The previous discounted self-pay (“prompt pay”) rates below apply only to visits conducted prior to July 15, 2024. Visits conducted on July 15, 2024 and onward are subject to the current rates.
Medical Conditions
Tier 1 - $59
- Minor medical visits
- Brief urgent care
- Follow-up visits
- Brief provider-to-provider consultations
- Brief physical therapy follow-up visit
Typical CPT(s): 99202, 99212
Tier 2 - $99
- Chronic care management
- Moderate urgent care
- Short restorative reproductive health/NaPro follow-up visits
- Initial behavioral health visit with primary care physician
- Low and moderate complexity COVID visit
- Physical therapy follow-up visit
Typical CPT(s): 99203, 99213
Tier 3 - $139
- High complexity COVID visit
- Medium restorative reproductive health/NaPro follow-up visits
- Initial PT (physical therapy) consultation, complex PT follow-up, PT re-evaluations
- Well child visits / annual physicals
Typical CPT(s): 99204, 99214
Tier 4 - $199
- Restorative reproductive health/NaPro follow-up visits
- Initial medical evaluation of complex medical conditions
- Second opinions on complex medical conditions
- Ethics and end-of-life care consultation
- Comprehensive COVID Care, usually requiring prolonged time
Typical CPT(s): 99205, 99215
Tier 5 - $200 - $319
Some specialty consultations require clinicians to perform substantial medical records review and/or follow-up tasks. These visits are billed by clinicians based on total time and complexity. Some examples include:
- Initial Restorative Reproductive Health/NaPro technology consultation
- Long/complex restorative reproductive health/NaPro follow-up visits
- Functional Medicine consultations
- Lifestyle Medicine consultations
Typical CPT(s): 99205/99215 + 99417(x4)
Behavioral Health
Tier 1 - $59
- 30-minute established patient follow-up session with licensed counselor or social worker
Typical CPT(s): 90832
Tier 2 - $99
- 45-minute established patient follow-up session with licensed counselor or social worker
- 30-minute follow-up with PhD psychologist
Typical CPT(s): 99203, 99213, 90834
Tier 3 - $139
- 60-minute established patient follow-up session with licensed counselor or social worker
- Counseling session with an independent specialist. These providers are identified as such on their profile page and do not accept insurance or healthshares. We do provide an itemized bill that you may submit to your insurance or healthshare.
Typical CPT(s): 99204, 99214, 90837
Tier 4 - $179 - $199
- 60-minute Initial evaluation with licensed counselor or social worker (typically first session)
- 60-minute Initial psychiatric evaluation by MD, DO or PhD Psychologist
Typical CPT(s): 90791, 90792, 99205, 99215
NFP and Fertility Awareness
Tier 1 - $59
Not applicable
Tier 2 - $99
- Initial and follow-up natural family planning/fertility awareness visit with a certified fertility care practitioner.
- Chart reviews
Typical CPT(s): 99404
Tier 3 - $139
- Fertility awareness session with an independent specialist. These providers are identified as such on their profile page and do not accept insurance or healthshares. We do provide an itemized bill that you may submit to your insurance or healthshare.
Tier 4 - $199
See Tier 4 Medical Conditions above for restorative fertility and NaPro technology services.
Tier 5 - $200 - $319
See Tier 5 Medical Conditions above for restorative fertility and NaPro technology services.
Other Specialties
Tier 1 - $59
- Lactation consultation
- Vaccine or pharmaceutical consultation with PharmD
- Weight management follow-up with a nutritionist, health coach or similar
- Follow-up with a behavioral health and wellness coach
- Follow-up with specialized nursing care including hospice and incontinence care
Typical CPT(s): 0592T, 99402, 99403
Tier 2 - $99
- 60-minute initial weight management consultation with a nutritionist or health coach
- 60-minute initial consultation with a behavioral health and wellness coach
- 60-minute initial visit with a specialized nurse for hospice
- 60-minute initial visit with a specialized nurse for incontinence care
- Speech and language therapy, follow-up
Typical CPT(s): 0591T, 99404
Tier 3 - $139
- Speech and language therapy, initial visit
Tier 4 - $199+
- Sleep Studies – $250
Phone: (888) 822-8436
Fax: (203) 590-8644
Mailing Address: 1180 Newfield Ave., Stamford, CT 06905
© 2023 MyCatholicDoctor. All rights reserved.
Fax: (203) 590-8644
Mailing Address: 1180 Newfield Ave., Stamford, CT 06905
© 2023 MyCatholicDoctor. All rights reserved.
Notice to California Patients: Medical doctors licensed in California are licensed and regulated by the Medical Board of California. To check up on a license or to file a complaint go to www.mbc.ca.gov, email: [email protected], or call (800) 633-2322. Please also see this notice regarding the Open Payments Database.