Common Fees

Procedure Fee
99385 New Patient Age 18-39 $210
99386 New Patient Age 40-64 $230
99395 Established Preventative Medicine Age 18-39 $190
99396 Established Preventative Medicine Age -40.64 $210
99203 New Patient Low/Mod visit $170
99204 New Patient Mod/High visit $250
99213 Established patient OV Low/Moderate $135
99214 Established patient OV Mod/High $170
76830 Pelvic Ultrasound $225  + $170 OV = $395
58340  Sonohysterogram $300  Plus $395 (OV and US)
57454 Colposcopy $350 + $135 OV
IUDs Cost of IUD + Insertion Fee ($160)
Kyleena $1050
Mirena $1050
Paragard $950
Nexplanon $1100 + Insertion fee ($200)
Pregnancy Test (urine) $18
Urine Test $10