Our Fees
All of our evaluation and management fees are based on time spent. All ancillary charges are at a fixed fee. Please see below for a listing of our 2025-2026 fee schedule and information about the federal “No Surprises Act” which took effect on January 1st, 2022.
New Fees Effective October 1, 2025
New Visits
99203 New Patient (30) ½ hour $720
99204 New Patient (45) ¾ hour $840
99205 New Patient (60) 1 hour $950
99205 New Patient (75) 1 ¼ hours $1040
99205 New Patient (90) 1 ½ hours $1160
99205 New Patient (105) 1 ¾ hours $1260
99205 New Patient (120) 2 hours $1360
Each additional 15 minutes costs $100.00
Follow-up visits and Telephone visits
99212 or 98012 Follow-up (10) $230-$260
99213 or 98013 Follow-up (15) $315
99214 or 98014 Follow-up (30) $440
99215 or 98015 Follow-up (45) $535
99215 or 98015 Follow-up (60) $660
00000 Follow-up (75) $535+ 99417 $220 = $755
00000 Follow-up (90) $535 + 99417 $300 = $835
00000 Follow-up (105) $535 + 99417 $375 = $910
Each additional 15 minutes costs $75.00
In between visits
99214 15/30 $380
99215 30/45 $485
99215 45/60 $590
Annual and Pre-college visit
99393/4/5 Annual (30) $535
99393/4/5 Annual (45) $535 +99213-25 $135=$670
99393/4/5 Annual (60) $535+99214-25 $235 = $770
99393/4/5 Annual (75) $535+99215-25 $310= $845
99393/4/5 Annual (90) $535+99215-25 $380 = $915
99394/5 Pre-college (45) $525+99213-25 $135 = $670
99394/5 Pre-college (60) $525+99214-25 $235= $770
Each additional 15 minutes costs $75.00
Case management and prolonged service
99367 case management (10) $185
99367 case management (15) $245
99367 case management (15/30) $290
99367 case management (30) $335
99367 case management (30/45) $380
99367 case management (45) $425
99367 case management (45/60) $470
99367 case management (60) $515
Each additional 15 minutes costs $50.00
Same fees for prolonged service (not face-to-face)
99358 (30-60 minutes)
99359 (each additional 30 min.)
Weekend/after hours
99050 $175
Consultations
99242 (30) $545
99243 (45) $670
99244 (60) $760
99245 (90) $970
The Federal “No Surprises Act”
The No Surprises Act took effect on January 1st, 2022. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance a Good Faith Estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This does not include any unknown or unexpected costs that arise during treatment. You could be charged more if complications or special circumstances occur. You may ask your healthcare provider to give a Good Faith Estimate in writing in advance of your medical service or item before you schedule your appointment. If you are billed for more than the Good Faith Estimate of medical costs:
- You have a right to dispute the bill
 - You can ask the provider for an updated bill to match the Good Faith Estimate
 - You can ask to negotiate the bill
 - You can ask if there is financial assistance available
 - You have a right to initiate a patient-provider dispute resolution process with the US Department of Health and Human Services if the actual billed charges substantially exceed (by at least $400) the expected charges included in the Good Faith Estimate. If you choose this route, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price of the Good Faith Estimate. If the agency reviewing your dispute disagrees with you and agrees with the provider, you will have to pay the higher amount.
 - The initiation of a patient-provider dispute resolution process will not adversely affect the quality of healthcare services furnished to you.
 - Make sure to save a copy or picture of your Good Faith Estimate.
 - For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 866-226-1819.
 - There may be additional items or services the provider may recommend as part of the course of care that must be scheduled or requested separately and are not reflected in the Good Faith Estimate. Upon request, the Good Faith Estimate can be updated.
 - The information provided in the Good Faith Estimate is only an estimate; actual items, services, or charges may differ from the Good Faith Estimate.
 - The Good Faith Estimate is not a contract and does not require the uninsured (or self-pay) individual to obtain the items or services from the provider.