Primary Care Price Listing

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.

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. Prices for office visits are discounted by 15% when you see our PA.

CPT Code Cost Description PA Cost
99212 $65 Standard 5-10 Minute Office Visit $55
99213 $85 Standard 10-15 Minute Office Visit $72
99214 $125 Standard 20-25 Minute Office Visit $106
99215 $175 Standard 30-45 Minute Office Visit $148

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 $110 Infant Well-Child Check (WCC) $93
99392 $115 1 – 4 Year Old Annual WCC $97
99393 $120 5 – 11 Year Old Annual WCC $102
99394 $125 12 – 17 Year Old Annual WCC $106
99395 $130 18 – 39 Year Old Wellness Exam $110
99396 $135 40 – 64 Year Old Wellness Exam $114
99397 $145 65+ Year Old Wellness Exam $123

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.

CPT Code Cost Description
93306 $350 Echocardiogram (ECHO)
93880 $200 Carotid Ultrasound (CIMT)
93923 $175 Ankle Brachial Index (ABI)
76705 $125 Abdominal Aortic Aneurysm (AAA)
93005 $50 Electrocardiogram (EKG)
94640 $40 Breathing Treatment (Nebulizer)
87804 $30 Influenza / Flu Testing
94375 $30 Peak Flow Lung Capacity Testing
81025 $17 Pregnancy Test
87880 $15 Strep Testing
92551 $10 Hearing Screening
81000 $9 Urinalysis
99173 $5 Vision Screening

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.

CPT Code Cost Description
80053 $23 CMP
85025 $23 CBC
80061 $23 Lipid Panel
84443 $23 TSH
$80 CMP / CBC / Lipid Panel / TSH Combination ($12 Off)
84481 $87 T3 Free
83704 $50 NMR Profile With Lipids
82306 $40 Vitamin D
84439 $23 T4 Free
84153 $23 PSA with Reflex
83036 $23 Hemoglobin A1C
82043 $13 Microalbumin
86003 $134 Allergy – Region II Respiratory Panel
86003 $119 Allergy – Food Panel
$239 Both Allergy Tests Combination ($14 Off)
86694 $175 STD – Herpes I&II IGG Reflex
87491 $90 STD – Chlamydia/GC Genital
86703 $33 STD – HIV Reflex
86592 $25 STD – RPR Reflex
$299 All Four STD Screening Tests Combination ($24 Off)

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.

CPT Code Cost Description
90649 $200 Gardasil / HPV – Series of 3 Vaccines
90736 $200 Zoster / Shingles
90636 $177 Twin Rx (Hep A and Hep B Combined) – Series of 3 or 4 Vaccines
90733 $127 Meningococcal / Meningitis
90632 $95 Hepatitis A – Series of 2 Vaccines
90691 $94 Typhoid
90732 $85 Pneumonia
90746 $83 Hepatitis B – Series of 3 Vaccines
90707 $79 MMR / Measles, Mumps, Rubella
90713 $58 Polio / IPV
90715 $58 TDaP / Tetanus, Diphtheria, and Pertussis
90656 $35 Flu / Influenza – Once Annually

 

In-Network Patients:

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.

CPT Codes:

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.