Pricing Fees

Procedure Pricing in Medallus Urgent Care in Jamestown, ND

If you are curious about the prices at Medallus Urgent Care, please review the pricing list below. If you would like more information on our prices, call, or visit us today!

Office Visit

99201 New Patient, Level 1 $77
99202 New Patient, Level 2 $135
99203 New Patient, Level 3 $200
99204 New Patient, Level 4 $243
99205 New Patient, Level 5 $305
99211 Established Patient, Level 1 $29
99212 Established Patient, Level 2 $88
99213 Established Patient, Level 3 $120
99214 Established Patient, Level 4 $170
99215 Established Patient, Level 5 $213

Preventative Office Visit

New Patient age 12-17
99385 New Patient age 18-39 $278
99386 New Patient age 40-64
99394 Established Patient age 12-17
99395 Established Patient age 18-39 $220
99396 Established Patient age 40-64 $249
99401 Preventive Counseling Ind. $99.40

Procedures

93000 Electrocardiogram complete (EKG) – 40 $42.00
69209 Cerumen impaction removal – 34 $32.00
10060 Drainage of skin abscess simple – 26 $220.00
10120 Removal of foreign body
11750 Toe nail removal
26989 Ring Cutting, Finger

X – Ray

71046 Chest 2V $70
73630 Foot 3V $45
73610 Ankle 3V $48
73110 Wrist 3V $51
73562 Knee 3V $51
73140 Finger 3V $56
72040 Cervical Spine 2V $62
72070 Thoracic Spine 2V $66
72100 Lumbar Spine 2V $75
73130 Hand 3V $56
73030 Shoulder 2V $69.79
74018 Abdomen 1V $48
74000 KUB
72170 Pelvis 1-2V
73080 Elbow 3V $50
72040 Neck 2-3V $62
73660 Toes 3V $40
71101 Ribs 2V $67
73090 Forearm 2V $47
73590 Lower Leg $50
73510 Hip 2V

DME

L4360 Walking Boot $180
L4387 Pediatric Walking Boot
L3260 Post-Op Shoe
L3908 Wrist Splint $63
L3807 Thumb Spica $100
L3660 Shoulder Immobilizer
L3660 Clavicle Splint
A4467 Rib Belt
L1830 Knee Immobilizer
L1832 Hinged Knee Brace
A4467 Elbow Strap
E0114 Crutches $63
L1971 Ankle Brace
L1902 Lace up Ankle Brace
L0172 Cervical Collar-Firm
L0120 Cervical Collar-Soft

Medication

96372 Intramuscular injection administration
J0696-Ceftriaxone Sodium Injection – $15.00
J1885-Ketorolac Tromethamine Inj – $6.00
J2930-Methylprednisolone Injection – $41.00
94640-Airway Inhalation Treatment – $46.00
A7003-Nebulizer Administration Set – $8.00
J7613-Albuterol Non-comp Unit – $4.00
J7614-Levalbuterol Non-comp Unit – $6.00
J8540-Oral Dexamethasone – $1.00
J7510-Prednisolone Oral per 5 MG – $4.00
S0119-Ondansetron 4 MG – $3.00

Labs (In-House)

87426-Sarscov Coronavirus AG IA – $45.23
87804-Influenza Assay W/Optic – $50.00
87880-Strep a Assay W/Optic – $45.00
81003-Urinalysis Auto W/O Scope – $15.00
36415-Routine Venipuncture – $8.00
36416-Capillary Blood Draw – $6.00
80061-Lipid Panel – $60.00
81025-Urine Pregnancy Test – $30.00
82948 Blood Glucose
86308-Heterophile Antibody Screen – $30.00
83036-Glycosylated Hemoglobin Test – $30.00
87339 H-Pylori

Immunization

90471-Immunization Admin – $64.00
90472 Immunization Administration-additional Influenza
90714-TD Vacc No Presv 7 Yrs+ IM – $36.00
90715-Tdap Vaccine 7 Yrs/> IM – $65.00
86580 TB Intradermal