Self pay and non-covered service fees
| Each additional hour of consultative time beyond scheduled time | $350 |
| Follow up visit - 20 min | $150 |
| Follow up visit - 40 min | $225 |
| Follow up visit less than 20 min | $100 |
| Form filling - Per additional page | $15 |
| Form filling or single page letter | $25 |
| Medical Records Per electronic page | $0.30 |
| Medical Records Per printed page | $0.50 |
| New patient - 60 min | $450 |
| Patient provided external lab results handling fee | $25 |
| Rx Refill Service Fee | $5 |
| Urgent Consultation Work In | $100 |
Revised Tue Nov 19, 2024
