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Self-Pay

January 1, 2020 effective date

Primary Care (office/virtual)

Provider Visits
  • $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 (Peds Only)
Common Add-On Procedures
  • $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)
Medical Supplies
  • $24.99 Ace Wraps
  • $4.99 Finger/Wrist Splint
Vaccines & Nurse Visits Only (Adults)
  • $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
Lab Tests
  • $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

Counseling (office/virtual)

Master’s Level Therapist (LAC-MC-LMSW-MSW-LAMFT-MFT)
  • $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
Independent Licensed Behavioral Health Therapist (LPC, LCSW, LMFT)
  • $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
Psychologist (PHD, PSYD)
  • $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)

Nurse Practitioner and Physician Assistant (PMHNP, PA-C)
  • $199.99 Initial/Annual Psychiatric Evaluation
  • $119.99 Medication follow-up only
  • $149.99 Mediation follow-up with therapy
  • $49.99 Report Writing (not included in provider visit fee)
Physician (MD, DO)
  • $299.99 Initial/Annual Psychiatric Evaluation
  • $149.99 Medication follow-up only
  • $199.99 Mediation follow-up with therapy
  • $74.99 Report Writing (not included in provider visit fee)

 

Price & Payment FAQs

How does this work?

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 collected prior to services being rendered.

How much is a typical visit?

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), s/he will discuss the recommendations and costs with you prior to any charges being incurred. For more detail, please contact a Denova Customer Service Representative.

Do you have a sliding fee scale?

A Sliding Fee Discount Program will be provided to eligible patients based on the family’s ability to pay. Ability to pay is determined by the household size and annual income relative to a discount schedule based on federal poverty income guidelines. Please contact a customer service representative to receive the sliding fee schedule information.

What about no-shows?

Patients who do not cancel their appointment within 24 hours of the scheduled appointment will be assessed 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 shall have services suspended until which time they have fully paid the outstanding no show balance or have made payment arrangements with the Customer Service Department.

Improving lives, Transforming Healthcare