Self-Pay (Uninsured) Fee Schedule

$125 Office Visit Fee

Includes Some Rapid Tests & Injections


$206 Annual Physical, Basic Labs


$304 Annual Physical, Extended Labs


$206 Preventive GYN Pelvic Exam

Includes PAP Smear/HPV Test


$206 Covid-19 PCR for Travel or Events

$206 STD Exam, Basic Tests, Medications


$304 STD Exam, Extended Tests, Medications

$206 Preoperative Clearance (Includes EKG and labs)


$304 Preoperative Clearance + Covid-19 PCR (swab)


$206 Visit requiring any one X-ray


$206 Limited Laceration Repair


$206 Wart treatment


$206 Abscess Drainage (I&D)


$125 School / Sport Physicals


$125 TB Screening Package with CXR


$50 Age Appropriate Flu Shot


$50 Non-DOT Urine Drug Test

Vaccine self pay

Vaccine Type Vaccine Name Price CPT
Tdap Adacel 100$
Meninggococcal Menactra 200$
Hep B Engerix-B (adult) 100$
Hep B Engerix-B (ped) 100$
Hep A Havrix (adult) 100$
Hep A Havrix (ped) 100$
HIB Hiberix 100$
DTAP Infanrix 100$
Polio IPOL 100$
DTAP, IPV Kinrix 100$
MMR MMR II 100$
DTAp, IPV, Hep B Pediarix 200$
DTAp. IPV, HIP Pentacel 150$
Dtap/ IPV Quadracel 150$
Pneumococcal Pneumovax 23 300$
Pneumococcal Prevnar 13 300$
MMR, Varicella Proquad 250$
Rotavirus Rotateq 200$
PPD (TB) Tubersol 30$
Varicella Verivax 300$
Influenza Flucelvax (4-65) 50$
Influenza FLUZONE QUADRIVALENT 6-35MO 50$
Influenza Fluzone Quad (3) 75$
Influenza Fluad ( 65+) 50$


*Please note that fee-schedule for insured patients is determined by insurance contract