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Self Pay Pricing

New Patients

  • Well Visit $175.00

  • Sick Visit $175.00

  • [Visitor- one time visit] Circumcision Procedure $595.00 - no insurance billed

  • [Visitor- one time visit] Frenotomy (tongue-tie) Procedure $265.00

Established Patients

  • Well Visit $140.00

  • Sick Visit $140.00

  • CBC $40.00

  • Lead $40.00 

  • Lipid $40.00

  • Urinalysis $10.00 

  • Vision $10.00 

  • STREP $40.00 

  • FLU $40.00 

  • RSV $40.00

  • MONO $40.00

  • Flu A&B and COVID (combined test) $80.00

  • Ear Lavage $20.00

  • Nebulizer treatment $40.00 

  • Vaccines (EACH) $24.00 

  • Rocephin Injection $16.00

  • Wart Removal (price per site) $15.00

Procedures

  • Circumcision Procedure $320.00 - no medicaid billed

  • Frenotomy (tongue-tie) Procedure $210.00

  • Urinary Straight-Catheter $65.00

Forms

  • Medical Records - *price varies* will not go above $20.00

  • FMLA Forms - $25.00

  • School Physical Forms - First copy is free of charge. Any additional requests or copies after will be $5.00

  • Any other school-related forms or letters - First copy is free. Any additional requests or copies after will be $5.00

  • Immunization records - First copy is free of charge. Any additional requests after will be $5.00

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