Self Pay Price List
| Procedure | Price |
|---|---|
| New patient office visit | $150.00 |
| Established patient office visit | $100.00 |
| Physical - includes ekg spiro & ppd (ppd read included) | $150.00 |
| DOT Physical | $150.00 |
| Coast guard physical | $150.00 |
| School/camp/sports physical (includes ekg spiro ppd H&H) | $125.00 |
| Fit Test | $100.00 |
| Physical Abilities Test (PAT) | $125.00 |
| Prices below are in addition of Office Visit fee | Price |
|---|---|
| EKG | $30.00 |
| Strep | $50.00 |
| Mono | $50.00 |
| Dermabond/Clozex/Laceration repair | $150.00 |
| Flu | $50.00 |
| HCG (urine) | $20.00 |
| UA | $20.00 |
| U-Screen (12 panel drug) | $65.00 |
| Urine drug collection Only | $30.00 |
| Spiro | $30.00 |
| Nebulizer treatment | $50.00 |
| Xray | $50.00 |
| I & D | $150.00 |
| Impacted cerumen removal | $75.00 |
| Removal of foreign body | $200.00 |
| Removal of foreign body - Eye | $100.00 |
| Alcohol breath test | $65.00 |
| Suture - smaller than 2.5 cm | $150.00 |
| Suture 2.6 cm - 7.5 cm | $200.00 |
| Pap Smear | $50.00 |
| Vaginal Exam - Included in office visit | $0.00 |
| Suture removal | $50.00 |
| Splints | $100.00 |
| Iv fluid | $100.00 |
| Audiometry | $50.00 |
| Ingrown Toenail | $50.00 |
| Glucose | $0.00 |
| Hemocult | $20.00 |
| H&H | $30.00 |
| Lyme (Sofia2) | $50.00 |
| Cepheid Flu/RSV (3plex) | $125.00 |
| Covid - rapid test (sofia/Abbott) | $100.00 |
| Covid rapid + flu | $125.00 |
| Covid PCR (cepheid 4plex) | $200.00 |
| Cortisone Shot | $125.00 |
| Binx io CT/NG | $100.00 |
| Venipuncture | $25.00 |
| Vaccinations - Office visit must be charged | Price |
|---|---|
| Flu | $20.00 |
| Hepatitis A | $150.00 |
| Hepatitis A (alternate) | $100.00 |
| Hepatitis B | $150.00 |
| Hepatitis B - child | $100.00 |
| Japanese encephalitis | $310.00 |
| MMR | $150.00 |
| Menactra | $250.00 |
| Meningococcal | $150.00 |
| Polio | $100.00 |
| Pneumococcal | $150.00 |
| PPD - Visit included ($50 + $25 = $75) | $75.00 |
| Rabies | $750.00 |
| TD | $100.00 |
| TDAP | $100.00 |
| Twinrix (Hep A & B combo) | $200.00 |
| Typhoid | $150.00 |
| Varicella | $175.00 |
| Gardasil | $205.00 |
| B12 | $60.00 |
| Ceftriaxone | $60.00 |
| Kenalog - 10/40 | $60.00 |
| Phenergan | $60.00 |
| Solu-Medrol | $60.00 |
| Ketorolac (Toradol) | $60.00 |
| Benadryl | $60.00 |
| Ondanestron (Zofran) | $60.00 |
| Dexamethasone | $60.00 |
| Depo-Medrol | $60.00 |
| Procedure / Service | Price | Required Payments |
|---|---|---|
| Allergy | ||
| Testing (not including visits) | $250.00 | Must be paid at the time of service |
| Therapy | $100.00 | 30% due before first pickup $240.00 |
| Allergy Injection | $50.00 | |
| Immunotherapy | $1,250.00 | |
| Pulmonary | ||
| Consult - New Patient | $250.00 | Cannot be billed |
| New PT with PFT | $400.00 | |
| New PT with Spiro | $300.00 | |
| Follow up | $150.00 | |
| Follow up with PFT | $300.00 | |
| Follow up with Spiro | $200.00 | |
| PFT only | $200.00 | |
| 6 Min Walk Test | $75.00 | |
| Sleep | ||
| Consult - New Patient | $250.00 | Cannot be billed |
| HST | $250.00 | $75.00 due before study |
| Sleep Study | $800.00 | $240.00 due before study |
| Follow up | $150.00 | |
| Stress Echo | $300.00 | |
