Discounted Fee Schedule

Office Visit

• New Patient Level 2 – $102.50
• New Patient Level 3 – $142.50
• New Patient Level 4 – $200.00
• New Patient Level 5 – $272.50
• Established Patient Level 2 – $62.50
• Established Patient Level 3 – $102.50
• Established Patient Level 4 – $142.50
• Established Patient Level 5 – $200.00
• Preventive Exam New Pt Ages 18-39 years – $157.50
• Preventive Exam New Pt Ages 40-64 years – $172.50
• Preventive Exam New Pt Age 65+ years – $187.50
• Preventive Exam Estab Pt Age 18-39 years – $142.50
• Preventive Exam Estab Pt Age 40-64 years – $157.50
• Preventive Exam Estab Pt Age 65+ years – $172.50
• Welcome to Medicare Physical – $172.50
• Medicare Wellness, Initial Visit – $172.50
• Medicare Wellness, Subsequent – $157.50

Other Services

• Electrocardiogram (EKG) – $27.50
• Vaccine administration, initial – $17.50
• Vaccine administration, each additional – $12.50
• Intramuscular or subcutaneous injection – $20.00