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 Typical Patient Complexity
Arthrocentesis (outpatient)$9750%$975 High
Bacterial Culture Swab$950%$95 Medium
Blood Test - Basic Metabolic Panel$980%$98 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$980%$98 Medium
Blood Test - Cholesterol Test, Lipid Panel$1000%$100 Medium
Blood Test - Clotting Time$460%$46 Medium
Blood Test - Complete Blood Cell Count (Hemoglobin)$770%$77 Medium
Blood Test - Complete Blood Cell Count and Automated WBC$930%$93 Medium
Blood Test - Comprehensive Metabolic Panel$770%$77 Medium
Blood Test - Electrolytes Panel$780%$78 Medium
Blood Test - Folic Acid Level$600%$60 Medium
Blood Test - General Health Panel$2670%$267 Medium
Blood Test - Hepatic (Liver) Function Panel$1660%$166 Medium
Blood Test - Hepatitis C Antibody Level$480%$48 Medium
Blood Test - Lipase (fat enzyme) Level$670%$67 Medium
Blood Test - Prostate Specific Antigen (PSA) Level$450%$45 Medium
Blood Test - Renal (Kidney) Function Panel$1950%$195 Medium
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1000%$100 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1140%$114 Medium
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$620%$62 Medium
Blood Test - Vitamin D-3 Level$1220%$122 Medium
Colonoscopy - Diagnostic (outpatient)$4,0150%$4,015 Medium
Colonoscopy - With Biopsy (outpatient)$5,3760%$5,376 Medium
Colonoscopy - With Polyp Removal (outpatient)$5,5730%$5,573 Medium
CT Scan - Abdomen and Pelvis, with Contrast$3,6920%$3,692 Medium
CT Scan - Chest, with Contrast (outpatient)$1,5750%$1,575 Medium
Detection Test for Human Papillomavirus (HPV)$1010%$101 Medium
Emergency Department Visit - Low Complexity (outpatient)$3310%$331 Medium
Emergency Department Visit - Minor (outpatient)$3110%$311 Medium
Emergency Department Visit - Moderate Complexity (outpatient)$6180%$618 Medium
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$630%$63 Medium
Mammogram (outpatient)$6390%$639 Medium
MRI - Brain (outpatient)$3,2960%$3,296 Medium
MRI - Knee (outpatient)$1,6420%$1,642 Medium
MRI - Shoulder, Elbow, or Wrist$2,1720%$2,172 Medium
Myocardial Imaging (outpatient)$5,6080%$5,608 Medium
Office Visit - Basic$750%$75 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2140%$214 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2230%$223 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2350%$235 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2570%$257 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2030%$203 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$1920%$192 Medium
Office Visit - Established Patient, High Complexity$2350%$235 Medium
Office Visit - Established Patient, Low Complexity$1190%$119 Medium
Office Visit - Established Patient, Moderate Complexity$1740%$174 Medium
Office Visit - New Patient, Low Complexity$1630%$163 Medium
Office Visit - New Patient, Minor$1640%$164 Medium
Pap Test$1250%$125 Medium
Physical Therapy - Low Complexity Evaluation$1660%$166 Medium
Physical Therapy - Manual Therapy$810%$81 Medium
Physical Therapy - Moderate Complexity Evaluation$2340%$234 Medium
Physical Therapy - Self-care or Home Management Training$790%$79 Medium
Physical Therapy - Therapeutic Exercises$810%$81 Medium
Physical Therapy - Ultrasound Therapy$700%$70 Medium
Psychiatric Diagnostic Evaluation$1940%$194 Medium
Psychotherapy - 30 Minutes$800%$80 Medium
Psychotherapy - 45 Minutes$1090%$109 Medium
Psychotherapy - 60 Minutes$1510%$151 Medium
Psychotherapy - Group Session$1960%$196 Medium
Strep Test (Streptococcus, group A)$420%$42 Medium
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$740%$74 Medium
Ultrasound - Abdominal, Limited$1,0520%$1,052 Medium
Ultrasound - Breast (outpatient)$1,5020%$1,502 High
Ultrasound - Head and Neck$1,0420%$1,042 High
Ultrasound - Pregnancy (outpatient)$1,2790%$1,279 Medium
Ultrasound - Transvaginal (non-maternity)$1,3470%$1,347 Medium
Urine Test - Automated without Microscope$260%$26 Medium
Urine Test - Bacterial Culture$490%$49 Medium
Urine Test - Bacterial Culture, Quantitative Colony Count$400%$40 Medium
Urine Test - Chlamydia$950%$95 Medium
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$950%$95 Medium
Urine Test - Pregnancy$700%$70 Medium
X-Ray - Abdomen$3540%$354 High
X-Ray - Ankle (outpatient)$4480%$448 Medium
X-Ray - Chest (outpatient)$5240%$524 Medium
X-Ray - Foot (outpatient)$7340%$734 Medium
X-Ray - Hand$4690%$469 Medium
X-Ray - Hip$4660%$466 Medium
X-Ray - Knee (outpatient)$4960%$496 Medium
X-Ray - Shoulder (outpatient)$4180%$418 Medium
X-Ray - Wrist (outpatient)$6470%$647 Medium