If you are covered by health insurance you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided at this health care facility. If you are not covered by health insurance, you are strongly encouraged to contact HealthOne Physician Group at $host.phoneNumber to discuss payment options prior to receiving a health care service from this health care facility since posted health care prices may not reflect the actual amount of your financial responsibility. The health care price for any given health care service is an estimate and the actual charges for the health care service are dependent on the circumstances at the time the service is rendered.

Price list descriptions
Procedure Code Description Self-Pay Price
J1050 Medroxyprogesterone Acetate $0.65
0502F Subsequent Prenatal Care -
99213 Established Patient Office Visits Level 3 $89.05
76830 Non OB Transvaginal Ultrasound $244.40
99396 Preventative Visit Established Age 40-64 $135.20
99395 Preventative Visit Established Age 18-39 $124.15
99024 Postop Follow Up Visit -
59025 Fetal Non-Stress Test $90.35
76817 OB Transvaginal Ultrasound $202.15
76816 OB Ultrasound Follow Up $228.15
90471 Immunization Administration $44.85
36415 Blood Draw $5.85
0503F Postpartum Care Visit -
99385 Preventative Visit New Patient Age 18-39 $142.35
99203 New Patient Office Visit Level 3 $132.60