foxvalleyimmediatecare.com

Self Pay Price List

New Patient Visit: $125
Established Patient Visit: $100

  1. A) Packages

Wellness & Chronic Care

  • Basic Wellness Labs: CBC + CMP + Lipid Panel → $55
  • Core Wellness Labs (Most Popular): CBC + CMP + Lipid + A1C + TSH → $75
  • Cardio-Metabolic Screen: CMP + Lipid + A1C → $55
  • Diabetes Check: A1C + CMP + Urinalysis → $45
  • UTI Lab Bundle: Urinalysis + Urine Culture → $35
  • Fatigue / Low Energy Panel: CBC + CMP + TSH + Iron/TIBC + B12/Folate + Vitamin D → $119
  • Men’s Health Panel: CBC + CMP + Lipid +TSH+ PSA+Testosterone →$89
  • Female’s Health Panel: CBC + CMP + Lipid Panel+ TSH→$69

STI / STD

  • STI Essentials (Blood): STI Profile (Blood) (including syphilis, hepatitis B virus (HBV), hepatitis C virus (HCV), and HIV) → $89
  • STI Standard: STI Profile (Blood) + CT/NG NAAT (Urine) → $119
  • STI Complete: STI Profile (Blood) + CT/NG NAAT + Trich NAAT (Urine) → $159
  • Female Advanced STI Panel (Blood + Molecular Vaginal Swab) → $199

GI

  • pylori Basic Bundle: H. pylori Stool Antigen + CBC + CMP → $99

Pregnancy Confirmation (Serum)

  • Urine hCH + hCG Qual + Quant (all-in) →$49.00

Rapid Test

Rapid Respiratory / Throat Panel

  • Respiratory Panel – Tier 1 (Rapid COVID + Rapid Flu A/B) → $59
  • Respiratory Panel – Tier 2 (Rapid COVID + Rapid Flu A/B + Rapid RSV) → $85
  • Respiratory Panel – Tier 3 (Rapid Flu A/B + Rapid RSV) →$69
  • Respiratory Panel – Tier 4 (Rapid Strep A + Rapid COVID+ Strep Culture) → $55
  • Respiratory Panel – Tier 5 (Rapid Strep A + Rapid COVID + Rapid Flu A/B + Strep Culture) → $79

UTI Quick Screen

  • Quick Check (Urine hCG + UA Dipstick + Urine Culture) → $29
  • Female UTI Quick Screen (UA Dipstick + Urine hCG) → $20

Cancer Screening Packages (marketable “screening”)

Women

  • Women’s Cancer Screening – CORE: Pap (reflex HPV if abnormal) + FIT stool test → $159
  • Women’s Cancer Screening – PLUS: Pap + high-risk HPV co-test + FIT → $209
  • Cologuard option: available via Exact Sciences (pricing billed by Exact Sciences / may vary)

Men

  • Men’s Cancer Screening – CORE: PSA + FIT stool test → $79
  • Men’s Cancer Screening – ADVANCED: PSA + FIT + CBC + CMP→ $129
  • Cologuard option: available via Exact Sciences (pricing billed by Exact Sciences / may vary)

 Tumor Marker Bundles

Women – Tumor Marker Bundles

  • Breast Marker Panel: CA 15-3 + CA 27.29 → $199
  • Abdominal/Pelvic Marker Panel: CA-125 + AFP + CA 19-9 + CEA → $329
  • Women’s Comprehensive Tumor Marker Panel: CA-125 + AFP + CA 19-9 + CEA + CA 15-3 + CA 27.29 →$499

Men – Tumor Marker Bundles

  • GI/Pancreas/Liver Marker Panel: AFP + CA 19-9 + CEA →$299
  • Prostate + Abdominal Marker Panel: PSA + AFP + CA 19-9 + CEA → $329
  1. B) Visits (Self-Pay)
  • Established: $100
  • New Patient: $125
  • Televisit: $75
  1. D) Labs

Routine / Core

  • CBC: $25
  • CMP: $25
  • Lipid Panel: $25
  • Hemoglobin A1C: $30
  • TSH: $30

Urine

  • Urinalysis (Complete): $15
  • Urine Culture: $25

Cultures

  • Throat Culture (Beta Strep Culture): $29

Vitamins / Nutrition

  • Vitamin D (25-OH): $25
  • Vitamin B12 + Folate (Lab): $25
  • Iron + TIBC: $ 35
  • Magnesium: $20
  • Lipase: $20

STI / Infectious

  • HIV Ag/Ab (4th Gen) w/ Reflex: $29
  • Syphilis Screen (RPR): $19
  • Hepatitis C Ab: $25
  • Acute Hepatitis Panel: $49
  • Chlamydia/Gonorrhea NAAT (CT/NG): $39
  • Trichomonas NAAT: $70
  • STI Profile (Blood): $59

GI / H. pylori

  • pylori Stool Antigen: $59
  • pylori Breath Test: $119
  • pylori IgG (serology): $39
  1. E) Rapid Tests
    • Rapid Strep A: $29
    • Rapid Influenza A/B: $39
    • Rapid COVID Antigen: $39
    • Rapid RSV (if offered): $39
    • Monospot (Mono): $35
    • Urine Pregnancy (hCG qualitative): $19
    • Fingerstick Glucose: $10
  1. F) Diagnostics / In-Clinic Procedures
  • EKG: $49

X-Rays (Per Region, Includes Read)

  • Extremity X-Ray (hand/wrist/forearm/elbow/humerus/foot/ankle/tibia-fibula/knee/femur): $69
  • Chest X-Ray (2 views): $69
  • Shoulder X-Ray (shoulder): $69
  • Spine X-Ray (cervical OR thoracic OR lumbar): $99
  • Facial Bones / Nasal Bones X-Ray: $69
  1. G) Common Urgent Care Treatments / Procedures

Breathing Treatments

  • Nebulizer Treatment (1 session): $39
  • Additional Neb Treatment (same visit): $25

Ear Wax / Ear Lavage

  • Ear Lavage (one ear): $49
  • Ear Lavage (both ears): $65

Laceration Repair (Includes standard supplies)

  • Simple Laceration Repair (1–3 cm): $129
  • Moderate Repair (3–6 cm): $179
  • Complex / >6 cm / layered or multiple sites: $249
  • Suture Removal (if performed here): Included
  • Suture Removal (done elsewhere): $35

Incision & Drainage (I&D)

  • I&D Simple (small abscess): $129
  • I&D Moderate (packing required): $129
  • I&D Complex (large/multiple loculations): $219
  • Packing Re-check / Dressing Change Follow-Up: $35

Foreign Body Removal

  • Foreign Body Removal (superficial skin): $79
  • Eye Foreign Body (simple, no complication): $99

Ortho Basics (Dispensed items priced separately if applicable)

  • Splinting (includes standard splint materials): $79
  • Crutches (if dispensed): $30
  • Sling (if dispensed): $20
  • Ankle Brace (if dispensed): $35
  • Wrist Brace (if dispensed): $35
  1. H) Injections / IV (When Implemented)

Injections (Administration Included)

  • Vitamin B12 Injection: $15
  • Toradol IM: $35
  • Decadron IM: $35
  • Antibiotic IM (depending on medication): $59–$89

IV Hydration / Fluids (when implemented)

  • IV Hydration 1L (NS/LR) + IV start + monitoring: $129
  • Additional Liter: +$35
  • Ondansetron IV Add-On (if used): +$25
  • Vitamin Add-On (if offered): +$25
  1. I) Physicals / Certifications / Employer Services

DOT / School / Sports

  • DOT Physical: $110
  • School Physical: $49
  • Sports Physical: $49

Occupational / Employer

  • Pre-Employment Physical (basic): $95
  • Return-to-Work / Fitness-for-Duty: $95
  • TB Skin Test (PPD placement + read): $55
  • TB Blood Test (QuantiFERON): $99
  1. J) Immigration (When Implemented)
  • USCIS Immigration Medical Exam (I-693) Base Exam: $350-$399
  • Required labs & vaccines: billed separately (use the lab/vaccine list below)
  1. K) Vaccine (incl. immigration needs)
  • Flu (seasonal): $35
  • Tdap: $119
  • Hepatitis B (per dose): $89
  • MMR: $129
  • Varicella: $199
  • IPV (Polio): $89
  • COVID-19 (if offered; depends on acquisition/program): $10–$49
  1. L) Individual tumor markers
  • PSA: $39
  • CA-125: $29
  • AFP: $99
  • CA 19-9: $199
  • CEA: $29
  • CA 15-3: $39
  • CA 27.29: $179