Self-Pay

Effective Date: January 1, 2023

Primary Care (office/virtual)

  • $119.99 New Office Visit (office/virtual setting)
  • $79.99 Established Office Visit (office/virtual setting)
  • $29.99 Sports/School/Camp Physical Only
  • $24.99 Behavioral/Emotional Brief Consultation (office/virtual setting)
  • $49.99 Developmental Screening (Pediatrics Only)
  • $99.99 Abscess Drainage
  • $74.99 Burn Dressing
  • $19.99 EKG
  • $99.99 Incision/Removal of Foreign Body
  • $59.99 Sutures for extremities
  • $59.99 Respiratory Treatment (SVN)
  • $49.99 Earwax Removal
  • $39.99 Spirometry
  • $44.99 Pap Smear
  • $14.99 Hearing Test
  • $199.99 Circumcision (up to two weeks old)
  • $24.99 Ace Wraps
  • $4.99 Finger/Wrist Splint
  • $254.99 HPV
  • $49.99 Hep B Vaccine (per shot)
  • $129.99 Menactra
  • $154.99 Varicella
  • $79.99 Hep A Vaccine (per shot)
  • $89.99 MMR
  • $54.99 Tdap (Tetanus, diphtheria, pertussis booster)
  • $24.99 Flu Vaccine
  • $9.99 TB/PPD Test
  • $29.99 Dexamethasone sodium phosphate
  • $4.99 Benadryl
  • $19.99 Kenalog
  • $9.99 Finger Glucose
  • $9.99 Flu Test
  • $9.99 Mono Test
  • $9.99 Pregnancy
  • $9.99 Strep
  • $9.99 Urinalysis
  • $9.99 Urine Drug Screen

Therapy (office/virtual)

  • $109.99 Initial Appointment- one hour
  • $99.99 Individual Therapy- one hour
  • $59.99 Family/Couple session- per person
  • $29.99 Group Therapy- per person
  • $129.99 Initial Appointment- one hour
  • $109.99 Individual Therapy- one hour
  • $69.99 Family/Couple session- per person
  • $39.99 Group Therapy- per person
  • $149.99 Initial Appointment- one hour
  • $129.99 Individual Therapy- one hour
  • $79.99 Family/Couple session- per person
  • $49.99 Group Therapy- per person

Psychiatry (office/virtual)

  • $199.99 Initial/Annual Psychiatric Evaluation
  • $119.99 Medication follow-up only
  • $149.99 Medication follow-up with Therapy
  • $49.99 Report Writing, i.e. FMLA, short-term disability, clearance, etc. (not included in provider visit fee)
  • $299.99 Initial/Annual Psychiatric Evaluation
  • $149.99 Medication follow-up only
  • $199.99 Medication follow-up with Therapy
  • $74.99 Report Writing, i.e. FMLA, short-term disability, clearance, etc. (not included in provider visit fee)

Price & Payment FAQs

If you don’t have insurance coverage, or do not wish to use your insurance, our outpatient clinic accepts major credit cards, cash, or cashier checks for our self-pay rates. Your visit will be inclusive of the total service and completion of applicable documents. During your visit, there may be additional treatment recommendations. All recommendations and corresponding costs will be discussed upfront during your visit. Payment for scheduled services will be collected prior to services being rendered.

For self-pay patients, our prices are simple, transparent, and inclusive of the total costs. If the therapist sees the need for any additional treatment (e.g. psychiatric or primary care services), they will discuss the recommendations and costs with you prior to any charges being incurred. See above for our individual services listed by price.

A sliding fee discount program will be provided to eligible patients based on the family’s ability to pay which is determined by the household size and annual income relative to a discount schedule based on federal poverty income guidelines. Please contact a Denova service representative to receive more information on our sliding fee schedule.

Patients who do not cancel their appointment within 24 hours of the scheduled appointment will be charged a $50 no-show fee. The fee will be collected prior to or upon time of next service. Patients who have unpaid no-show fees will have services suspended until they have fully paid the outstanding no-show balance or have made payment arrangements with Denova billing.