PSALMS Urgent Care
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Price List

PSALMS Urgent Care Center

Price List (Updated November 1, 2013)

(Price of office visit is included unless stated otherwise)

Go to the ER for:

1.     Animal and Snake Bites
2.     Cardiac Chest Pain
3.     Rape (special test need to be run)

$30.00

Mission Trip Prescriptions
Basic Sports Physical
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$45.00 (**Price goes up to $55.00 if narcotics are prescribed)

Acne
Allergies (seasonal only)
Allergic reaction (mild)
Arthritis (mild)(No narcotics)
Athlete’s foot
Bee Sting (localized reaction only)
Bell’s Palsy
Bladder infection (add $15.00 for urine test)
Blood Pressure controlled with present medications
       (mild=controlled with one or two medication)
Boils (RX only)(No narcotics)
Bronchitis
Bronchiolitis
Burns (1st degree- no blisters)
Callus
Cellulitis (simple)
Cholesterol
Cold
Colic
Constipation
Corns
Contact Dermatitis
Costochondritis
Dermatitis
Diabetes (if under control)
Diaper Rash
Ear infection
Eczema
Epicondylitis (No narcotics) (add $35.00 for injection)
Eye lid infection
Fever Blisters
Fifth Disease
Flu (add $30.00 if flu test is done)
Folliculitis
Fungal rash (adults)
Fungal rash (children)
Gingivitis
Headache(No narcotics)
Herpes (facial/lips)
High Cholesterol
Hypertension
Ingrown Nail (RX)
Insect Bites
Insomnia
Migraine (if typical)(No narcotics)
Motion sickness
Mouth sores
Nasal Discharge
Pink Eye
Poison Ivy
Pneumonia (mild and can be handled with prescription medications)
Psoriasis
Rash
Ring Worm
Roseola
Scarlet Fever Rash (add $15.00 for strep test)
Sebaceous cyst (treated with medications)
Shingles(No narcotics)
Sinusitis
Skin infection (simple)
Sore Throat (add $20.00 for Strep Test) (add $30.00 for mono test)
Strep Throat
Stye treated with meds
Sunburn (1st degree--no blisters)
Thrush
Thyroid (controlled)
TMJ
Toothache(No narcotics)
Urinary Tract Infection (add $15.00 Urine Analysis Test)
Viral Syndrome


$55.00

Abdominal Pain
ADD/ADHD
Anxiety (mild)
Arm or Leg Injury
Asthma requiring injection
Back Pain
Breast Infection
Burns (2nd degree)
Chlamydia
Chest Wall Anterior Pain
Croup
Decubitis Ulcer (Mild)
Dehydration
Depression
Diabetes (glucose)
Dizziness
Epididymitis
Erectile Disorder
Eye Abrasion
Fatigue
Fever unknown cause (This is for office visit only)
Frozen Shoulder (office visit only)
Gallbladder
Genital Gland Infection
Genital Warts (RX)
Gonorrhea
Gout
Hernia
Herpes
Irritable Bowel Syndrome
Jock Itch
Kidney Stone
Menopausal Problems
Menstrual Problems
Migrane (typical with narcotics)
Pain
Pain Chest Wall Anterior
Pelvic Inflammatory Disease
Pelvic Pain (no Narcotics)
Penile Discharge
Physical (2 pages)
Pleurisy
Rectal Bleeding
Restless Leg Synddrome
Sexual Problems
Thyroid (uncontrolled) hypo
Tick bite with local reaction
Trichomoniasis
Vaginal Discharge

$80.00

Chicken Pox
Diabetes (not controlled Glucose above 350)
DOT Physical
DVT (Deep Vein Thrombosis)
Head Injury
Head Lice
Kindergarten Physical
Nose bleeds
Pancreatitis flare-up
Physical (Kindergarten) or 3 page physical
Pyelonephritis
Ruptured Ear Drum
Scabies

$90.00

Complete Physical (Beginning Aug 1, 2010 all labs, Pap, and EKG are extra)
History of Chest Pain(Not Currently experiencing episode)
Confusion
Fainting
Hypertension Urgency Diastolic >120
Seizures
TIA’s

$105.00

HEAD Injury without loss of conciousness

$160.00

Allergic Reaction that is severe
Anaphylaxis
(Any office visit requiring EMS be involved to transport to hospital)
Bradycardia (severe)
Head Injury with Loss of Conciousness
Severe Bee Sting Reaction-anaphylaxis
Tachycardia (fast heart rate uncontrolled)
Throat swelling due to allergic reaction

$285.00

Current Chest Pain (work-up with EKG, if needed ASA, oxygen, nitro, call for EMS)                                                                             

Medications
This is the price of the medications administered in the Clinic setting (not prescription)

Albuterol Nebulizer (1st)           $20.00
Aspirin (4 baby)                            3.00
Ativan tablet                               20.00
B-12                                          30.00
Benadryl Injection                       30.00
Bone & Joint injections                50.00 (per injection)
Clonidine                                     15.00
Epi Injection                               130.00
GI Cocktail                                   20.00
Ibuprofen (infant/child/adult)        3.00 (one dose given in clinic)
Insulin                                         30.00
IV + 500 ml Fluids                     205.00
      (add $55ea. additional 500 ml)                                
Kenalog                                       45.00
Lidocaine                                     30.00
Nail bed destruction                    30.00
Nitroglycerine tab                        15.00 (per tab)                            
Oxygen (2L by nasal canula)       25.00
Phenegan (Promethazine)            30.00
Rocephine                                    50.00
Silvadene                                     30.00
TDAP                                         70.00
Tetanus diphtheria (Td)                40.00
Toradol (Ketorolac)                    35.00 (add 20.00 if 1/2 is given IV)
Trigger Point injection (4 inj)        50.00
Tylenol (infant/child/adult)              3.00 (one dose given in clinic)

PROCEDURE

Boil or Cyst I&D                          105.00
Boil or Cyst I&D (quarter size)    130.00
Boil or Cyst I&D (1/2 dollar size) 155.00
Cut<1" Steri-strips                        45.00
Cut>1" Steri-strips (+$20.00 each additional inch)
Cut Sutures per inch                      155.00
Cut <1" Dermabond                      155.00
Dental Kit                                        45.00
Ear Wax Removal each ear            25.00
Eye Kit                                           30.00
Fish Hook Removal                        130.00
Foreign Body Removal                      80.00 (skin, ear, nose, eye)
Hemorrhoids I&D                            155.00
Mole Removal (excision)                   130.00
Mole (Nitro)  FIRST                           45.00
Mole (Nitro) each additional $5.00
Nail Hematoma evacuation               70.00
Nail Removal                                     130.00
Skin Biopsy(includes Lab Testing)    325.00
Skin Tag (Nitro)     First                     45.00
Skin Tag (Nitro) each additional  $5.00
Wart Removal (excision)                    130.00
Wart (Nitro)  First                              45.00
Wart (Nitro) + $5.00                                      

TEST

(See web site page on LAB PRICES for the price of Most of our labs, the labs listed below are IN-HOUSE testing ONLY)

Audiological Testing   $20.00
Blood Pressure check   15.00
Defibrillator             280.00 (just to place on body regardless if shock is activated)
Drug Screening            35.00
Send Out Drug Screen 45.00
EKG                             90.00
Flu Test (A & B)           35.00
Glucose                        25.00
Hemocult                      25.00
Hemoglobin                  25.00
Measurements              30.00 (Required for some PE)
Mono Test                    35.00
Pap Test                       70.00
Pregnancy Test             30.00
RSV Test                     30.00
Strep Test                    20.00
TB test                         35.00
Urinalysis                     20.00
Wet Prep(Yeast,BV,TRIC) 60.00

SPLINTING

Ankle Sleeve               15.00
Arm Cast                  275.00
Arm Splint                 125.00(Tempory Cast)
Finger Splint               25.00
Jones Wrap                35.00
Leg Cast                   350.00
Leg Splint                 175.00(Tempory Cast)

CASTING

Arm                          275.00
Leg                           350.00

Consultations with physicians/referrals/etc.

$20.00 (During office hours)
$40.00 (After Hours)


Forms:

Doctor’s Note for Work
       (free if given at office visit)
There will be a $15.00 charge for out of work Notes
     requested at times other than during your office visit

FMLA                                                             45.00
Health Care 1500 Paperwork                         55.00
Insurance Paperwork proper coding              25.00
Insurance Precerts                                         45.00
Medical Leave Paper/other detailed forms     45.00