Self Pay Menu

Self Pay Menu

**Self-Pay Charges (subject to change)

New Patient

$100 for office visit

Established Patient

$50 for office visit

Cosmetic Consult

$75

Light Treatment

$65

COSMETIC

 

SURGICAL

 

Botox

(See Below)

Biopsy

$80

Dysport

$250 plus $5/unit

# of units _________

Blood Work

$35 – Accutane Test

$105 – Add’tl Specialty Tests

Juvederm Ultra

$550 per syringe

# of syringes_________

Pathology Charge

$130

Juvederm Ultra Plus

$600 per syringe

# of syringes________

Excision/Cyst/Tumor

(head, scalp, arms)

< 2cm - $445

>2cm - $604

Radiesse

$625 per syringe

# of syringes________

Excision/Cyst/Tumor

(trunk, arms, legs)

< 2cm - $315

>2cm - $420

Perlane

$500 per syringe

# of syringes________

Shave Excision

(face, scalp, neck)

< 2cm - $157.50

>2cm - $367

Restylane

$475 per syringe

# of syringes________

Shave Excision

(trunk)

< 2cm - $131

> 2cm -$315

Latisse

$115

3 for $280 (no tax charged)

Liquid Nitrogen

1+ warts - $84

Vitalize Peel

$150

3 for $375

Skin Tags

1 – 14 - $79

15 + - $158

Rejuvenize Peel

$250

3 for $650

 

 

Sclerotherapy

15 min - $185

30 min - $330

 

 

 

Botox Schedule

 

# of Units

Cost

# of Units

Cost ($)

# of Units

Cost ($)

5

$75

45

$630

85

$1,105

10

$150

50

$700

90

$1,170

15

$225

55

$770

95

$1,235

20

$300

60

$840

100

$1,300

25

$375

65

$910

 

 

30

$450

70

$980

 

 

35

$525

75

$1,050

 

 

40

$600

80

$1,120

 

 

1-40

$15 per unit

41-80

$14 per unit

>81-$13 per unit