Fee Schedule:
*Cash paying patients receive a 30% discount from listed price except for aesthetic treatments, medications, other treatments or procedures.
*If you are experiencing financial hardship, alternative payment options are available.
*The prices on this list are subject to change and will be updated regularly.
| 99202 | OFFICE O/P NEW SF 15 MIN | 150.00 |
| 99203 | OFFICE O/P NEW LOW 30 MIN | 175.00 |
| 99204 | OFFICE O/P NEW MOD 45 MIN | 250.00 |
| 99205 | OFFICE O/P NEW HI 60 MIN | 325.00 |
| 99212 | OFFICE O/P EST SF 10 MIN | 125.00 |
| 99213 | OFFICE O/P EST LOW 20 MIN | 150.00 |
| 99214 | OFFICE O/P EST MOD 30 MIN | 200.00 |
| 99215 | OFFICE O/P EST HI 40 MIN | 300.00 |
| 99382 | INIT PM E/M NEW PAT 1-4 YRS | 175.00 |
| 99383 | PREV VISIT NEW AGE 5-11 | 250.00 |
| 99384 | PREV VISIT NEW AGE 12-17 | 250.00 |
| 99385 | PREV VISIT NEW AGE 18-39 | 250.00 |
| 99386 | PREV VISIT NEW AGE 40-64 | 275.00 |
| 99387 | INIT PM E/M NEW PAT 65+ YRS | 325.00 |
| 99392 | PREV VISIT EST AGE 1-4 | 150.00 |
| 99393 | PREV VISIT EST AGE 5-11 | 200.00 |
| 99394 | PREV VISIT EST AGE 12-17 | 200.00 |
| 99395 | PREV VISIT EST AGE 18-39 | 200.00 |
| 99396 | PREV VISIT EST AGE 40-64 | 225.00 |
| 99397 | PER PM REEVAL EST PAT 65+ YR | 250.00 |
| 99401 | PREV MED CNSL INDIV APPRX 15 | 150.00 |
| 99402 | PREV MED CNSL INDIV APPRX 30 | 150.00 |
| 99403 | PREV MED CNSL INDIV APPRX 45 | 250.00 |
| 99404 | PREV MED CNSL INDIV APPRX 60 | 250.00 |
| 99406 | BEHAV CHNG SMOKING 3-10 MIN | 15.00 |
| 99407 | BEHAV CHNG SMOKING > 10 MIN | 30.00 |
| 99408 | AUDIT/DAST 15-30 MIN | 100.00 |
| 99409 | AUDIT/DAST OVER 30 MIN | 200.00 |
| 99417 | PROLNG OP E/M EACH 15 MIN | 50.00 |
| 36415 | COLL VENOUS BLD VENIPUNCTURE | 35.00 |
| 36416 | COLLJ CAPILLARY BLOOD SPEC | 35.00 |
| 36481 | INSERTION OF CATHETER VEIN | 35.00 |
| 36510 | INSERTION OF CATHETER VEIN | 35.00 |
| 81000 | URINALYSIS NONAUTO W/SCOPE | 25.00 |
| 87880 | STREP A ASSAY W/OPTIC | 40.00 |
| 94640 | AIRWAY INHALATION TREATMENT | 100.00 |
| 94642 | AEROSOL INHALATION TREATMENT | 75.00 |
| J0171 | INJ ADRENALIN EPINEPHRINE 0.1 MG | 300.00 |
| 99058 | OFFICE EMERGENCY CARE | 350.00 |
| 99060 | OUT OF OFFICE EMERG MED SERV | 450.00 |
| 99070 | SPECIAL SUPPLIES PHYS/QHP | 50.00 |
| 99071 | PATIENT EDUCATION MATERIALS | 10.00 |
| 99072 | ADDL SUPL MATRL&STAF TM PHE | 100.00 |
| 99080 | SPECIAL REPORTS OR FORMS | 150.00 |
| 99082 | UNUSUAL PHYSICIAN TRAVEL | 50.00 |
| 99091 | COLLJ & INTERPJ DATA EA 30 D | 100.00 |
| 99173 | VISUAL ACUITY SCREEN | 45.00 |
| J0636 | INJECTION CALCITRIOL 0.1 MCG | 50.00 |
| J1750 | INJECTION IRON DEXTRAN 50 MG | 200.00 |
| J3411 | INJECTION THIAMINE HCL 100 MG | 50.00 |
| J3420 | INJ VIT B-12 CYNOCOBLMN TO 1000 MCG | 35.00 |
| J3424 | INJ HYDROXOCOBALAMIN IV 25MG | 35.00 |
| J3470 | INJ HYALURONIDASE TO 150 UNITS | 300.00 |
| J3475 | INJ MAGNESIUM SULFATE PER 500 MG | 25.00 |
| J3480 | INJ POTASSIUM CHLORIDE PER 2 MEQ | 25.00 |
| J7030 | INFUS NORMAL SALINE SOL 1000 CC | 100.00 |
| J7050 | INFUS NORMAL SALINE SOLUTION 250 CC | 150.00 |
| 90791 | PSYCH DIAGNOSTIC EVALUATION | 200.00 |
| 90792 | PSYCH DIAG EVAL W/MED SRVCS | 250.00 |
| 11730 | REMOVAL OF NAIL PLATE | 325.00 |
| 11732 | REMOVE NAIL PLATE ADD-ON | 100.00 |
| 11740 | DRAIN BLOOD FROM UNDER NAIL | 250.00 |
| 11760 | REPAIR OF NAIL BED | 325.00 |
| 11765 | EXCISION OF NAIL FOLD TOE | 250.00 |
| 11770 | REMOVE PILONIDAL CYST SIMPLE | 400.00 |
| 11771 | REMOVE PILONIDAL CYST EXTEN | 500.00 |
| 11772 | REMOVE PILONIDAL CYST COMPL | 750.00 |
| 17000 | DESTRUCT PREMALG LESION | 200.00 |
| 17003 | DESTRUCT PREMALG LES 2-14 | 250.00 |
| 17004 | DESTROY PREMAL LESIONS 15/> | 350.00 |
| 97026 | NEAR INFRARED THERAPY | 150.00 |
| 97032 | APPL MODALITY 1+ ESTIM EA 15 MIN | 150.00 |
| J1050 | Depo Provera Injection NDC: 66993-371-79 150units MG | 150.00 |
| 17110 | destruction of benign legion up to 14 | 200.00 |
| 11301 | shave skin lesion 0.6-1cm diameter | 325.00 |
| 83036 | Hemoglobin A1C | 20.00 |
| 82977 | GGT | 6.00 |
| 82626 | DHEA | 53.00 |
| 84403 | Testosterone | 54.00 |
| 82670 | Estradiol | 54.00 |
| 85025 | CBC with Diff. | 10.00 |
| 86038 | ANA with Reflex | 120.00 |
| 80053 | CMP | 16.00 |
| 81291 | MTHFR gene | 500.00 |
| 84443 | TSH | 33.00 |
| 82306 | Vitamin D3 | 38.00 |
| 84439 | Free T4 | 16.00 |
| 84481 | Free T3 | 20.00 |
| 84436 | Total T4 | 10.00 |
| 84480 | Total T3 | 20.00 |
| 84144 | Progesterone | 30.00 |
| 83001 | FSH | 28.00 |
| 83002 | LH | 30.00 |
| 82533 | Cortisol | 29.00 |
| 84146 | Prolactin | 32.00 |
| 86704, 86592, 87389 | STI panel serum | 70.00 |
| 87801 | STI panel swab | 120.00 |
| 87086 | Urine culture | 12.00 |
| 81025 | Urine pregnancy | 14.00 |
| 84702 | HCG serum | 25.00 |
| 82679 | Estrone | 40.00 |