All of our evaluation and management fees are based according to time spent. All ancillary charges are at a fixed fee. Please see below for a listing of our 2022-2023 fee schedule and information about the the federal “No Surprises Act” which took effect on January 1st, 2022.
Fees, Billing & Insurance
CPT code 99205 for 90 minutes: $835.00
CPT code 99205 for 105 minutes: $935.00
CPT code 99205 for 120 minutes: $1035.00
(For each additional 15 minutes add $100.00)
Follow-Up Visits, Phone Visits and Telemedicine Visits
CPT code 99212 or 99441 for 10 minutes: $200.00
CPT code 99213 or 99442 for 15 minute: $280.00
CPT code 99214 or 99443 for 30 minutes: $400.00
CPT code 99215 or 99443 for 45 minutes$495.00
CPT code 99215 or 99443 for 60 minutes $620.00
Annual Physical Exams
CPT code 99393/4/5 for 30 minutes: $500.00
CPT code 99393/4/5 for 45 minutes: $635.00
CPT code 99393/4/5 for 60 minutes: $735.00
CPT code 99393/4/5 for 75 minutes: $810.00
CPT code 99393/4/5 for 90 minutes: $880.00
CPT code 99367 for 15 minutes $235.00
CPT code 99367 for 30 minutes$325.00
CPT code 99367 for 45 minutes$415.00
CPT code 99367 for 60 minutes$505.00
Labs and Blood Draw
CPT code 81002 Urinalysis without microscopic evaluation: $45.00
CPT code 81000 Urinalysis with microscopic evaluation: $60.00
CPT code 87086 Urine culture: $110.00
CPT code 86308 Rapid mononucleosis test $90.00
CPT code 87804 Rapid influenza test$100.00
CPT code 87880 Rapid strep (throat) test$70.00
CPT code 36415 Phlebotomy (blood draw) $85.00
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.