Pennsylvania Self-Pay Program

Simplified Pricing for Patients without Insurance

  • Visit charge for routine problem $145
  • Lab, x-ray, and other add-on services discounted and priced separately
  • Visit charge plus add-ons capped at $314 1

Pricing for Patients without Insurance

A) Office Visit Charges  
Routine Visit $145
Follow-up Visit $69
Telehealth – Routine Visit $90
Telehealth – Follow-up Visit $50
Visit for Diabetes, Cholesterol, or Prostate Cancer Screening $59
Visit for DOT Physical (price includes urinalysis) $135
Visit for 10 Panel Drug Screen (with collection) $115
Visit for Drug Screen – collection only 2 $41
Visit for Standard-Dose Flu Shot (Ages 3+) 3 $45
Visit for High-Dose Flu Shot (Ages 65+) 3 $80
Visit for Pregnancy Testing $55
Visit for Removal of Sutures Placed Elsewhere $49
Visit for TB Risk Assessment $35
Visit for TB Test $55
Visit for a School, Sports or Camp Physical 4 $55
B) Add-On Services  
Lab Test (on-site), each $45
X-ray Exam, each $99
EKG $99
Burn Care (2nd and 3rd degree) $99
Fracture/Dislocation Initial Office Care $99
IV Fluids $99
Nebulizer Treatment $99
Stitches/Laceration Repair $99
Supplies & Durable Medical Equipment (crutches, etc.) Discounted 20%
A) Office Visit Charge
B) Add-On Services
Total Visit Cost (capped at $314)
Charges Not Included in the $314 Cap  
Prescriptions 1 Discounted 20%
Vaccines Discounted 20%
Outside Lab Billed separately by the outside reference lab 5

This program is offered only to patients not covered by a government health insurance plan and not covered by any private insurance plan with which we participate. Terms and conditions apply.

Prescriptions, vaccines, and outside labs not included in cap.
'Drug Screen – collection only' services available only to patients who present with a completed Custody and Control Form (CCF).
Flu vaccine is not subject to the additional 20% discount. Flu vaccine is included in the charge for a 'Visit for Standard-Dose Flu Shot' and a 'Visit for High-Dose Flu Shot' as listed above under Office Visit Charges.
Price applies to patients age 3 and up presenting for a sports or camp physical. Price includes physical exam, dipstick urinalysis, if required, and completion of form(s). Price does not include: other types of physicals; additional services such as additional labs (including titers), x-rays, medications (including vaccines and immunizations), dispensed prescriptions, supplies, and procedures; and follow-up visits. If additional services are required, additional charges will apply
Except in Virginia. See Virginia Self-Pay Program pricing materials for outside lab pricing in Virginia.