|
|
Non-Subscriber |
Subscriber 2 |
In-office services |
|
|
|
Physician’s evaluation and management |
$99 to $149 |
$0 |
|
Commercial driver examination (DOT physical) 3 |
$179 |
$179 |
|
Behavioral counseling |
$250 hourly |
$250 hourly |
|
Meet and greet |
$0 |
$0 |
|
Nurse visit |
$0 |
$0 |
Out-of-office services |
|
|
|
Videoconference visit |
n/a |
$0 |
|
Telephone/E-mail inquiry |
n/a |
$0 |
|
House call |
$299 and up |
$99 and up |
|
Hospital services, where available |
$250 hourly |
$250 hourly |
Add-on services |
|
|
|
Blood draw service (phlebotomy) 4 |
$9 |
$0 |
|
Administration of medication, vaccine, fluid 5 |
$9 |
$0 |
|
…..via injection into muscle or skin 5 |
$21 |
$0 |
|
…..via injection into joint or affected body part 5 |
$49 |
$0 |
|
…..via intravenous (IV) catheter 5 |
$99 |
$0 |
|
Skin stitches, cutting, packing |
$99 |
$0 |
|
…..later removal of stitches |
$0 |
$0 |
|
Skin punch biopsy 4 |
$69 |
$0 |
|
Skin spot freezing (cryotherapy) |
$99 |
$0 |
|
Skin allergy patch study 6 |
$49 |
$49 |
|
Needle biopsy 4 |
$99 |
$0 |
|
Bone splinting, casting |
$99 |
$0 |
|
Heart tracing (EKG) |
$19 |
$0 |
|
Ultrasound scan |
$99 |
$0 |
|
Fetal heart tracing (during pregnancy) |
$79 |
$0 |
Lab tests 9 |
|
|
|
Blood sugar test (glucometer) |
$1 |
$1 |
|
Blood clotting test (PT/INR) |
$5 |
$5 |
|
Urine pregnancy test |
$4 |
$4 |
|
Urine dip test |
$5 |
$5 |
|
Urine drug test |
$44 |
$44 7 |
|
Strep throat test |
$5 to $86 |
$5 to $86 |
|
Yeast test (wet prep) |
$29 |
$29 |
|
Skin tissue analysis (pathology) |
$128 and up |
$128 and up |
|
Cervix tissue analysis (Pap smear) |
$45 to $199 |
$45 to $199 |
|
Other send-out lab tests |
$8 and up 8 |
$8 and up 8 |
Materials |
|
|
|
Medications |
$1 and up 8 |
$1 and up 8 |
|
Vaccines |
$20 and up 8 |
$20 and up 8 |
|
….. for MnVFC beneficiaries |
$0 |
$0 |
|
Haptens (for skin allergy test, each) |
$38 |
$38 |
Subscriptions |
|
|
|
Adult |
n/a |
$49 monthly |
|
…..with controlled substance agreement |
n/a |
$199 monthly |
|
Child |
n/a |
$29 monthly |
|
…..with controlled substance agreement |
n/a |
$99 monthly |
|
Enrollment fee |
n/a |
$49 to $199 |
1. Applicable state and local taxes are collected in addition to posted prices.
2. Limit 30 service items per subscriber per month. Thereafter, non-subscriber pricing applies.
3. Certain lab tests and other diagnostics may be required for compliance with U.S. Department of Transportation rules. Additional charges may apply.
4. The “phlebotomy” and “biopsy” charges cover labor for collecting a blood or tissue specimen. Separate charges apply to any laboratory analysis of the specimen.
5. The “administration,” “injection,” and “therapy” charges cover labor only. Separate materials charges apply for any medications, vaccines, or fluids administered.
6. The “patch study” charge covers labor only. Separate materials charges apply for each hapten (potential allergen) tested. Limit 10 haptens per patch study.
7. For subscribers with controlled substance agreements, a price of $0 applies to unannounced urine drug tests.
8. Prices for these items vary; please ask for a quote.
9. Lab tests are offered only in conjunction with physician’s evaluation and management.