Self-Pay Pricing
At Trinova Medical, we believe healthcare should be accessible and transparent for everyone.
For patients who are uninsured or choosing to pay out of pocket, we offer clear, upfront self-pay pricing so you know the cost of your visit before you’re seen. Our self-pay program is designed to make high-quality primary care more affordable, convenient, and predictable.
Prices are subject to change and may vary based on clinical complexity.
| Trinova Self Pay Fee Schedule | |||
|---|---|---|---|
| Office Visits | CPT Code | Price | |
| Annual Administrative Fee | 99080 | $50 | |
| New P/C Patient | 99205 | $215 | |
| Follow up/Acute visit | 99214 | $127 | |
| Annual Wellness Exam visit | 99386 | $120 | |
| TCM 14 days | 99495 | $202 | |
| TCM 7 days | 99496 | $270 | |
| Procedures | |||
| Ear lavage | 69210 | $52 | |
| Pap Smear | Q0091 | $45 | |
| EKG | 93000 | $18 | |
| Spirometry | $79 | ||
| UA Dip only | 81003 | $10 | |
| RetinaVue | 92227 | $24 | |
| Rapid Strep | 87880 | $24 | |
| Finger Stick A1C | 83037 | $14 | |
| Urine Microalbumin/creatnine | $28 | ||
| Rapid Flu/COVID | 87428 | $76 | |
| Injections | |||
| Injection Admin Fee | 96372 | $18 | |
| B12 | J3420 | $20 | Admin fee included |
| Toradol | J1885 | $22 | Admin fee included |
| Phenergan | J2550 | $22 | Admin fee included |
| Rocephin | J0696 | $22 | Admin fee included |
| Depo-Medrol | J1010 | $24 | Admin fee included |
| Number | First Name | Last Name | Email Address |
|---|---|---|---|
| 1 | Anne | Evans | anne.evans@mail.com |
| 2 | Bill | Fernandez | bill.fernandez@mail.com |
| 3 | Candice | Gates | candice.gates@mail.com |
| 4 | Dave | Hill | dave.hill@mail.com |
Primary Care New Patients
Price
Annual Administrative Fee (AAF)
$50
New Patient Visit
$170
24/7 Provider Access via Phone
Included AAF
Form Fees
Included AAF
No Show / Cancellation Fee
Included AAF
Primary Care
Price
Follow up/Acute visit
$127
Telehealth Appointment (Same-Day)
$127
Annual Wellness Visit
$120
Procedures (added to visit)
Price
EKG
$18
Pap Smear
$45
Ear lavage to remove wax
$52
Removal of Skin Tags (up to 10)
$96
Wart Removal (Cryotherapy )
$65
Abscess drainage
$125
Testing / Diagnosis
Price
Rapid Strep
$24
Rapid Flu/COVID
$76
RetinaVue (Diabetic retinal exam)
$24
Finger Stick A1C
$14
Urinalysis (Dip Only)
$10
Urine Microalbumin/creatnine
$28
Spirometry
$79
IV Therapy / Injections
Price
IV Hydration 1L
$125
B12 Injection
$20
Toradol
$22
Phenergan
$22
Rocephin
$20
Depo-Medrol
$24
Flu Shot
$25
