Clinic Prices

A new patient charge is considered when a patient has not been seen at either clinic in the past three years or never before. If you are seen at one clinic location and then visit the other clinic location, if within 3 years this is not considered a new patient.

NEW PATIENT: Our new patient doctors charges range from $95.00 – $235.00 based on the extent of your visit with the physician.

ESTABLISHED PATIENT: Our established patient doctors charges range from $90.00- $170.00 based on the extent of your visit with the physician.

X-RAYS: This will depend on the amount of views and location of area and typically cost between $68.00 – $111.00.

Additional charges may apply if you need labs, sutures, casting, equipment such as crutches, slings, walking boots etc. or any other additional services not listed.

CASH PAY / NO INSURANCE BILLING: prices for the below services:

DMV Physicals – $125.00

Sports Physicals – $30 for payment at the time of service pricing.

Flu Shot – $ 25 for 2020-2021 flu season

PPD – $45.00

Tetanus Vaccine – $80.00

TdaP Vaccine (Tetanus with Pertussis) – $82.00

Urine Drug Screen – $45.00 – $75.00

These listed prices are not a guarantee. This is an approximate amount that you may be charged when seen at the clinic. Billing insurance may mean that you will be asked to pay either your copay or the allowable deductible amounts depending on your insurance company. Please note this example is for your office visit only. Depending on your insurance you may owe additional deductible amounts, co-insurance on other services.

The cost of a medical visit is based on the procedure codes that represent the intensity of the visit and the allowed prices for those procedure codes.  The amounts for each procedure code are set by federal and state laws or our contracts with insurance companies.  Patients without insurance are charged over the allowed Medicare procedure code charge, because of Federal Law.

Medical billing or coding is complex and is now a separate industry created by the insurance companies to help them understand and control costs.  Each code has a specific criteria to justify its use.  For urgent care and primary care offices, the most commonly used codes for visits with a single complaint or problem are: 99203 for a new patient focused history and exam, or 99213 for an established patient expanded history and exam. Patients with multiple complaints or complex problems requiring additional services, such as an x-ray or specialty referral are coded at a higher level.  Additional codes are added for necessary testing and procedures, for example, strep screens, x-rays or antibiotic injections.

The patient’s final, out-of-pocket cost, is based on the patient’s insurance contract: the allowed amounts, deductibles and co-pay amounts.  Every plan is different, even within a single insurance group or category.

EXAMPLES BELOW-THESE PRICES ARE NOT A GUARANTEE  (BLUE CROSS Insurance EXAMPLE)

New Patients

To be seen as a new patient at the clinic for medical issues such as Asthma, Eye Injury or Wrist strain –  Total Amount owing for the office visit portion only, if you are paying your deductible would be $99.15

Code Cash Discount  Amount
Visit  99203 135.00  35.85 99.15

Depending on your insurance contract, a co-pay may cover the visit charge. Co-pays for visit charges sometimes are fixed amounts like 15 or 25 dollars, or they are a percentage of the visit charge, i.e., 20 percent. Please note this example is for your office visit only. Depending on your insurance you may owe additional deductible amounts, co-insurance on other services such as labs, xrays or injections.

Established Patients

To be seen as a established patient at the clinic for medical issues such as Poison Oak, Urinary Tract Infection, Ear Ache – Total Amount owing for the office visit portion only, if you are paying your deductible would be $70.56.

Code Cash Discount Amount
Visit 99213 90.00 19.44 70.56

Depending on your insurance contract, a co-pay may cover the visit charge. Co-pays for visit charges sometimes are fixed amounts like 15 or 25 dollars, or they are a percentage of the visit charge, i.e., 20 percent. Please note this example is for your office visit only. Depending on your insurance you may owe additional deductible amounts, co-insurance on other services.

PROCESSING