We are OUT OF NETWORK with all insurances. The rates are listed below. Telehealth visits, while not ideal, are available upon request for established patients.
BLOOD WORK: We draw in the office and sent to LABCORP, BIOREFERENCE. Or, we can give you a slip to take to a lab.
- You are responsible for knowing your coverage. Well visit blood work is typically covered once per year and often includes: lipid panel, blood count (anemia) thyroid screen (TSH), electrolyte/ liver/kidney panel (CMP), and STD tests. Vitamin D and B12, and a diabetes screen (a1c) are often NOT covered, and may fall under your lab deductible/ coinsurance policies.
- If you do not update your insurance with us, then insurance will deny it and the lab will bill you. Insurance numbers often change, even if it is the same insurance company, especially in a new calendar year, so let us know.
- Fasting is needed primarily for an accurate cholesterol panel– PLEASE drink water and hydrate. If you get light headed with blood work, we encourage you to hydrate before and eat something light, like a piece of fruit, which will not affect it. Hold vitamins on the day of the blood work as well.
- If you do not have insurance, this is an estimate of the self pay lab list of the prices billed.
If You Have Out of Network Benefits with Aetna, Cigna, United/ Oxford, we can submit your claims, which run up your deductible. OR, you can submit to your insurance directly. If they reimburse us, we CREDIT your visit so that the next visit, we will not bill you. We do NOT provide insurance with records to prove our services. We DO NOT submit claims for HMOs, BCBS, Medicare (we have opted out) or smaller insurances. FSA and HSA cards are accepted.
RATES:
- Established Patient Visit: 18-39 yrs old $200. 40-64 yrs old $250. 65+ $350. (If not seen in over 3 years, then may charge New Patient Visit Rates).
- New Patient Visit: 18-39 yrs old $400. 40-64 yrs old $600. 65+ $800.
- Phone or Email Evaluations that Lead to a Prescription or Diagnostic Test $150
- Close follow ups for Established Problems: $150
- Blood Draw $25. Blood Draw for Outside Providers $150.
- Urine testing $25
- Rapid Flu, or Strep, or Covid $50
- Vaccine administration $40
- Vaccines: Typhoid $220. HPV $450. Prevnar/shingles $300. Tdap $75. Hep A/B, $120. Flu $40. Meningococcal $210. Japanese encephalitis $500. MMR $200.
- EKG $150
- Spirometry $150
NPP– notice of privacy practices. Form for new patients, out of network. Please email to massistant1150@gmail.com.
We do not need ALL your medical records, ONLY immunization records, imaging studies, labs, and specialist notes.