ANNUAL WELLNESS / SPORTS PHYSICALS 

Evaluation and management of specific problems requires extra time and related fees.**

NEW PATIENTS: AGES 10-11 $260 / AGES 12+ $310

ESTABLISHED PATIENTS: AGES 10-11 $185 / AGES 12+ $210

Prevention-focused review of history, comprehensive physical, screening for general health concerns, recommendations for laboratory testing and vaccines.* Includes sports physicals, simple school/camp forms when needed.

Women’s wellness includes STI testing, Pap when appropriate. Send-out labs billed by Quest, LabCorp, ProPath as appropriate.

Let us know in advance if you would like to take advantage of discounted cash fees for Quest labs billed through our office instead of using your insurance.

 

MEDICAL / MENTAL HEALTH PROBLEM VISITS

(Notify us about significant active/worsening concerns so we can schedule time accordingly.)

 

ACUTE ILLNESS / SIMPLE PROBLEM VISIT (established patients only)
15 TO 20 MIN, $185
Sick visits, e.g. URI, UTI, rashes, etc. Up to 3 in-house lab tests included. Call for same- or next-day availability.

 

SIMPLE NEW PROBLEM(S) / FOLLOW UP STABLE CONDITIONS, UP TO 30 MIN

NEW PATIENTS: $360

ESTABLISHED PATIENTS: $260

Follow-up care for simple / uncomplicated conditions (e.g. acne, headaches, birth control refills, menstrual or other endocrine conditions). Includes stable depression, anxiety, ADHD, autism, eating disorder (in recovery), general nutrition, etc.

 

COMPLEX NEW PROBLEM(S) / FOLLOW UP MULTIPLE, CHRONIC CONDITIONS, UP TO 45 MIN

NEW PATIENTS: $410

ESTABLISHED PATIENTS: $335
Moderately complex problems requiring more management consideration. Includes medical conditions requiring active assessment /guidance and mild /moderate mental health concerns, including active symptoms of depression/anxiety, ADHD, eating disorders, etc.

 

MULTIPLE COMPLEX PROBLEMS / FOLLOW UP CHRONIC UNSTABLE CONDITIONS. UP TO 60 min

NEW PATIENTS: $460 (allow 90 to 120 min)

ESTABLISHED PATIENTS: $410

Complex / complicated problems requiring extensive management and care coordination, e.g. significant POTS, dysautonomia, EDS, depression/anxiety, ADHD, eating disorders.

 

EXTENDED TIME (EACH 30 MIN) $170
Extra time fees apply for prolonged appointments.

 

OTHER SERVICES

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PARENT / CAREGIVER CONSULTATION / EDUCATION / SUPPORT
30 MIN, $250 / 45 MIN, $325 / 60 MIN, $400

Parent or caregiver consultation without patient present.

*VACCINES

Billed to patient directly by VaxCare (in-network with most commercial insurance).

 

VIRTUAL APPOINTMENTS/TELEHEALTH

Same fees apply as above

 

IN-HOUSE LAB TESTS AND PROCEDURES

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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 $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, ProPath, MDL, CPL, or other laboratories and billed to patient directly by those companies.

Let us know in advance if you would like to take advantage of discounted cash fees for Quest labs billed through our office instead of using your insurance.

 

PHARMACOGENETIC TESTING FOR PSYCHOTROPIC MEDICATION

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), $330+

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

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REFILLS OUTSIDE OF APPOINTMENT
Scheduled (arranged in advance with provider) $10

Urgent (unscheduled) $30

LETTERS/FORMS (DEPENDING ON COMPLEXITY)
$40 – $75

PRIOR AUTHORIZATION INITIATION
$25
Includes staff and provider time; cannot guarantee approval.

 

MEDICAL CARE BY PHONE OR PORTAL

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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. More information available upon request.

 

Revised 07-02- 2026