The No Surprises Act - 2022
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
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•You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

•Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

•If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

•Make sure to save a copy or picture of your Good Faith Estimate.
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For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises
General Policies:
We do accept many insurance plans, but with the inception of the Affordable Care Act, many more "carve out" policies were developed.  There are so many of these policies that have numerous exclusions and limitations, and we are not in-network with all of them and we can not know which plan you have within that insurance company.

Even if you have insurance, you are not obligated to use it.  You can "opt-out" of your insurance and pay for your care yourself. The self pay prices are generally lower than the charges that we are required to bill to your insurance.  We will ask you to sign an agreement form to opt out of our office billing your insurance in order to take advantage of the self care pricing. We will also require you to sign a contract for payment at that time.  

"Opting out" of your insurance at our office does not preclude you from using your insurance elsewhere.  You can also opt back in and use your insurance at our office at a later date, but once you opt back in, you will be required to use your insurance for the remainder of the calendar year (or your insurance year).

Please note:  Medicare patients are not eligible to opt out of their insurance for services that Medicare covers.
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Manual Manipulation Plans:
  1. Monthly Plan: up to 4 manual manipulations per months - $160/month or $1800 once
12 Treatment Package: $600
6 Treatment Package: $330
Single Treatment: $60
All payments must be made wither prior to or at the time of visit.  If not paid by the time of service, the billed charge of $70 will be required.
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Packages can not be transferred or "saved up" for later.
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Medical Plans:
Monthly Plan:  Up to 2 visits per month, including in-office labs - $250/month or $2800 
Yearly Preventative/Wellness Visit:
    20-65 years old - established patient: $225  - new patient: $250

 Yearly exam includes comprehensive review of past health history, current medications and   allergies, past surgeries, family history, social history, and complete physical exam.
                     
                                                  Lab testing is not included in these charges and labs drawn are sent to Physician's Lab for                                                              processing. You will receive separate billing from them for your charges.
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If you don't want to purchase a plan, you can pay as you go.  Below is a list of some of the more common services and their prices.  Like all self pay services, payment is due at the time of service.
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Office visit appointments:
The different charge levels are determined by the complexity of your needs. This is determined by many different factors including complaint(s), treatment option(s), previous health history, etc. 
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In-house lab:
We are reducing the amount of lab tests that we are doing in-house. 
Current in-house labs are listed below with prices.
Service Description Cost
New Medical Patient Appointment  straightforward visit $110.00
low complexity issues $150.00
moderate complexity issues $225.00
high complexity issues $275.00
Established Medical Patient  medical assistant visit visit $25.00
Established Medical Patient  straightforward visit $65.00
low complexity issues $100.00
moderate complexity issues $150.00
high complexity issues $200.00
manual manipulation of spine $60.00
manipulation of spine and extremity $70.00
acupuncture $60.00
Procedure Cost
steroid injection for allergies  $45.00
testosterone injection  $45.00
vitamin B12 injection  $45.00
joint injection with steroid  $150.00
EKG  $40.00
allergy testing (skin test)/td>  $325.00
allergy serum per vial  $100.00
allergy drops  $275.00
allergy shot (one shot)  $15.00
allergy shots (more than one shot)  $18.00
ear wax removal  $75.00
punch biopsy other than face  $100.00
punch biopsy face  $150.00
skin tag removal > 14  $100.00
skin tag removal > 14  $150.00
mole removal (up to 3) and ot on face  $250.00
mole removal (>3 or on face)  $350.00
stitches placed for cut or injury  $150.00
toenail or fingernail removal  $200.00
IV Fluids  $75.00
Platelet Rich Plasma Injection into a Joint  $550.00
Platelet Rich Plasma Injection: Male Sexual Dysfunction  $800.00
Platelet Rich Plasma Injection: Female Sexual Dysfunction or Urinary Incontinence  $800.00
Hormone Pellet Insertion Procedure  $200.00
Hormone Pellets  Prices vary per pellet
NOTE: the above procedures does not include the office visit charge if one is needed