Divine Health Group LLC

Cash prices

1. Follow Up Cost - 99211

   Standard service: Established patient visit (level 1)

   Code 99211

   Ask what's included
   $50 per visit

   Sliding-scale discounts are available based on family size and income. For a sliding-scale fee, apply through the forms section and contact the office before your appointment to determine your exact out-of-pocket cost.

   Source: divinehealthgroup.org · checked Oct 2026
2. Follow Up Cost - 99212

   Standard service: Established patient visit (level 2)

   Code 99212

   Ask what's included
   $75 per visit

   Sliding-scale discounts are available based on family size and income. For a sliding-scale fee, apply through the forms section and contact the office before your appointment to determine your exact out-of-pocket cost.

   Source: divinehealthgroup.org · checked Oct 2026
3. Follow Up Cost - 99213

   Standard service: Established patient visit (level 3)

   Code 99213

   Ask what's included
   $100 per visit

   Sliding-scale discounts are available based on family size and income. For a sliding-scale fee, apply through the forms section and contact the office before your appointment to determine your exact out-of-pocket cost.

   Source: divinehealthgroup.org · checked Oct 2026
4. Follow Up Cost - 99214

   Standard service: Established patient visit (level 4)

   Code 99214

   Ask what's included
   $150 per visit

   Sliding-scale discounts are available based on family size and income. For a sliding-scale fee, apply through the forms section and contact the office before your appointment to determine your exact out-of-pocket cost.

   Source: divinehealthgroup.org · checked Oct 2026
5. Follow Up Cost - 99215

   Standard service: Established patient visit (level 5)

   Code 99215

   Ask what's included
   $200 per visit

   Sliding-scale discounts are available based on family size and income. For a sliding-scale fee, apply through the forms section and contact the office before your appointment to determine your exact out-of-pocket cost.

   Source: divinehealthgroup.org · checked Oct 2026
6. Initial Visit Cost - 99203

   Standard service: New patient visit (level 3)

   Code 99203

   Ask what's included
   $150 per visit

   Sliding-scale discounts are available based on family size and income. For a sliding-scale fee, apply through the forms section and contact the office before your appointment to determine your exact out-of-pocket cost.

   Source: divinehealthgroup.org · checked Oct 2026
7. Initial Visit Cost - 99204

   Standard service: New patient visit (level 4)

   Code 99204

   Ask what's included
   $200 per visit

   Sliding-scale discounts are available based on family size and income. For a sliding-scale fee, apply through the forms section and contact the office before your appointment to determine your exact out-of-pocket cost.

   Source: divinehealthgroup.org · checked Oct 2026
8. Initial Visit Cost - 99205

   Standard service: New patient visit (level 5)

   Code 99205

   Ask what's included
   $250 per visit

   Sliding-scale discounts are available based on family size and income. For a sliding-scale fee, apply through the forms section and contact the office before your appointment to determine your exact out-of-pocket cost.

   Source: divinehealthgroup.org · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.