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 patient.

 

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

CGMS interpretation

$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.