Amerihealth Group Price List for Out of Pocket Patients

Urgent Care Visit $150.00 Aftercare $35.00
Minor Illnesses Minor Injuries Skin Conditions
Allergy Symptoms Bug bites & stings Acne
Bronchitis & coughs Minor burns Athlete’s foot
Earaches & ear infections Minor cuts, blisters & wounds Chicken pox
Flu-like symptoms Splinter removal Cold, canker & mouth sores
Mononucleosis (mono) Sprains & strains (ankle & knee only) Eczema
Pink eye & styes Suture & staple removal Impetigo
Sinus infections & congestion Tick bites Lice
Sore & strep throat Poison ivy & poison oak
Upper respiratory infections Ringworm
Urinary tract & bladder infections Scabies
Shingles
Styes
Sunburn
Swimmer’s itch
Wart evaluation
Full Physical Exam $150.00
Administrative Physicals
College Physicals
Work Physicals
DOT Physicals
Blood drawing
(Include Echocardiogram, and Pulmonary Function Test)
Physical Follow Up $35.00
Screenings & Monitoring
Immigration Services (Labs not included) $250.00
Start to Stop smoking cessation program $59.00
Follow Up Smoking Cessation $49.00
Nutritionist Visit (Initial) $150.00
Nutritional Coaching $60.00
Weight Loss coaching (per visit) $60.00
Life Coaching $250.00
High Blood Pressure Monitoring $79.00
Diabetes Monitoring $79.00
High cholesterol monitoring $79.00
X-Ray $45.00
Sonogram (per test) $150.00
Echocardiogram $250.00
ECG $45.00
Echocardiogram $225.00
Sonogram (per test) $150.00
Holter Monitor $225.00
Podiatry Visit $150.00
Ankle Brachial Index Test $155.00

 

Tests
PPD Test with reading $55.00
Diabetes Screening $70.00
A1c Check $75.00
Adeno test (viral pink eye) $21.00
Blood sugar test $21.00
Flu test influenza A $33.00
Flu test influenza B $33.00
Lipid panel (cholesterol screen) $37.00
Mono test $22.00
Negative quick strep test $33.00
Pregnancy test $22.00
Quick strep test $30.00
Urine dip stick $28.00

 

Vaccinations & Injections
DTaP (diphtheria, tetanus, pertussis) $100.00
Flu
High dose $52.00
Intradermal $25.00
Quadrivalent $25.00
Seasonal $25.00
Hepatitis A
Adult $140.00
Child $112.00
Hepatitis B
Adult $140.00
Child $112.00
HPV (human papillomavirus) – Gardasil®$234.99 each $235.00
IPV (polio) $110.00
Meningitis $145.00
MMR (measles, mumps, rubella) $130.00
PPSV (pneumonia) $85.00
Td (tetanus, diptheria) $89.00
Kenolog (Pain Injection) $35.00
Birth control injections $20 – $125
Vitamin B12 injections $35.00
Labs
AFP $31.00
ALBUMIN $13.00
ALK PHOS $13.00
ALT $13.00
AMYLASE $14.00
ANA $23.00
AST $13.00
BETA HCG $126.00
BLOOD GROUP & RH $25.00
BMP $16.00
BNP $51.00
BILIRUBIN, TOTAL $13.00
BILIRUBIN, DIRECT $13.00
GARBAMAZEPINE $21.00
CARDIOLIPIN IGM $15.00
CBC $16.00
CCP $25.00
C-DIFF $95.00
CEA $33.00
CA 125 (pneumonia) $36.00
CA 15-3 $36.00
CA 19-9 $40.00
CH/GC (swab/urine) $51.00
CT/NG $51.00
CHLORIDE $13.00
CHOLESTEROL $10.00
CMP $21.00
CMV/lgG/lgM $28.00
CK $16.00
CRP $16.00
CRP, CARDIAC $21.00
CO2 $31.00
CORTISOL $28.00
CULTURE, GENITAL $51.00
CULTURE, STOOL $51.00
CULTURE, THROAT $51.00
CULTURE, URINE $46.00
CULTURE, WOUND $51.00
DHEA-S $36.00
DIGOXIN $25.00
DILANTIN $55.00
DNA, DS $31.00
DRUG SCREEN (12) $91.00
EBV IGG IGM $25.00
ELECTROLYTES $16.00
ERYTHROPOIETIN $30.00
ESR $10.00
ESTRADIOL $46.00
FOLIC ACID $26.00
FERRITIN $28.00
FSH $33.00
FTA $55.00
GGT $16.00
GLIADIN IGG ABS $25.00
GLIADIN IGA ABS $25.00
BLOBULIN $12.00
GLUCOSE $11.00
GLUCOSE TOLERANCE $21.00
GLYCOMARK $21.00
HGB A1C $18.00
HEM ELECTROPHORIS $35.00
HEP. A AB $23.00
HEP. B CORE AB $21.00
HEP. B SURF. AB $21.00
HEP. B SURF. AG $21.00
HFP $16.00
HERPES SIMPLEX IGG $51.00
HIV 1/2 AB $31.00
HOMOCYSTEINE $31.00
HPV $75.00
HUMAN GROWTH HORMONE $35.00
H.PYLORI IGG AB $13.00
INSULIN $21.00
IRON $13.00
IRON TIBC PROFILE $18.00
LEAD, BLOOD $24.00
LH $33.00
LDH $13.00
LIPASE $16.00
LIPID PROFILE $26.00
LITHIUM $14.00
LUPUS $45.00
LYME ANTOBODIES $31.00
MAGNESIUM $26.00
MEASLES $21.00
MIROALBUMIN $26.00
MONO TEST $30.00
MUMPS $21.00
OCCULT BLOOD $10.00
OVAL & PARASITES $60.00
PAP SMEAR (HPV +$75) $40.00
PHOSPHORUS $11.00
PREGNANCY, URINE $16.00
PROGESTERONE $36.00
PROLACTIN $36.00
PROTEIN, TOTAL $10.00
POTASSIUM $11.00
PSA TOTAL $33.00
PSA FREE & TOTAL $65.00
PTH $51.00
PT/INR $13.00
PTT $16.00
RETIC COUNT $10.00
RF $13.00
RPR $11.00
RUBELLA $26.00
SCL – 70 $35.00
SHBG $34.00
SICKLE SCREEN $36.00
SM $35.00
SM/RNP $35.00
SMA-8 $16.00
SMA-20 $46.00
SODIUM $11.00
SS-B/LA $35.00
T3 FREE $28.00
T3 TOTAL $24.00
T4 $16.00
T4 FREE $21.00
TESTOSTERONE $41.00
TESTOSTERONE. FREE & TOTAL $82.00
THINPREP (HPV+ $75 ) $40.00
THY PEROX AB $25.00
THYROGLOBILIN $25.00
TOXO IgG/IgM $52.00
TRIGLYCERIDES $14.00
TTG IGA $20.00
TTG IGM $20.00
TROPONIN -1 $20.00
TSH $28.00
UREA BREATHTEST (breath tek) $100.00
URIC ACID $13.00
URINALYSIS $11.00
VALPROIC ACID $25.00
VAP $45.00
VITAMIN B12 $26.00
VITAMIN D25 OH $40.00
GENERAL PROFILES
ADDOMINAL PROFILE $199.00
ANEMIA PROFILE $150.00
ARTHRITIS PROFILE $99.00
AUTO-IMMUNE PROFILE $130.00
BREAST PROFILE $150.00
CARDIAC PROFILE $85.00
CHEM 24 $130.00
COAGULATION PROFILE $150.00
CORONARY RISK PROFILE $250.00
DIABETES PROFILE $240.00
EXECUTIVE WELLNESS SCAN $320.00
HEPATITIS PROFILE $90.00
HORMONE PROFILE, FEMALE $160.00
HORMONE PROFILE, MALE $250.00
INFERTILITY PROFILE $250.00
MRNOPAUSAL $290.00
MEN’S HEALTH CHECK $199.00
PITUITARY PROFILE $100.00
PREGNANCY PROFILE $260.00
STD PANEL $250.00
THYROID PROFILE $100.00
TORCH PANEL $125.00
WOMAN’S TUMOR MARKER $140.00
IMMIGRATION AREA
MEASLES $21.00
MUMPS $21.00
RUBELLA $26.00
VARICELLA $21.00
RPR $11.00
HIV 1/2 AB $31.00
CYTOPTHOLOGY AREA
BIOPSY (1 SPECIMEN) $120.00
BIOPSY (3+ SPECIMEN) $100.00 each
NON/GYN CYTOLOGY $130.00