self-pay fee schedule as of january 2026

Stethoscope and medical billing statement

Time of Service Discount

Annapolis Internal Medicine, LLC 
SELF-PAY FEE SCHEDULE 

Patients without insurance qualify for discounted rates if the visit is paid for at the time of service. Below is a list of discounted rates for various services provided by the Annapolis Internal Medicine clinicians. This list is not all-inclusive. If you have questions about other services, please contact our Billing Department at (410) 897-9841 and select option 3.  When the virtual agent asks the reason for your call, reply "Billing Department" to be transferred to billing specialist.

New Patient Level 2 (CPT 99202)
$102.50
New Patient Level 3 (CPT 99203)
$142.50
New Patient Level 4 (CPT 99204)
$200.00
New Patient Level 5 (CPT 99205)
$272.50
Established Patient Level 2 (CPT 99212)
$62.50
Established Patient Level 3 (CPT 99213)
$102.50
Established Patient Level 4 (CPT 99214)
$142.50
Established Patient Level 5 (CPT 99215)
$200.00
Preventive Exam New Pt age 18-39 (CPT 99385)
$157.50
Preventive Exam New Pt age 40-64 (CPT 99386)
$172.50
Preventive Exam New Pt age 65+ (CPT 99387)
$187.50
Preventive Exam Estab Pt age 18-39 (CPT 99395)
$142.50
Preventive Exam Estab Pt age 40-64 (CPT 99396)
$157.50
Preventive Exam Estab Pt age 65+ (CPT 99397)
$172.50
Welcome to Medicare Physical (CPT G0402)
$172.50
Medicare Wellness, Initial Visit (CPT G0438)
$172.50
Medicare Wellness, Subsequent (CPT G0439)
$157.50

Other Services

Electrocardiogram / EKG (CPT 93000)
$27.50
DOT or Coast Guard Physical (CPT 99455)
$120.00
Vaccine Administration, Initial (CPT 90471)
$17.50
Vaccine Administration, Each Additional (CPT 90472)
$12.50
Intramuscular or Subcutaneous Injection (CPT 96372)
$20.00