Providence Pediatric Functional Medicine

Cash prices

1. Established Patient Sick Visit - 15 minutes

   Standard service: Established patient sick visit (15 min)

   Code 99212

   Ask what's included
   $75 per visit

   Self-pay price. Established patients, birth through age 21. In-office testing may be billed separately; laboratory and specialty testing may involve additional costs.

   Source: providencepeds.com · checked Oct 2026
2. Functional Medicine First New Patient Follow-Up - 45 minutes

   Standard service: First follow-up visit (45 min)

   Ask what's included
   $225 per visit

   Self-pay price. Pediatric care through age 21. In-office testing may be billed separately; laboratory and specialty testing may involve additional costs.

   Source: providencepeds.com · checked Oct 2026
3. Functional Medicine Subsequent Follow-Up - 30 minutes

   Standard service: Follow-up visit (30 min)

   Ask what's included
   $150 per visit

   Self-pay price. Pediatric care through age 21. In-office testing may be billed separately; laboratory and specialty testing may involve additional costs.

   Source: providencepeds.com · checked Oct 2026
4. New Patient Sick Visit - 30 minutes

   Standard service: New patient sick visit (30 min)

   Code 99203

   Ask what's included
   $150 per visit

   Self-pay price. New patients, birth through age 21. In-office testing may be billed separately; laboratory and specialty testing may involve additional costs.

   Source: providencepeds.com · checked Oct 2026
5. Functional Medicine Comprehensive New Patient Visit - 60 minutes

   Standard service: New patient visit (60 min)

   Code 99205

   Ask what's included
   $300 per visit

   Self-pay price. New patients, birth through age 21. In-office testing may be billed separately; laboratory and specialty testing may involve additional costs.

   Source: providencepeds.com · checked Oct 2026
6. Sports Physical / Clearance Forms - 15 minutes

   Standard service: Sports physical (15 min)

   Ask what's included
   $35 per visit

   Self-pay price. Pediatric care through age 21. In-office testing may be billed separately; laboratory and specialty testing may involve additional costs.

   Source: providencepeds.com · 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.