Springfield Medical Care System

25 Ridgewood Road Springfield, VT 05156
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Bacterial Culture - Aerobic Isolates$470%$47
Bacterial Culture - Swab$1000%$100
Blood Test - Basic Metabolic Panel$1030%$103
Blood Test - Blood Glucose Control (Hemoglobin A1C)$1030%$103
Blood Test - Cholesterol Test, Lipid Panel$1000%$100
Blood Test - Clotting Time$490%$49
Blood Test - Coagulation Assessment$700%$70
Blood Test - Complete Blood Cell Count (Hemoglobin)$810%$81
Blood Test - Complete Blood Cell Count and Automated WBC$930%$93
Blood Test - Comprehensive Metabolic Panel$810%$81
Blood Test - Electrolytes Panel$800%$80
Blood Test - Ferritin (Blood Protein) Level$1530%$153
Blood Test - Folic Acid Level$600%$60
Blood Test - General Health Panel$2740%$274
Blood Test - Hepatic (Liver) Function Panel$1660%$166
Blood Test - Hepatitis C Antibody Level$510%$51
Blood Test - Iron Level$810%$81
Blood Test - Lipase (fat enzyme) Level$710%$71
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1000%$100
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1140%$114
Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement$470%$47
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$620%$62
Blood Test - Vitamin D-3 Level$1280%$128
Colonoscopy - Diagnostic (outpatient)$4,2010%$4,201
Colonoscopy - With Polyp Removal (outpatient)$5,3770%$5,377
Detection test for Human Papillomavirus (HPV)$1070%$107
Emergency Department Visit - Low Complexity (outpatient)$3480%$348
Emergency Department Visit - Minor (outpatient)$3110%$311
Emergency Department Visit - Moderate Complexity (outpatient)$6500%$650
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$660%$66
Lab Test - Detection test for Hepatitis B Surface Antigen$590%$59
Lab Test - Detection test for Influenza Virus$450%$45
Lab Test - Smear for Microorganism$740%$74
Mammogram (outpatient)$6390%$639
MRI - Brain (outpatient)$3,2960%$3,296
MRI - Knee (outpatient)$1,8510%$1,851
MRI - Shoulder, Elbow, or Wrist$3,5650%$3,565
Office Visit - Basic$750%$75
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2140%$214
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2340%$234
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2350%$235
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2570%$257
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2130%$213
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$1920%$192
Office Visit - Established Patient, High Complexity$2350%$235
Office Visit - Established Patient, Low Complexity$1190%$119
Office Visit - Established Patient, Moderate Complexity$1740%$174
Office Visit - New Patient, Low Complexity$1720%$172
Office Visit - New Patient, Minor$1640%$164
Pap Test$1250%$125
Physical Therapy - Low Complexity Evaluation$1700%$170
Physical Therapy - Manual Therapy$900%$90
Physical Therapy - Moderate Complexity Evaluation$2590%$259
Physical Therapy - Therapeutic Exercises$900%$90
Physical Therapy - Ultrasound Therapy$790%$79
Psychiatric Diagnostic Evaluation$2040%$204
Psychotherapy - 30 Minutes$840%$84
Psychotherapy - 45 Minutes$1140%$114
Psychotherapy - Group Session$1940%$194
Strep Test (Streptococcus, group A)$420%$42
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$740%$74
Ultrasound - Abdominal, Limited$1,0750%$1,075
Ultrasound - Breast (outpatient)$1,5310%$1,531
Ultrasound - Head and Neck$1,1130%$1,113
Ultrasound - Pregnancy (outpatient)$1,3060%$1,306
Ultrasound - Transvaginal (non-maternity)$1,4070%$1,407
Urine Test - Automated without Microscope$270%$27
Urine Test - Bacterial Culture$530%$53
Urine Test - Bacterial Culture, Quantitative Colony Count$400%$40
Urine Test - Chlamydia$1000%$100
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1000%$100
Urine Test - Microalbumin (Protein) Level$620%$62
Urine Test - Pregnancy$720%$72
Urine Test - Urinalysis, Manual Test$400%$40
X-Ray - Abdomen$5200%$520
X-Ray - Ankle (outpatient)$4400%$440
X-Ray - Chest (outpatient)$8160%$816
X-Ray - Foot (outpatient)$6760%$676
X-Ray - Hip$4680%$468
X-Ray - Knee (outpatient)$6670%$667
X-Ray - Shoulder (outpatient)$5630%$563
X-Ray - Spine (outpatient)$9400%$940
X-Ray - Wrist (outpatient)$6030%$603