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Duplicative tests – and costs – are more common than you might think. A primary care physician who coordinates your care can help eliminate those tests and procedures.
The health care system can be a maze. Take a test from one specialist. Go to another specialist for a different test (or maybe the same one). Your insurance may cover for a specialist referral, but not for a self-referral. And after all the tests, time, and money, you still may not have a good handle on your condition.
That’s why having a primary care physician makes sense. That physician or their clinic can help you navigate the system and get you to the specific care you need.
Wellmark Tip: Build a relationship with a doctor to ensure you receive the right care at the right time.
| Type of Exam |
Cost Range |
You Pay |
Infant Preventive Exam Up to Age 1
Normal infant checkup |
$85-$90 |
$0-$25
Typically, you're only responsible for your copayment or coinsurance for office visits.
|
Child Ages 1 to 12
Normal child checkup |
$95-$100 |
Adolescent Ages 12-17
Normal adolescent checkup |
$100-$105 |
Adult Established Patient
Normal adult checkup for an existing patient |
$50-$115 |
|
Adult New Patient
Normal adult checkup for a new patient
|
$80-$185 |
Consultation
Advice or opinion regarding evaluation of a specific problem |
$115-$170 |
Mammography Exam
X-ray exam of the human breast |
$25-$130 |
Eye Exam
Routine exam performed by an ophthalmologist or optometrist |
$40-$95 |
|
Psychiatric Exam
Adult evaluation by a psychiatrist
|
$85-$150 |
Vaccines
| Type of Vaccine |
Cost Range |
You Pay |
| Flu Vaccine |
$15-$20 |
$0-$25
Vaccines are usually included as part of a standard office visit, so you'll typically only pay your copayment or coinsurance.
|
Human Papilloma Virus Vaccine
Cervical cancer vaccine, female Gardasil |
$125-$140 |
Childhood Immunizations
Measles, Mumps, Rubella |
$55-$60 |
| Tetanus |
$25-$45 |
Tests
| Type of Test |
Cost Range |
You Pay |
Strep Test
A swab test of the tonsils and at the back of your throat to determine if a sore throat is caused by a bacterial infection. |
$25-$30 |
$0-$25
These tests are often part of a standard office visit, so you'll typically only pay your copayment or coinsurance.
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Routine Cardiovascular Test
Stress tests, Electro Cardio Grams (ECG)
|
$25-$150 |
| Pregnancy Test |
$15-$20 |
| Pap Smear Test |
$35-$60 |
Fetal Non Stress Test
A non stress test measures the fetal heart rate in response to the fetus' movements. |
$50-$70 |
| Urine Analysis |
$5-$10 |
Lipid Panel
The lipid profile includes total cholesterol, HDL-cholesterol (often called good cholesterol), LDL-cholesterol (often called bad cholesterol), and triglycerides. |
$30-$35 |
Blood Draws
The procedure of drawing a patient's blood. |
$5-$10
|
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Allergy Testing
Skin or blood test to find out what substance, or allergen, may trigger an allergic response.
|
$10-$20 |
Drug Testing
Qualitative screenings includes alcohols, amphetamines, barbiturates, methadones, etc. |
$30-$35 |
Treatments & Procedures
| Treatment or Procedure |
Cost Range |
You Pay |
Physical Therapy
Treatment of injury or dysfunction with exercises and other physical treatments. |
$80-$205 |
$0-$25
These treatments and procedures are usually part of a standard office visit, so you'll typically only pay your copayment or coinsurance.
|
Osteopathic Manipulative Therapy
Hands-on stretching, resistance techniques, and gentle pressure to your muscles and joints to diagnose, treat, and prevent illness or injury. |
$80-$135 |
Breathing Treatment
Treatment to help open your airways, typically using a nebulizer. |
$80-$140 |
Removal of Tissue for Biopsy
Removal of skin, tissue, or mucous membrane. |
$150-$200 |
Wart Removal
Removal by cryosurgery, chemical cauterization. or surgical curettement. |
$75-$220 |
Destruction of Lesions
Removal of benign or premalignant lesions by laser surgery, electro surgery, cryosurgery, chemosurgery, or surgical curettement. |
$60-$105
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