South Pasadena Family Medicine
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The Enrollment and Membership Fees apply to all new patients.

One Time Enrollment Fee (not refundable)Fee
Per individual $80.00
Per household (2 to 5 people) $160.00


If you decide that my practice isn’t right for you, you may cancel the monthly fees at any time.

Monthly Membership FeesFee
Age less than 18 years old (Children must be enrolled with a parent or legal guardian) $10.00
Age 18 to 49 $20.00
Age 50 and older $30.00


The following prices may be different if you have insurance coverage. Prices subject to change without notice.

Wellness Care

ServiceNew patientEstablished patient
Well child exam <1 year old$130.00$110.00
Well child exam ages 1 to 4$140.00$120.00
Well child exam ages 5 to 11$150.00$130.00
Well child exam ages 12 to 17$160.00$140.00
Routine physical ages 18 to 39$170.00$150.00
Routine physical ages 40 to 64$180.00$160.00
Routine physical ages 65+$190.00$170.00
Sports Physical$60.00$50.00


Acute visits for illness or injury

ServiceNew patientEstablished patient
Office Visit, Simple $100.00$75.00
Office Visit, Moderate $135.00$100.00
Office Visit, Complex $185.00$135.00
Office Visit, Comprehensive $250.00$180.00
Telehealth Visit $100-$250$75-$180


Immunizations

ServiceFee per dose
Flu shot $30.00
DTaP$35.00
Hepatitis A (child)$45.00
Hepatitis A (adult)$95.00
Hepatitis B (child)$40.00
Hepatitis B (adult)$80.00
Hib$35.00
HPV (Gardasil)$260.00
IPV (polio)$35.00
Meningitis (Menactra)$150.00
MMR$85.00
Pneumococcal$120.00
Prevnar-13$330.00
Tdap (tetanus-diphtheria-pertussis)$60.00
Varicella (chicken pox)$155.00
Injection administration fee$30.00


Other Services

ServiceFee
TB skin test$25.00
EKG$50.00
Rapid strep throat test$25.00
Urine pregnancy test$15.00
Urine dipstick test$10.00
Wart/skin tag removal (<10 lesions)$110.00
Ear wax removal$80.00
Extra Fee for Office Visit After Posted Office Hours$30.00
Completion of Medical Forms$20.00
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