2019 Seaside Medical Practice Fees
Telephone consultation and/ or coordination of care with treating specialists $25
Same day appointment and/or extended hours $50
Review and follow up of outside records $25-$50
Prior authorization $25-$50
Prescription refill $10
No-show fee $50
Letters written on patient’s behalf $25-$50 / each
Form completion (employment, DMV form, disability, etc.) $25-$150
Each email or phone communication with your provider Level 1-$29
Level 2-$55.50
Level 3-$82
Executive Physical, new/existing patient (in-depth physical examination inclusive of nutrition and exercise counseling, sleep hygiene, individualized supplement plan, and age prevention). $432/$303
Bio-Identical Hormone Therapy Physical, new/existing patient (in-depth physical examination, ordering and reviewing of laboratory findings, customized prescription plan utilizing bio-identical and conventional hormone protocols). $432/$303
Executive or BHRT Follow-up Visit $153-$226
Coordination of care with home health agency, hospice agency, or assisted living $20-$35
Assistance with scheduling specialty test and/or appointments $30-$50
IV Iron Therapy $235 and up
Dermal Fillers $299 and up
Dysport $4.5 per unit
Botox $14 per unit
PRP Hair Restoration $1,295
PRP Facial Rejuvenation $895
PRP Neck Rejuvenation $495
PRP Hand Rejuvenation $295
PRP Microneedling $495 per session

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2001 Santa Monica Blvd., Suite, 765W
Santa Monica, CA 90404
P: 310.393.5000
F: 310.393.5007