ESTABLISHED PATIENTS
ANNUAL WELLNESS VISIT (UP TO 30 MIN)
AGES 10-11 $175 / AGES 12+ $200
Prevention-focused review of medical history, comprehensive physical, screening for general health concerns, recommendations for laboratory testing and vaccines.* Includes sports physicals, simple school/camp forms when needed. Evaluation and management of health care problems requires extra time and related fees.**
GYN ANNUAL WELLNESS VISIT (UP TO 30 MIN)
AGES 10-11 $175 / AGES 12+ $200
As above. Also includes performing Pap test and sexually transmitted infection screening when indicated (send-out labs billed separately by Quest, LabCorp or other clinical laboratory as appropriate).
MEDICAL / MENTAL HEALTH PROBLEM VISITS
Please notify our scheduling staff if there are significant active/worsening concerns so that we can schedule time accordingly.
BRIEF MEDICAL: ACUTE ILLNESS / PROBLEM-FOCUSED VISIT
15 TO 20 MIN, $175
Acute illness, includes upper respiratory infections, urinary tract infections, and other acute concerns. Up to 3 in-house laboratory tests are included with this fee. Call for same-day / next-day appointment availability.
FOCUSED: SIMPLE NEW PROBLEM(S) OR FOLLOW UP OF STABLE CONDITIONS
UP TO 30 MIN, $250
Follow-up/maintenance care for simple or uncomplicated conditions such as acne and other skin conditions, headaches, birth control questions/refills, menstrual or other endocrine conditions. Includes stable depression, anxiety, ADHD, autism, eating disorder (in recovery), general nutrition counseling, etc.
MODERATE: COMPLEX NEW PROBLEM(S) OR FOLLOW UP OF MULTIPLE OR CHRONIC STABLE CONDITIONS
UP TO 45 MIN, $325
Moderately complex new or previously diagnosed problems requiring more management consideration. Includes mild to moderate medical conditions requiring updated assessment and guidance and mild to moderate mental health concerns, including active symptoms of depression/anxiety, ADHD, eating disorders, substance abuse.
COMPLEX: MULTIPLE COMPLEX NEW PROBLEMS OR FOLLOW UP OF CHRONIC UNSTABLE CONDITIONS
UP TO 60 min, $400
More complex or complicated new or previously diagnosed problems requiring extensive management consideration and care coordination, e.g. significant medical or developmental conditions with active symptoms, worsening depression/anxiety, ADHD, eating disorders, substance abuse.
**EXTENDED TIME (EACH 30 MIN) $150
Extra time fees apply for prolonged appointments. If known in advance, please advise staff of any complicated concerns so we can allow additional time when scheduling.
GYNECOLOGICAL PROBLEM VISITS
Please notify our scheduling staff if there are significant active/worsening concerns so that we can schedule time accordingly.
BRIEF GYN: ACUTE GYN ILLNESS/SIMPLE GYN FOLLOW UP / BIRTH CONTROL REFILLS
WITH GYNECOLOGIST, 15 TO 20 MIN, $100
Birth control refills, IUD/Nexplanon follow up, hormone-related follow up. Call for same-day / next-day appointment availability.
MODERATE GYN: NEW BIRTH CONTROL STARTS/NEW PROBLEM(S) OR FOLLOW UP OF MULTIPLE OR CHRONIC STABLE CONDITIONS WITH GYNECOLOGIST, UP TO 30 MIN, $125
Acute gynecological symptoms, new birth control starts, brief follow up gynecologic disorders. Call for same-day / next-day appointment availability.
COMPLEX GYN: COMPLEX NEW PROBLEM OR FOLLOW UP OF CHRONIC UNSTABLE CONDITIONS
WITH GYNECOLOGIST, UP TO 45 MIN, $175
More complex or complicated new or previously diagnosed gynecological problems requiring extensive management consideration and/or care coordination. Call for same-day / next-day appointment availability.
NEW PATIENTS
ANNUAL WELLNESS (PREVENTATIVE CARE) VISITS
ROUTINE ANNUAL WELLNESS (45-60 MIN)
AGES 10-11 $250 / AGES 12+ $300
Prevention-focused review of medical history, comprehensive physical, screening for general health concerns, recommendations for laboratory testing and vaccines.* Includes sports physicals, simple school/camp forms when needed. Evaluation and management of health care problems requires extra time and related fees.**
ROUTINE GYN ANNUAL WELLNESS (45-60 MIN)
AGES 10-11 $250 / AGES 12+ $300
As above. Also includes performing Pap test and sexually transmitted infection screening when indicated (send-out labs billed separately by Quest, LabCorp or other clinical laboratory as appropriate).
MEDICAL OR MENTAL HEALTH PROBLEM VISITS
Problem-focused visits, include review of current concerns and medical history, problem-focused physical and/or mental health exam, assessment and patient-focused collaborative treatment plan recommendations.
FOCUSED: SIMPLE NEW PROBLEM OR SIMPLE MEDICAL CONDITIONS (EXCLUDES MENTAL HEALTH)
UP TO 30 MIN, $350
Simple medical concerns, establish or transfer care for conditions such as acne and other skin conditions, headaches, birth control, menstrual and endocrine disorders, general nutrition counseling, etc.
MODERATE: COMPLEX NEW PROBLEM(S) OR STABLE COMPLEX MEDICAL/MENTAL HEALTH CONDITIONS
UP TO 45 MIN, $400
Moderately complex problems requiring more time and management consideration, e.g. specific new medical questions, stable complex medical conditions or developmental disorders, and previously diagnosed, stable mental health conditions (including depression/anxiety, ADHD, eating disorders, substance abuse, etc.).
COMPLEX: MULTIPLE NEW PROBLEMS, CHRONIC +/- UNSTABLE MEDICAL/MENTAL HEALTH CONDITIONS
UP TO 60 MIN, $450
Moderate to significantly complex new or previously diagnosed problems requiring extensive management consideration and care coordination. Please note: Complex or chronic medical and/or mental health conditions, e.g. POTS, EDS, developmental disabilities, medical syndromes, depression, anxiety, ADHD, eating disorders, substance abuse, etc. require minimum 60 minute new patient visit (occasionally up to 90 to 120 minutes).
GYNECOLOGICAL PROBLEM VISITS
Please notify our scheduling staff if there are significant active/worsening concerns so that we can schedule time accordingly.
BRIEF GYN: ACUTE GYN ILLNESS/SIMPLE GYN FOLLOW UP / BIRTH CONTROL REFILLS
WITH GYNECOLOGIST, UP TO 30 MIN, $200
Simple medical concerns, transfer care for conditions such as birth control, menstrual and hormone-related disorders. Birth control refills, IUD/Nexplanon follow up, hormone-related follow up. Call for same-day / next-day appointment availability.
MODERATE GYN: NEW BIRTH CONTROL STARTS/NEW PROBLEM(S) OR TRANSFER CARE OF MULTIPLE OR CHRONIC STABLE CONDITIONS WITH GYNECOLOGIST, UP TO 45 MIN, $250
Acute gynecological symptoms, new birth control starts, IUD/Nexplanon consultation. Call for same-day / next-day appointment availability.
COMPLEX GYN: COMPLEX NEW PROBLEM(S) OR TRANSFER CARE OF CHRONIC UNSTABLE CONDITIONS
WITH GYNECOLOGIST, UP TO 60 MIN, $300
More complex or complicated new or previously diagnosed gynecological problems requiring extensive management consideration and/or care coordination. Call for same-day / next-day appointment availability.
**EXTENDED TIME (EACH 30 MIN) $150
Extra time fees apply for prolonged appointments. If known in advance, please advise staff of any complicated concerns and allow up to 90 to 120 minutes when scheduling.
OTHER SERVICES
PARENT / CAREGIVER CONSULTATION / EDUCATION / SUPPORT
30 MIN, $250 / 45 MIN, $325 / 60 MIN, $400
Parent or caregiver consultation without patient present.
*VACCINES
Administered in office. Billed to patient directly by VaxCare (in-network with most commercial insurance).
ACCUTANE
INITIAL EVALUATION $250
FOLLOW UP APPOINTMENTS (TYPICALLY 4 OR 5 REQUIRED), $175 each
Assessment and consultation regarding treatment options (including Accutane) for moderate to severe acne. If valid candidate, consent paperwork and registration into ipledge system will be completed.
MEDICAL HYPNOSIS
initial evaluation 45 min, $325
follow up appointments 30 min, $250
Clinical hypnosis is used by trained professionals to teach patients to achieve an altered state of awareness, perception, or consciousness. It can be used for phobias, anxiety, smoking control, chronic pain, self-esteem, memory/concentration improvement, and habit control.
LONG-ACTING REVERSIBLE CONTRACEPTIVES
Fees do not include cost of device (ordered through specialty pharmacies which bill patient/insurance directly).
IUD INSERTION/REMOVAL /REMOVAL WITH NEW INSERTION
$300 / $175 / $475
NEXPLANON INSERTION/REMOVAL/REMOVAL WITH NEW INSERTION
$300 / $325 / $475
VIRTUAL APPOINTMENTS/TELEHEALTH
Same fees apply as above
IN-HOUSE LAB TESTS AND PROCEDURES
COVID TEST
$10
FLU TEST
$20
STREP TEST
$10
MONO TEST
$10
GLUCOSE BLOOD TEST
$10
URINALYSIS
$10
URINE PREGNANCY TEST
$10
URINE DRUG SCREEN (IN-OFFICE)
$25
PEAK FLOW ASSESSMENT (INCLUDES DEVICE)
$25
ASTHMA INHALATION TREATMENT
$50
EARWAX REMOVAL
$25
CEFTRIAXONE INJECTIONS
$45
TESTING SENT TO OR ORDERED THROUGH OUTSIDE LABORATORIES
BLOOD/URINE/VAGINAL/STOOL/WOUND
Sent to Quest, Labcorp, MDL, CPL, or other laboratories and billed to patient directly by those companies.
PHARMACOGENETIC TESTING FOR PSYCHOTROPIC MEDICATION
$330+
Genetic oral swab test for mental health medication optimization. Billed by Genesight, cost variable pending insurance coverage (see https://genesight.com/cost/ for more information).
Results reviewed by GTW/YM providers and posted to secure patient portal with recommendations when appropriate. Upon request, brief telehealth appointments to discuss results and recommendations available, $75.
REFILLS, LETTERS, PORTAL AND VERBAL COMMUNICATION
REFILLS OUTSIDE OF APPOINTMENT
Scheduled (arranged in advance with provider) $10
Urgent (unscheduled) $25
LETTERS/FORMS (DEPENDING ON COMPLEXITY)
$40 – $75
PRIOR AUTHORIZATION INITIATION
$25
Includes staff and provider time; cannot guarantee approval.
MEDICAL CARE DELIVERED BY PHONE OR PORTAL (BASED ON TIME)
Care provided by phone or portal requires time and expertise of clinical staff. If call/message requires transition to or scheduling of medical visit with 48 business hours, fees will be applied to that visit. Simple, brief inquiries are not charged.
NURSE CALLS/PORTAL MESSAGES
5-10 MINUTES $25
11-20 MINUTES $50
21-30 MINUTES $75
MEDICAL PROVIDER CALLS/PORTAL MESSAGES
5-10 MINUTES $50
11-20 MINUTES $75
21-30 MINUTES $150
CARE COORDINATION WITH OTHER PROFESSIONALS
5-10 MINUTES $50
11-20 MINUTES $75
21-30 MINUTES $150
Updates for your provider on your success is always welcome and there is never a charge for that!
DISCOUNTS/PAYMENT PLAN CONSIDERATION
We are proud to offer discounted services to teachers and active-duty or retired military and first responders, and their families.
Patients with significant financial hardship may qualify for payment plan or CareCredit services.
More information available upon request.
Effective date January 1, 2024 (last revised 09.29.2023)
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Dallas : 972-733-6565 McKinney : 972-502-9099
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