The following is a description of patient fees billed for cash discount fees. The fees are based on patient complexity and/or time spent with
CPT Code |
Type |
Time with patient |
Cash discount MD Appointment |
Cash discount NP Appointment |
99203 |
Initial appointment |
30 minutes |
$120 |
$100 |
99204 |
Initial appointment |
45 minutes |
$180 |
$160 |
99205 |
Initial appointment |
60 minutes |
$260 |
$240 |
99212 |
Follow up appointment |
10 minutes |
$40 |
$35 |
99213 |
Follow up appointment |
15 minutes |
$80 |
$70 |
99214 |
Follow up appointment |
25 minutes |
$120 |
$110 |
99215 |
Follow up appointment |
40 minutes |
$160 |
$150 |
Initial Functional Medicine Appointment $350 (out of pocket)
Follow up Functional Medicine Appointment $200 (out of pocket)
Professional fees charged for services:
CPT Code |
Type |
Fee billed to insurance |
Cash discount |
95250 |
CGMS insertion |
$250 |
$150 |
95251 |
|
$100 |
$50 |
96372 |
Vitamin B12 |
$20 |
$15 |
Copays and Cash payments are to be made at the time of the appointment as well as a balance of on the account.
Telemedicine appointment and Phone consultations:
Up to 20 minutes $80 (out of pocket)
21-30 minutes $100 (out of pocket)
31-40 minutes $120 (out of pocket)
We work with most major insurance companies, but are not in all their plans. To prevent any issues, we suggest you contact your insurance company to determine eligibility. Ohio Medicaid and Kentucky Medicaid only accepted for patients who were seen at the prior practice and patients for Transgender management only.