Below is a list of the common services received at our clinic. The listed price reflects the undiscounted rate. The price you pay for a service or procedure may differ from the amount stated on this list, depending on your sliding fee discount and insurance plan benefits.
Price Transparency
Procedure codes: Procedure codes are numbers used to report the health care services provided to a patient. They are used for billing purposes.
Evaluation and Management
Procedure Established patient office visit 30 minutes
- Procedure Code 99214
- Cost $400
Procedure Established patient office visit 20 minutes
- Procedure Code 99213
- Cost $285.71
Procedure New Patient Office Visit 30 minutes
- Procedure Code 99203
- Cost $357.14
Procedure New Patient Office Visit 45 minutes
- Procedure Code 99204
- Cost $500.00
Procedure Established patient office visit 10 minutes
- Procedure Code 99212
- Cost $170.00
Procedure Behavior change smoking 3-10 minutes
- Procedure Code 99406
- Cost $50.00
Procedure Established patient office visit 40 minutes
- Procedure Code 99215
- Cost $560.00
Procedure New patient office visit 15 minutes
- Procedure Code 99202
- Cost $220.00
Procedure New patient office visit 60 minutes
- Procedure Code 99205
- Cost $680.00
Procedure Established patient office visit may x require physician
- Procedure Code 99211
- Cost $70.00
Medicine
Procedure Therapeutic, prophylactic, or diagnostic substance injection via intramuscular or subcutaneous route
- Procedure Code 96372
- Cost $50.00
Procedure Brief emotional/behavior assessment
- Procedure Code 96127
- Cost $20.00
Procedure Ceftriaxone sodium injection
- Procedure Code J0696
- Cost $15.00
Procedure Ketorolac tromethamine injection
- Procedure Code J1885
- Cost $15.00
Procedure Airway inhalation treatment
- Procedure Code 94640
- Cost $50.00
Procedure Azithromycin dihydrate, oral
- Procedure Code Q0144
- Cost $50.00
Procedure Electrocardiogram complete
- Procedure Code 93000
- Cost $60.00
Procedure Electrocardiogram tracing
- Procedure Code 93005
- Cost $30.00
Procedure Vaccine administration fee (adults, first vaccine)
- Procedure Code 90471
- Cost $60.00
Procedure Tdap vaccine 7 yrs/> im
- Procedure Code 90715
- Cost $75.00
Pathology/Laboratory Services
Procedure Sars-cov-2 covid-19 detection using amplified probe technique
- Procedure Code 87635
- Cost $75.00
Procedure Influenza detection using amplified probe technique
- Procedure Code 87502
- Cost $100.00
Procedure Streptococcus detection using amplified probe technique
- Procedure Code 87651
- Cost $130.00
Procedure Urinalysis, by dip stick or tablet reagent
- Procedure Code 81001
- Cost $20.00
Procedure Urine pregnancy test
- Procedure Code 81025
- Cost $20.00
Procedure Intradermal skin test specifically for tuberculosis
- Procedure Code 86580
- Cost $71.43
Procedure Presumptive drug testing
- Procedure Code 80305
- Cost $50.00
Procedure Blood glucose test
- Procedure Code 82948
- Cost $20.00
Procedure Urinalysis
- Procedure Code 81000
- Cost $20.00
Procedure Blood sugar measurement
- Procedure Code 83036
- Cost $40.00
Radiology
Procedure X-ray of chest 2 views
- Procedure Code 71046
- Cost $150.00
Procedure X-ray exam of hand
- Procedure Code 73130
- Cost $160.00
Procedure X-ray exam of foot
- Procedure Code 73620
- Cost $120.00
Procedure X-ray exam of finger(s)
- Procedure Code 73140
- Cost $160.00
Procedure X-ray exam of wrist
- Procedure Code 73110
- Cost $170.00
Procedure X-ray of shoulder
- Procedure Code 73030
- Cost $150.00
Procedure X-ray exam chest 1 view
- Procedure Code 71045
- Cost $110.00
Procedure X-ray exam of knee 1 or 2 views
- Procedure Code 73560
- Cost $150.00
Procedure X-ray exam knee 4 or more
- Procedure Code 73564
- Cost $200.00
Procedure X-ray of neck vertebrae 2–3 views
- Procedure Code 72040
- Cost $170.00
Surgery
Procedure Incision and drainage abscess comp/multiple
- Procedure Code 10061
- Cost $1,120.00
Procedure Application of finger splint
- Procedure Code 29130
- Cost $230.00
Procedure Repair of superficial wounds
- Procedure Code 12001
- Cost $490.00
Procedure Routine venipuncture
- Procedure Code 36415
- Cost $40.00
Procedure Punch biopsy skin single lesion
- Procedure Code 11104
- Cost $640.00
Procedure Strapping of ankle and/or ft
- Procedure Code 29540
- Cost $160.00
Procedure Incision and drainage abscess simple/single
- Procedure Code 10060
- Cost $660.00
Procedure Remove impacted ear wax unilaterally
- Procedure Code 69210
- Cost $260.00
Procedure Removal of nail plate
- Procedure Code 11730
- Cost $720.00
Procedure Removal of implant device
- Procedure Code 11982
- Cost $590.00
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