Clear answers.
Transparent pricing.
One place for self-pay office visit pricing, copay collection, patient balances, financial responsibility, sliding-fee guidance, and future self-pay laboratory resources.
Quick Access
Start with the patient’s question
Use the shortcuts below to jump directly to the most common front-office financial workflows.
Review the Basic, Enhanced, and Comprehensive cash-pay visit tiers.
Sliding Fee ScaleAccess the approved financial-assistance workflow and required documentation.
Copay CollectionOpen the existing copay, self-pay payment, and receipt workflow.
Patient BalancesReview balance communication, collection, escalation, and documentation standards.
Self-Pay Laboratory PricingFuture home for laboratory pricing by state, market, and performing laboratory.
Financial ResponsibilityExplain what is included, excluded, and potentially billed separately.
Cash-Pay Pricing
Self-pay office visit tiers
Cash prices apply to patients who are not using insurance.
Provider visit with transparent pricing
- Comprehensive provider evaluation
- Vital signs assessment
- Medical history review
- Focused evaluation of symptoms or health concern
- Lab draw or specimen collection, if ordered
Everything included in the Basic Visit, plus:
- Up to two in-office Point-of-Care tests when medically indicated
- Lab draw or specimen collection, if ordered
Everything included in the Enhanced Visit, plus:
- Up to three in-office Point-of-Care tests total when medically indicated
- One electrocardiogram, when medically indicated
- In-office therapeutic injection or injections, when medically indicated
Important pricing notes
- Point-of-Care testing, EKGs, and injections are performed only when medically indicated.
- Additional Point-of-Care tests beyond the selected tier may result in an additional charge.
- Outside reference laboratory testing is not included and will be billed separately by the performing laboratory.
- Imaging studies, specialty procedures, and medications are not included in the office visit fee.
- Services outside the scope of the office visit may incur additional charges.
Financial Workflows
Policies and staff guidance
Open each section for the approved staff-facing approach.
Staff should
- Use the approved current sliding-fee policy and application.
- Explain required income and household documentation.
- Avoid promising eligibility before the review is completed.
- Document the application status and any missing items.
- Escalate exceptions to leadership.
Do not
- Create a discount outside the approved policy.
- Backdate approval without authorization.
- Skip required documentation.
- Discuss another patient’s financial arrangement.
Standard workflow
- Review the account before discussing the balance.
- Confirm the amount due and whether it is current, prior, estimated, or pending insurance.
- Explain the balance calmly and without judgment.
- Collect payment according to clinic policy.
- Provide a receipt when requested.
- Document payment, refusal, hardship, dispute, or approved arrangement.
Escalate when
- The patient disputes the charge.
- The amount appears incorrect.
- Insurance is still processing.
- The patient requests a payment plan or financial assistance.
- The balance may affect whether the visit proceeds.
Included in the selected visit tier
- The provider office visit.
- The services specifically listed within that selected tier.
- Specimen collection when ordered, but not outside laboratory testing.
May be billed separately
- Outside reference laboratory testing.
- Additional Point-of-Care testing beyond the tier allowance.
- Imaging studies.
- Specialty procedures.
- Medications.
- Additional services outside the office-visit scope.
Communication standard
Give patients the clearest available estimate before services are performed. Do not guarantee that an outside laboratory, imaging center, pharmacy, or specialist will charge a specific amount unless the performing organization has provided that price.
Arizona
Pricing resources will be organized by available laboratory and patient location.
Nevada
Pricing resources will be added as approved market-specific information becomes available.
Texas
Pricing resources will be added as approved market-specific information becomes available.
Important
Outside laboratory testing is not included in the office-visit price and is billed separately by the laboratory performing the testing.
Try self-pay, copay, balance, sliding fee, laboratory, or financial responsibility.