ProCare Medical Center Physician Access Plan Sang D. Tran, M.D.
|
Individual Premium Plan
Individual Basic Plan
The Individual Basic Plan covers only the patient who applied. Patients will be required to provide proof of
identification at each visit. NO EXCEPTIONS! What services are offered under the Individual Basic Plan?
The lab test listed below are available under this plan for an additional $15.00 per lab test. (Excludes the flue
screen and mono testing). X-rays and injections are also available. Prices and co-pays are outlined below.
ALl co-pays will be due at the time of visit
$39.00-Monthly Premium
|
$10.00-OV Co-pay (per visit)
|
$15.00-Labs (per test)
|
$15.00-Injections (see list)
|
|
X-RAY SERVICES:
|
PRICE:
|
ANKLE 3V
|
$24.00
|
ABDOMEN
|
$20.00
|
CHEST 2V
|
$35.00
|
C-SPINE 4V
|
$45.00
|
ELBOW
|
$26.00
|
FINGERS 2V
|
$20.00
|
FOOT 3V
|
$22.00
|
FOREARM 2V
|
$20.00
|
HIP UNILATERAL 2V
|
$28.00
|
HIP BILAT 3V
|
$30.00
|
HUMERUS 2V
|
$24.00
|
HAND 3V
|
$22.00
|
KNEE 3V
|
$26.00
|
KNEE STANDING
|
$23.00
|
KUB
|
$22.00
|
LUMBAR SPINE 4V
|
$35.00
|
PELVIS 3V
|
$30.00
|
RIBS UNILATERAL 3V
|
$30.00
|
SACRUM/COCCYX 2V
|
$24.00
|
SHOULDER 3V
|
$24.00
|
STERNUM 2V
|
$54.00
|
THORACIC SPINE 2V
|
$27.00
|
TIB/FIB 2V
|
$22.00
|
TOES 2V
|
$20.00
|
|
**INJECTION LISTED ARE AVAILABLE FOR AN ADDITIONAL CO-PAY OF $15 PER INJECTION**
|
Kenalog 20mg, 40mg, 80mg
|
Rocephin 250mg, 500mg
|
Benadryl
|
Toradol 60mg
|
Vitamin B12
|
Solu Medrol 40mg, 80mg, 120 mg
|
Lidocaine 1%, 2%
|
|
Phenegran 12.5mg, 25mg
|
Tetanus (children & adults)
|
|
(PLEASE NOTE: ANY
INJECTIONS NOT LISTED WILL
STILL BE AVAILABLE TO
PATIENT AT REGULAR PRICE)
Please Note: PMC currently does
NOT offer childhood vaccination
to our patients. Please refer to
the Health Department for
necessary vaccination.
$79.00-Monthly Premium
|
$5.00-OV Co-pay (per visit)
|
$10.00-Labs (per test)
|
$15.00-Injections (see list)
|
|
X-RAY SERVICES:
|
PRICE:
|
ANKLE 3V
|
$24.00
|
ABDOMEN
|
$20.00
|
CHEST 2V
|
$35.00
|
C-SPINE 4V
|
$45.00
|
ELBOW
|
$26.00
|
FINGERS 2V
|
$20.00
|
FOOT 3V
|
$22.00
|
FOREARM 2V
|
$20.00
|
HIP UNILATERAL 2V
|
$28.00
|
HIP BILAT 3V
|
$30.00
|
HUMERUS 2V
|
$24.00
|
HAND 3V
|
$22.00
|
KNEE 3V
|
$26.00
|
KNEE STANDING
|
$23.00
|
KUB
|
$22.00
|
LUMBAR SPINE 4V
|
$35.00
|
PELVIS 3V
|
$30.00
|
RIBS UNILATERAL 3V
|
$30.00
|
SACRUM/COCCYX 2V
|
$24.00
|
SHOULDER 3V
|
$24.00
|
STERNUM 2V
|
$54.00
|
THORACIC SPINE 2V
|
$27.00
|
TIB/FIB 2V
|
$22.00
|
TOES 2V
|
$20.00
|
|
**ALL LAB TEST LISTED BELOW ARE AVAILABLE UNDER THE PREMIUM PLAN FOR AN ADDITIONAL $10.00 CO-PAY**
|
Complete Metabolic Panel
|
Hemaglobin A1C
|
Lipid Panel
|
Magnesium
|
PSA
|
Sed Rate
|
Free T4
|
TSH
|
IH-Urinalysis
|
IH-Pregnacy Test (Urine)
|
IH-Rapid Flu
|
IH-Rapid Strep
|
IH-Rapid Mono
|
IH-Glucose Monitor (finger Stick
|
(PLEASE NOTE: ANY LAB TEST NOT LISTED WILL STILL BE AVAILABLE TO PATIENT AT REGULAR PRICE)
|
|
**INJECTION LISTED ARE AVAILABLE FOR AN ADDITIONAL CO-PAY OF $10 PER INJECTION**
|
Kenalog 20mg, 40mg, 80mg
|
Rocephin 250mg, 500mg
|
Benadryl
|
Toradol 60mg
|
Vitamin B12
|
Solu Medrol 40mg, 80mg, 120 mg
|
Lidocaine 1%, 2%
|
|
6870 S Rainbow Blvd. Suite 106 & 107 Las Vegas, NV 89118
Phone: (702) 396-6000 FAX: (702) 396-6001
ProCare Medical Center
**ALL LAB TEST LISTED BELOW ARE AVAILABLE UNDER THE INDIVIDUAL BASIC PLAN FOR AN ADDITIONAL $15.00 CO-PAY**
|
Complete Metabolic Panel
|
Hemaglobin A1C
|
Lipid Panel
|
Magnesium
|
PSA
|
Sed Rate
|
Free T4
|
TSH
|
IH-Urinalysis
|
IH-Pregnacy Test (Urine)
|
IH-Rapid Flu
|
IH-Rapid Strep
|
IH-Rapid Mono
|
IH-Glucose Monitor (finger Stick
|
(PLEASE NOTE: ANY LAB TEST NOT LISTED WILL STILL BE AVAILABLE TO PATIENT AT REGULAR PRICE)
|
|
The Individual Premium Plan covers only the patient who applied. Patients will be required to provide proof of
identification at each visit. NO EXCEPTIONS! What services are offered under the Individual Basic Plan?
The lab test listed below are available under this plan for an additional $15.00 per lab test. (Excludes the flue
screen and mono testing). X-rays and injections are also available. Prices and co-pays are outlined below.
ALl co-pays will be due at the time of visit
(PLEASE NOTE: ANY
INJECTIONS NOT LISTED
WILL STILL BE AVAILABLE TO
PATIENT AT REGULAR PRICE)
Please Note: PMC currently does
NOT offer childhood vaccination
to our patients. Please refer to
the Health Department for
necessary vaccination.