Self-Pay Pricing
| 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 |
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.
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
