult dose $121.00
  • Hepatitis B Vaccine, adult $121.00
  • Hepatitis B Vaccine, pediatric $57.00
  • Immunization administration 1 vaccine, single/combo $33.00
  • Immunization administration ea additional vaccine, single/combo $19.00
  • Immunization administration intranasal/oral 1 vaccine $32.00
  • Influenza virus Vaccine, 6-35 months $23.00
  • Influenza virus Vaccine, 3 years and up $25.00
  • Measles Mumps Rubella (MMR) $85.00
  • Meningococcal Vaccine, IM $165.00
  • Pediarix – DTaP – HEP B – IPV $123.00
  • Pneumococcal (Prevnar), under 5 years $271.00
  • Poliomyelitis vaccine $56.00
  • Rotavirus vaccine, live, oral $116.00

Injections

  • Demerol per 100 MG $20.00
  • Depo Provera 150 MG $112.00
  • Hyalgan Injection per dose $200.00
  • Rocephin Injection per 250 MG $10.00

Laboratory Tests

  • Antibody, Helicobacter Pylori $56.00
  • Antibody, HIV-1 $55.00
  • Assay thyroid stimulation hormone $46.00
  • Assay, Blood testosterone $95.00
  • Assay, PSA, total $50.00
  • Assay, thyroid hormone $14.00
  • Assay, true thyroxin $30.00
  • Assay, albumin, urine microalbumin $39.00
  • Automated hemogram (CBC) $22.00
  • Blood draw (Venipuncture), finger/heel/ear $12.00
  • Culture, bacterial; quantitative colony count, urine $29.00
  • Glucose test $41.00
  • Glycosylated hemoglobin assay $31.00
  • Hemoglobin count, colorimetric $16.00
  • Hepatic Function Panel $30.00
  • Lipid profile $44.00
  • Metabolic Panel, basic $27.00
  • Metabolic Panel, comprehensive $44.00
  • Prothrombin time (Protime) $17.00
  • RBC Sedimentation rate, non-auto $18.00
  • Specimen handling/transport $20.00
  • Stick assay of blood glucose $13.00
  • Streptococcus, Group A $26.00
  • Urinalysis, automated w/ microscopy $15.00
  • Urinalysis, non-automated, w/ scope $11.00
  • Urine pregnancy test $34.00

Lacerations

  • Repair superficial wounds, face $275.00
  • Repair superficial wounds, trunk $221.00

Obstetrics

  • Ante partum care only, 7+ visits $1,250.00
  • Caesarean delivery only $1,774.00
  • Obstetric Profile $85.00
  • Routine Obstetric Care $3,200.00
  • Routine care and caesarean delivery $3,600.00
  • VBAC delivery, routine obstetric care $3,400.00
  • Vaginal delivery only $1,460.00

Office Procedures

  • Allergy Skin Tests, Percutaneous $9.00 ea
  • Cardiovascular stress test using Treadmill $274.00
  • Circumcision, clamp procedure, newborn $404.00
  • Destroy benign/premalignant lesion, 1st $116.00
  • Destroy flat wart, up to 14 lesions $172.00
  • Drain skin abscess, simple/single $186.00
  • Drain/inject intermediate joint/bursa $141.00
  • Drain/inject major joint or bursa $145.00
  • ECG Monitor/24 hrs, Complete (Holter Monitor) $274.50
  • EKG 12 Leads $44.00
  • Endometrial Biopsy, w/o Cervical DI $185.00
  • Fetal Non-Stress Test $109.00
  • Insert Intrauterine Device (IUD) $154.00
  • IUD copper Para Guard $853.00
  • IUD Mirena $1,030.00
  • Non Pressurized Inhalation Treatment $38.00
  • Permanent removal of nail bed $371.00
  • Removal of impacted cerumen $85.00
  • Remove Intrauterine Device (IUD) $162.00
  • Removal of skin tags, up to 15 $144.00
  • Sleep Study, Unattended $350.00
  • Spirometer $65.00
  • Vasectomy $925.00

Preventative Care

  • Preventive Checkup, established infant $143.00
  • Preventive Checkup, established 1-4 yrs $154.00
  • Preventive Checkup, established 5-11 yrs $164.00
  • Preventive Checkup, established 12-17 yrs $178.00
  • Preventive Checkup, established 18-39 yrs $185.00
  • Preventive Checkup, established 40-64 yrs $196.00
  • Preventive Checkup, established, 65+ $228.00
  • Preventive Checkup, new, infant $160.00
  • Preventive Checkup, new, 1-4 yrs $166.00
  • Preventive Checkup, new, 5-11 yrs $181.00
  • Preventive Checkup, new, 12-17 yrs $197.00
  • Preventive Checkup, new, 18-39 yrs $191.00
  • Preventive Checkup, new, 40-64 yrs $230.00
  • Preventive Checkup, new, 65+ $255.00

Surgeries

  • Arthscpy Ankle Debrid Extensive $1,200.00
  • Arthscpy Shldr Decompression $1,418.00
  • Colposcopy w/ biopsy of cervix $240.00
  • Hysteroscopy/sterilization $3,400.00
  • Hysteroscopy w/ endometrial ablation $3,695.00
  • Knee Arthscpy Mnsctmy Medial or Lat $1,250.00
  • Repair bladder defect $1,276.00
  • Repair Tendon/Muscle upper arm/elbow $1,475.00
  • Repair of vagina $1,460.00
  • Total Hip Arthroplasty & Prosthesis $3,800.00
  • Total hysterectomy $1,700.00
  • Total hysterectomy with suspension $2,114.00
  • Vaginal hysterectomy $1,796.00

Ultra Sounds

  • U/S abdomen (Renal U/S) $215.00
  • U/S abdomen, complete $281.00
  • U/S OB < 14 weeks single fetus $258.00
  • U/S OB complete, routine 20 weeks $280.00
  • U/S pelvic B scan complete $247.00
  • U/S testicle/scrotal $206.00

X-Rays

  • Abdomen, single AP View $61.00
  • Ankle, complete minimum 3 views $70.00
  • Chest 1 view PA $60.00
  • Chest PA and Lateral $71.00
  • Dexa Bone Density, Axial (hips, pelvis, spine) $190.00
  • Foot AP and Lateral views $68.00
  • Foot, complete minimum 3 views $70.00
  • Hand, 2 views $54.00
  • Hand, minimum of 3 views $66.00
  • Knee, complete 3 views $88.00
  • Spine lumbosacral AP and Lateral $79.00
  • Tibia and Fibula AP and Lateral $72.00
  • Wrist complete, minimum 3 views $76.00