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)$8190%$819 High
Blood Test - Basic Metabolic Panel$920%$92 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$980%$98 Medium
Blood Test - Cholesterol Test, Lipid Panel$1390%$139 Medium
Blood Test - Clotting Time$460%$46 Medium
Blood Test - Complete Blood Cell Count (Hemoglobin)$720%$72 Medium
Blood Test - Complete Blood Cell Count and Automated WBC$880%$88 Medium
Blood Test - Comprehensive Metabolic Panel$1130%$113 Medium
Blood Test - Electrolytes Panel$760%$76 Medium
Blood Test - General Health Panel$3340%$334 Medium
Blood Test - Hepatic (Liver) Function Panel$1580%$158 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$1390%$139 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1080%$108 Medium
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$590%$59 Medium
Blood Test - Vitamin D-3 Level$750%$75 Medium
Colonoscopy - Diagnostic (outpatient)$3,9920%$3,992 Medium
Colonoscopy - With Polyp Removal (outpatient)$4,5510%$4,551 High
CT Scan - Abdomen and Pelvis, with Contrast$3,6880%$3,688 Medium
CT Scan - Chest, with Contrast (outpatient)$1,5730%$1,573 Medium
Emergency Department Visit - Low Complexity (outpatient)$3310%$331 Medium
Emergency Department Visit - Minor (outpatient)$2950%$295 Medium
Emergency Department Visit - Moderate Complexity (outpatient)$6000%$600 Medium
Mammogram (outpatient)$6140%$614 Medium
MRI - Knee (outpatient)$1,6420%$1,642 Medium
MRI - Shoulder, Elbow, or Wrist$2,1720%$2,172 Medium
Myocardial Imaging (outpatient)$4,8730%$4,873 Medium
Office Visit - Basic$710%$71 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2040%$204 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$2240%$224 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2450%$245 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$1830%$183 Medium
Office Visit - Established Patient, High Complexity$2130%$213 Medium
Office Visit - Established Patient, Low Complexity$1060%$106 Medium
Office Visit - Established Patient, Moderate Complexity$1610%$161 Medium
Office Visit - New Patient, Low Complexity$1630%$163 Medium
Office Visit - New Patient, Minor$1520%$152 Medium
Physical Therapy - High Complexity Evaluation$2910%$291 Medium
Physical Therapy - Low Complexity Evaluation$1580%$158 Medium
Physical Therapy - Manual Therapy$810%$81 Medium
Physical Therapy - Moderate Complexity Evaluation$2340%$234 Medium
Physical Therapy - Neuromuscular Reeducation$760%$76 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)$400%$40 Medium
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$690%$69 Medium
Ultrasound - Abdominal, Limited$1,0290%$1,029 Medium
Ultrasound - Head and Neck$1,0190%$1,019 Medium
Ultrasound - Pregnancy (outpatient)$1,2530%$1,253 Medium
Ultrasound - Transvaginal (non-maternity)$1,3470%$1,347 Medium
Urine Test - Automated without Microscope$260%$26 Medium
Urine Test - Bacterial Culture$380%$38 Medium
Urine Test - Chlamydia$950%$95 Medium
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$950%$95 Medium
Urine Test - Pregnancy$660%$66 Medium
X-Ray - Abdomen$3370%$337 Medium
X-Ray - Ankle (outpatient)$3770%$377 Medium
X-Ray - Chest (outpatient)$5760%$576 High
X-Ray - Foot (outpatient)$5610%$561 Medium
X-Ray - Hand$3900%$390 Medium
X-Ray - Hip$6210%$621 Medium
X-Ray - Knee (outpatient)$4850%$485 High
X-Ray - Shoulder (outpatient)$4970%$497 Medium
X-Ray - Wrist (outpatient)$5370%$537 Medium