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. The flu vaccine is in! I recommend getting the new Covid vaccine, assuming you have not had Covid in the past 6 months.
Blood Work can be done in the office and sent to LABCORP, not Quest. 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. We provide your insurance information to the lab but if you do not update your insurance with us, then insurance will definitely deny it and the lab will definitely 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.
RATES: If you have out of network benefits with Aetna, Cigna, United/ Oxford, we submit your claims, which runs up your deductible. If they reimburse us, we will CREDIT your visit so that the next visit, we will not bill you. We do not submit claims for HMOs, BCBS, Medicare (we have opted out) or smaller insurances– you can request a bill that you can submit to your insurance directly. FSA and HSA cards are accepted.
- Established Patient Visit: 18-39 yrs old $200. 40-64 yrs old $250. 65+ $350. (If not seen in over 3 years, you may be charged the New Patient Visit Rates)
- New Patient Visit: 18-39 yrs old $350. 40-64 yrs old $500. 65+ $750. (New higher rates will go into effect 11/18/24 for New Visits only)
- Phone or Email Evaluations that lead to a prescription or diagnostic test/ Close follow ups for Established Problems: $150
- Urine testing $25
- Blood Draw $25
- Rapid Flu or Strep or Covid $50
- Vaccine administration $40
- Vaccines: Typhoid $150. HPV $350. Prevnar/shingles $250. Tdap $75. Hep A/B, $100. Flu $40
- EKG $100
- 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.