Many variables go into the decision making process of how your visit is billed, and therefore what it will cost. Some of the factors that contribute to the cost of the visit include; whether you are a new or established patient; the complexity of your visit, and whether any lab work or ancillary testing/services is/are ordered as a result of the evaluation by your physician.
There are different levels of office visits listed on My Cost and the more complex the visit is, the higher the cost. The different levels are based on your health history and the current illness or concern you are seeing your health care provider for.
Simple: Evaluation of minor medical profblem; typically* limited to 10 minutes
Moderate: Evaluation of moderate medical problem; typically* no more than 15 minutes
Complex: Evaluation of complex medical problem; typically* no more than 15 - 25 minutes
*Please note that time frames are not the main determining factor in the overall level/cost of your visit; that is determined by your physician based on your individual needs during your visit.
The visits estimated on My Cost are for the visit only, and do not include any ancillary testing/services – such as labs, diagnostic testing, vaccines, etc. (please see below for more information on the ancillary testing/services).
We have included some common charges affiliated with Well Baby visits as well as Annual Preventative Visits. These are Estimates Only, and not a guarantee of charges. These charges can vary based on your individual needs as determined by your physician, and can include, for example:
Well Baby Visits
|
2 Months
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$125 - $150
$512 - $518
$637 - 668
|
|
Diphtheria and Tetanus Toxoids and Acellular Pertussis vaccine (DTaP) Inactivated poliovirus (IPV), Hib, Prevnar, and Hepatitis B injections.(including administration fee) Combination vaccines are available decreasing the number of shots Rotavirus vaccine given orally
|
4 Months
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$125 - $150
$512 - $518
$637 - 668
|
|
Diphtheria and Tetanus Toxoids and Acellular Pertussis vaccine (DTaP) Inactivated poliovirus (IPV), Hib, Prevnar. (including administration fee) Combination vaccines are available decreasing the number of shots Rotavirus vaccine given orally
|
4 Months
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$125 - $150
$518 - $553
$643 - $703
|
|
Diphtheria and Tetanus Toxoids and Acellular Pertussis vaccine (DTaP) Inactivated poliovirus (IPV), Hib, Prevnar. (including administration fee) Combination vaccines are available decreasing the number of shots Rotavirus vaccine given orally
|
12 Months
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$140 - $164
$491 - $600
$631 - $764
|
|
Measles, Mumps and Rubella (MMR), Varicella (Chickenpox vaccine), Hepatitis A, and Prevnar. (including administration fee) Hemoglobin Lab, and Lead Testing Lab (including fingerstick)
|
15 Months
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$140 - $164
$206 - $307
$346 - $471
|
|
Diphtheria and Tetanus Toxoids and Acellular Pertussis vaccine (DTaP) Inactivated poliovirus (IPV), Hib, and Hepatitis B injections Combination vaccines are available decreasing the number of shots
|
18 Months
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$140 - $164
$74
$214 - $238
|
|
Hepatitis A
|
2 Years
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$140 - $164
$43
$183 - $207
|
|
Lead Testing
|
3 Years
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$140 - $164
$43
$183 - $207
|
|
Lead Testing
|
4 - 5 Years (Kindergarten)
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$140 - $164
$476
$616 - $640
|
|
Diphtheria and Tetanus Toxoids and Acellular Pertussis vaccine (DTaP) Inactivated poliovirus (IPV), Measles, Mumps and Rubella (MMR) and Varicella (Chicken pox vaccine). Urine Dip; Hemoglobin
|
7th Grade
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$154 - $177
$273 Males / $488 Females
$427 - $450 Males
$642 - $665 Females
|
|
Tetanus and Diphtheria Toxoids and acellular pertussis vaccine (Tdap) Meningococcal vaccine, Gardasil (for females only)
** Well Baby Visits are typically a covered benefit with most insurance companies. Please contact your insurance carrier to verify coverage for the visits and ancillary services.
Adult Preventative Visits
|
Young Adult M/F
College Physical
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$154 - $177
$105 - $466
$259 - $643
|
|
Menactra, if indicated; Tdap (Tetanus, diphtheria toxoids and acellular pertussis vaccine) if indicated; Gardasil, if
indicated. May need Hemoglobin, Urine Dip, and/or Tuberculosis skin test.
|
Well Woman
(18 – 39 years)
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$154 - $177
$323 - $622
$477 - $799
|
|
Tdap (Tetanus, diphtheria toxoids and acellular pertussis vaccine) if indicated; Gardasil, if indicated. Thin Prep; Urine Dip; Chlamydia/Gonorrhea Screening, if indicated.
|
Well Woman
(40 – 64 years)
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$169 - $208
$340 - $358
$509 - $566
|
|
Tetanus booster, if indicated. Thin Prep, Urine Dip, Lipid Panel, Complete Metabolic Panel, Complete Blood Count,Fecal Occult Blood Test.
|
Male Physical
(40 – 64 years)
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$169 - $208
$310 - $328
$479 - $536
|
|
Tetanus booster, if indicated. PSA (Prostate Lab), Urine Dip, Lipid Panel, Complete Metabolic Panel, Complete Blood Count, Fecal Occult Blood Test.
|
Complete Physical
M/F 65+
Physician Visit
Ancillary Services (see below)
Total Estimate
|
Estimated Cost
$190 - $228
$603 - $633
$793 - $861
|
|
Tetanus booster, if indicated. Zostavax, PSA (Prostate Lab) or Thin Prep, Urine Dip, Lipid Panel, Complete Metabolic Panel, Complete Blood Count, Fecal Occult Blood Test.
The final cost of your visit, regardless of the nature of your visit will depend solely on your individual needs as determined by your physician.
