SELF PAY SERVICE FEES

Appointments

Well Child Visit, new patient — $150

Well Child Visit, established patient — $130

Unwell Visit, new patient — $120

Unwell Visit, established patient — $90

Extended Unwell Visit — $120

Nurse Visit — $60

After Hours Provider Call — $60

Comprehensive Consult — $180

Treatment Plan — $160

Result Review — $160

Lactation Consult — $150

Nutrition Consult — $150

Skin Allergy Testing — $240

Circumcision Consult — $400

Immunizations & Monoclonal Antibody

ActHIB – haemophilus influenza type b — $20

Adacel – tetanus, diphtheria, pertussis — $45

Beyfortus – respiratory syncytial virus — $480

Daptacel – diphtheria, tetanus, pertussis — $30

IPOL – inactivated poliovirus — $35

Menveo – neisseria meningitidis sero A,C,Y, W — $125

MMR II – measles, mumps, rubella — $100

Prevnar 20 – streptococcus pneumoniae — $260

Recombivax HB Peds – hepatitis b — $30

RotaTeq – rotavirus — $95

Vaqta Peds – hepatitis a — $35

Varivax – varicella — $200

Medications & Procedures

Infusion — $50

Injection — $30

Oral, Topical, Rectal — $5

Nebulization — $20

Vitamin K Injection — $40

Epinephrine Injection — $225

Enema, saline or mineral oil — $10

Ear Cleaning and Irrigation — $20

Laceration Repair, dermabond & butterfly — $60

Bleeding Control Dressing — $20

Suture & Staple Removal — $30

Tissue Cauterization — $60

Cryotherapy – wart — $60

Wellness Therapies

Bioenergetic Screen, initial — $160

Bioenergetic Screen, follow up — $80

Infrared Sauna, single session — $30

Red Light Therapy, single session — $30

Infrared Sauna, 10 sessions — $200

Red Light Therapy, 10 sessions — $200

Infrared Sauna and Red Light, 10 sessions — $300

Diagnostics

FRAT – Religen — $340

Newborn Metabolic Screening — $200

All Tox Profile – US BioTek — $480

BabyBiome Profile – US BioTek — $390

BodyIQ Profile – US BioTek — $360

Environmental Toxins Panel – US BioTek — $300

Food Panel IgG & IgA (96) – US BioTek — $280

Glyphosate Panel – US BioTek — $90

Heavy Metals & Minerals Panel (41) – US BioTek — $140

Mycotoxin Panel (16) – US BioTek — $360

Follow Up Mycotoxin Panel (16) – US BioTek — $270

Mold & Mycotoxin Building Profile – US BioTek — $400

Neural Zoomer – Vibrant Wellness — $490

Organic Acids Profile – US BioTek — $280

PediatricBiome Profile – US BioTek — $390

Point of Care Tests

Strep, ID NOW — $30

RSV, ID NOW — $60

Influenza A & B, ID NOW — $60

COVID, ID NOW — $50

Urinalysis — $20

Blood Glucose — $10

Screenings

Spot Vision Screening — $10

Audiometer Comprehensive Hearing Screen — $80

Developmental Screen — $10

Behavioral Screen — $10

Administrative

No Show or Same Day Cancellation — $40

Paperwork Fee — $10

Not listed here?

We will share pricing prior to service whenever possible.

Need service codes?

Your superbill lists the codes for your HSA, FSA, or healthcare sharing company.

Questions?

Email our billing specialist or call our front office team at (515) 967-8887.

These are discounted rates for families paying without insurance. Payment is due at the time of service by cash, check, or card.

MEMBERSHIP PLAN

The Membership Plan provides unlimited access for your children’s healthcare needs, aside from emergency department visits and hospitalizations, for one monthly fee. Our integrative pediatric wellness center provides multivariable approaches to wellness with no limits on visits.

The Membership Plan may be the ideal plan for families who pay out of pocket or families with insurance we are out of network.

Membership Plan Includes

Appointments – Well child visits, unwell visits, and nurse visits

Developmental and Behavioral Screens

Growth & Measurements

Hearing & Vision Screens

Provider Call

Membership Pricing

Newborn – Child 5 years old – $80 per month

Child 6 years old – Adolescent 18 years old – $60 per month

Family maximum – $350 per month

Additional Costs

Specialty Services – Functional Medicine, Lactation, Nutrition Visits

Immunizations & Monoclonal Antibody

Point of Care Tests

Medications & Procedures

Wellness Therapies

Diagnostics

Administrative fees

Participation Requirements

Six month commitment

Automatic monthly payment

30 days’ notice to cancel

download membership application

download notification to cancel

Be Well Collective may update this policy as needed without notice. All updated policies remain available through the patient portal or upon request. This Membership Plan Policy serves as an insurance Advance Beneficiary Notice (ABN) that applies to all services rendered by [Be Well Pediatrics, P.L.C., doing business as Be Well Collective] effective [February 1, 2022] and remains in effect until further notice.

Service Fees

SELF PAY SERVICE FEES

MEMBERSHIP PLAN

Membership Plan Includes