Standard Fee Schedule

Office Visit

• New Patient Level 2 – $205.00
• New Patient Level 3 – $285.00
• New Patient Level 4 – $400.00
• New Patient Level 5 – $545.00
• Established Patient Level 2 – $125.00
• Established Patient Level 3 – $205.00
• Established Patient Level 4 – $285.00
• Established Patient Level 5 – $400.00
• Preventive Exam New Pt Ages 18-39 years – $315.00
• Preventive Exam New Pt Ages 40-64 years – $345.00
• Preventive Exam New Pt Age 65+ years – $375.00
• Preventive Exam Estab Pt Age 18-39 years – $285.00
• Preventive Exam Estab Pt Age 40-64 years – $315.00
• Preventive Exam Estab Pt Age 65+ years – $345.00
• Welcome to Medicare Physical – $345.00
• Medicare Wellness, Initial Visit – $345.00
• Medicare Wellness, Subsequent – $315.00

Other Services

• Electrocardiogram (EKG) – $55.00
• Vaccine administration, initial – $35.00
• Vaccine administration, each additional – $25.00
• Intramuscular or subcutaneous injection – $40.00