Premier Extended Plan

Cost

Monthly Payment Information

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·       The cost is $15 per month per individual. (Due the 1st of each month.)

 

OFFICE VISITS

·       Primary Care Office Visits $5

·       Transportation to the network Medical Center visit $7

·       Physical Therapy office based $15 per treatment

 

PRESCRIPTION DRUGS

·       Prescriptions dispensing $5 per medication

 

LABORATORY TESTING 

Laboratory: $15

·       PT, PTT, INR

·       Complete Blood Count (CBC)

·       Hemoglobin / Hematocrit

·       Basic Metabolic Panel

·       Comprehensive Metabolic Panel

·       Electrolyte Panel

·       Lipid Panel

·       Liver Function Panel

·       Routine Culture (Throat, Urine, Stool, Tissue, Genital)  

 

Other tests:

·       Pap Smear Test $15

* Other laboratory tests available.

 

MINOR SURGERY / PROCEDURES 

Office based minor surgery $140

* Other procedures available

PULMONARY SERVICES 

·       Spirometry $40

·       Aerosol Treatments $18

 

RADIOLOGY SERVICES 

·       Plain X-Rays (2 views) $30

 

DIAGNOSTIC ULTRASOUNDS

·       Aorta, Kidneys or Pancreas $95

·       Breast $75

·       Scrotum $95

·       Thyroid $90

 

CARDIOVASCULAR

·       Electrocardiogram $25

·       Extremities vascular Imaging $ 130

·       Carotid Arterial Imaging/ Doppler $210

·       Echocardiogram $210