Elm Springs pricing list

Services

Primary care services Price

Sick or Injury Visit $50
Annual Adult Checkup (including Well Woman Exam) $50
Annual Youth Checkup $30
Chronic Care Management $50

Dental services Price

Adult New Patient Exam (exam & full mouth X-rays) $30
Youth New Patient Exam (exam & full mouth X-rays) $30
Adult Cleaning (basic cleaning)* $30
Youth Cleaning (basic cleaning & fluoride treatment)* $25
6 Month Check-up (existing patients only) $60
Problem Exam (includes 2 X-Rays) $40
*Cleanings can be scheduled during checkout after initial exam.

Optometry services Price

Comprehensive Exam $55
Contact Lens Exam (comprehensive exam & fitting) $95
Non-Routine Medical Exam (eye emergencies, pink eye) $80

Counseling services Price

New Patient Initial Assessment $60
Established Patient Individual Counseling (45 min) $60
Couples or Family Counseling $70

Based on your unique needs, if you require additional services during your visit, additional charges
may apply. Fees may be adjusted due to complications or unforeseen circumstances.
Age and service restrictions apply. See your local Walmart Health for details.
Prices are as of 09/06/2019 and are subject to change.
Copays may vary depending upon your insurance coverage. Check with your insurance plan for
additional coverage information.
Elm Springs pricing list
Add-on services

Sick visit Price Chronic care hypertension Price

Flu Test (Influenza A and B) $64 Complete Blood Count (CBC) $9
Strep Test $28 Complete Metabolic Panel (CMP) $15
Blood Draw $4 EKG $28
Urinalysis $4 Blood Draw $4
Complete Metabolic Panel (CMP) $15
Complete Blood Count (CBC) $9 Chronic care diabetes Price
Hemoglobin A1c (HbA1c) $25 Hemoglobin A1c (HbA1c) $25
Thyroid Stimulating Hormone (TSH) $19 Microalbumin/Creatinine $20
Ear Wax Removal (One Ear) $20 Complete Metabolic Panel (CMP) $15
Ear Wax Removal (Both Ears) $40 Thyroid Stimulating Hormone (TSH) $19
Lipid Panel $29 Lipid Panel $29
Chest X-Ray, Two Views $30 Blood Draw $4

Adult annual checkup visit Price

Lipid Panel $29
Thyroid Stimulating Hormone (TSH)
Complete Metabolic Panel (CMP)
$19
$15
Dental add-ons
Complete Blood Count (CBC) $9
Hemoglobin A1c (HbA1c) $25 Restorative treatments Price
HIV Test $43 Non-Surgical Gum Disease Therapy $110-$420
Hepatitis C Test $16 Gum Inflammation Treatment $50
Blood Draw $4 Fillings (price range) $90-$160
Crowns and Bridges $675-$825
DOT/employment physical Price Root Canals $500-$675
DOT physical & Urinalysis $69 Simple and Complex Extractions $80-$225
TB Skin Test $28 Partial and Complete Dentures $625-$875
In-Office Teeth Whitening $225
Well-woman visit Price
Lipid Panel $29 Additional preventive &
Thyroid Stimulating Hormone (TSH) $19 diagnostic services Price
Complete Metabolic Panel (CMP) $15 Panoramic X-Ray or CT Scan $25
Complete Blood Count (CBC) $9 Additional Periapical X-Rays $5-$10
Hemoglobin A1c (HbA1c) $25 Fluoride Varnish $10
HIV Test $43 Sealants (per tooth) $31
Hepatitis C Test $16
Blood Draw $4 Bitewing & full mouth X-rays included in cost of exam.
Pap Smear $70
Chlamydia Test $26

Prices are as of 09/06/2019 and are subject to change.