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

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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