This is a listing of the current prices and fees for medical services at Family Care, PA. These prices represent the highest cost you could possibly incur for these services at our office, regardless of your insurance coverage.
Be sure to read the two sections at the bottom of the page for additional details for in-network patients and how to use the CPT Codes provided to check your benefits for the service. There are several factors that go into the codes and charges you’ll have at our office, so here is a breakdown of everything you’ll need to know to get the best estimate for your primary care fees.
If you would like to know the cost of a service or procedure code that is not listed on this form, please contact our office.
Prices for Standard Primary Care Services
Any visit, appointment, or consultation that involves a standard medical examination and/or requires any medical decision making to assess, diagnose, and treat a medical condition or issue. While the prices are mostly based on time, the nature of your visit also factors into your costs. Keep in mind that the times listed are also not the amount of face-to-face time you see the provider, but the amount of time the provider takes to see you. Prices for office visits are discounted when you see our PA or NP, rather than an MD.
|CPT Code||MD Cost||Description||PA/NP Cost|
|99212||$85||Standard 10-19 Minute Office Visit||$80|
|99213||$125||Standard 20-29 Minute Office Visit||$115|
|99214||$175||Standard 30-39 Minute Office Visit||$165|
|99215||$225||Standard 40-54 Minute Office Visit||$215|
Please note that NEW PATIENT VISIT prices are approximately 10% to 15% higher than Established Patient visits, depending on your insurance, to account for the time/administrative work required to establish you as a patient.
Prices for Preventive Primary Care Services
Periodic comprehensive preventive medicine reevaluation and management, including age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions; and the ordering of appropriate immunization(s), laboratory/diagnostic procedures. This visit is considered a preventive wellness exam and does not cover the discussion of problems, conditions, illnesses, or any other care that would be considered part of a “Regular Visit.”
|CPT Code||Cost||Description||PA Cost|
|99391||$140||Infant Well-Child Check (WCC)||$130|
|99392||$150||1 – 4 Year Old Annual WCC||$140|
|99393||$150||5 – 11 Year Old Annual WCC||$140|
|99394||$150||12 – 17 Year Old Annual WCC||$140|
|99395||$150||18 – 39 Year Old Wellness Exam||$140|
|99396||$165||40 – 64 Year Old Wellness Exam||$155|
|99397||$165||65+ Year Old Wellness Exam||$155|
Prices for Special Primary Care Services
Services offered through our office that are generally provided by our ancillary medical staff. For Echos, CIMTs, ABIs, and AAAs, there is limited available scheduling one day per month. You can see the schedule of when these services will be available on our event calendar at the bottom of this page.
|93880||$200||Carotid Ultrasound (CIMT)|
|93923||$175||Ankle Brachial Index (ABI)|
|76705||$125||Abdominal Aortic Aneurysm (AAA)|
|94640||$40||Breathing Treatment (Nebulizer)|
|87804||$30||Influenza / Flu Testing|
|94375||$30||Peak Flow Lung Capacity Testing|
Prices for Primary Care Lab Testing
Discounted lab prices for uninsured patients or for patients with specific exclusions or limitations on their laboratory benefits through their insurer. These prices represent the highest cost of services you could possibly incur if payment is made through our office for the testing.
Prices for Vaccinations
Discounted vaccine prices for uninsured patients or for patients who do not have vaccine coverage through their insurer. These prices represent the highest cost of services you could possibly incur if payment is made through our office for the testing. The prices listed are for each individual vaccine.
|90649||$225||Gardasil / HPV – Series of 3 Vaccines|
|90736||$250||Zoster / Shingles|
|90636||$190||Twin Rx (Hep A and Hep B Combined) – Series of 3 or 4 Vaccines|
|90733||$135||Meningococcal / Meningitis|
|90632||$105||Hepatitis A – Series of 2 Vaccines|
|90746||$95||Hepatitis B – Series of 3 Vaccines|
|90707||$100||MMR / Measles, Mumps, Rubella|
|90713||$65||Polio / IPV|
|90715||$65||TDaP / Tetanus, Diphtheria, and Pertussis|
|90656||$30||Flu / Influenza – Once Annually|
If you have insurance coverage through one of our “In-Network” insurers, or if you are a current patient who ages into Medicare, you will likely incur lower costs for these services. If you just have a copayment for primary care visits, for example, that copayment amount is likely to be the most you would pay for your visit. If you have a deductible to meet, you will receive roughly 10% off the prices listed due to your ability to receive insurer’s negotiated rate. If you have a procedure, surgery, or some extra service performed, your plan benefits may change, so be sure to ask your insurer if you have any questions about a particular service.
If you are unsure what your plan details include, check out our blog post on determining the details of your insurance plan for help.
The CPT Codes for the individual procedures are listed so our patients can determine their coverage and benefits for that service. If you are unsure how your insurance plan would cover a certain item, you can call the customer service number on your card to ask about your individual benefits for that particular CPT code. This will be the code our office submits for the service, so your insurer should be able to give you some idea about how your coverage would process that code before you actually receive the service and incur the expense.