medical records release to self $10
| OFFICE VISITS | |
| Physical – general physical (including physical for school, employment, driver’s certificates) | $200 |
| Women’s health (gynecological) exam | $250 |
| Nutritional consultation – initial visit | $175 |
| Nutritional consultation – follow up visit | $125 |
| MEDICAL PROBLEM RELATED VISITS | |
| Simple level simple or minor medical problems (such as cold, UTI, local wound, etc) | $200 |
| Moderate level evaluation of more complex health issue or several health issues (such as eval or managment of htn, diabetes….) | $250 |
| Complex level evaluation of a significant life organ issue ( such as significant heart, lung or other disease) | $300 |
| E-Consultations, Phone, Email Based Medical Services | |
| For applicable services and care provided over the phone, via email or e-consultation physicians generally charge based on applicable service fees and time extended. | $50 per each 15 min interval of service |
| Phone consultation, coordination of medical care, (such as evaluation of illness or extension of additional care) | $30 |
| Email based consultation or E-consult ( such as evaluation of illness or extension of additional care) | $50 |
| OFFICES PROCEDURES | |
| EKG screening test for heart disease | $40 |
| Pulmonary function tests screening test for lung disease | $50 |
| Urinalysis screening test of urine / kidneys | $25 |
| VACCINES | |
| MMR Measles, Mumps Rubella | $150 |
| Varicella | $200 |
| Prevnar | $250 |
| Pentacel | $150 |
| Rotateq | $150 |
| Hepatitis B vaccine (1, 2, 6 months) | $110 each |
| Hepatitis B vaccine (1, 2, 6 months) | $110 each |
| Diphteria / Tetanus/pertussis (Adacel) | $100 |
| Hepatitis A Vaccine (0, 6 months) | $150 each |
| Typhoid vaccine | $175 |
| Yellow Fever vaccine | $225 |
| HPV Vaccine ( Gardasil-9) (2 or 3 doses) | $275 each |
| PPD Tuberculosis screening | $30 |
| Japanese Encephalitis Vaccine | $350 each |
| Rabies vaccine | $350 Each |
| Additional Office services | |
| Form Fee – pediatrics- Universal form completion during office visit | $30 |
| Form Fee – pediatrics & adults – any other work, school or camp form completion during office visit | $40 |
| Form Fee – pediatrics- Universal form completion without office visit -48 hours turnaround | $30 |
| Form Fee – pediatrics & adults – any other work, school or camp form without office visit -48hours turnaround ( Mo-Fri) | $40 |
| Form Fee – pediatrics & adults – any other work, school or camp form without office visit – 24 hour turn around ( Mo- Fri only) | $50 |
| Form Fee – pediatrics & adults – any other work, school or camp form without office visit – Rush service- 3 hour turn around ( Mo- Fri only, if requested by 1pm) | $60 |
| Medication Refills -pediatrics and adults – routine medication-(prescription) refills, not associated with medical visit *(if not reimbursable by health plan) | $10 |
| Email Consultation – regarding a new clinical matter *(if not reimbursable by health plan) | $10 |