Insurance & Fees

Insurance & Fees

The following is the list of insurances with which we participate. This will be updated from time to time as needed:

  • AETNA
  • Anthem
  • Blue Cross Blue Shield
  • CareFirst
  • CIGNA
  • Coventry
  • GEHA
  • MultiPlan
  • Medicare
  • Optima
  • TriCare Standard
  • United HealthCare
  • Virginia Health Network
  • Any PPO
  • …And Many more

*Medicaid participation is optional and varies amongst Privia Medical Group providers – please verify participation prior to your visit.

Note: You should always check with your Privia Medical Group provider to verify plan and product coverage as this is not an exhaustive list, and plans change frequently.


Insurance 101

Co-Pay:
Because we also are a primary care you always pay your PCP co-pay when you see us, regardless if you have met your deductible or not.

Deductible:
Is the amount of money you are responsible for before your insurance kicks in and starts paying for you.

Co-Insurance:
Percentage of the bill you are responsible for after insurance pays its part (ignore this if you have co-pay)

!WE DO NOT KEEP YOUR CREDIT CARD ON FILE!

Payment Options

We accept cash, Visa, Mastercard, Discover, American Express, and personal checks.

Card-on-File

We encourage patients to keep a credit card on file to make the checkout process easier, faster, and more efficient. You will no longer receive statements from us, but you will continue to receive your Explanation of Benefits (EOB) from your insurance carrier once your claim has been processed, detailing the charges and payments made on your behalf.

At check-in we will:

  • scan the credit card of your choice, including your Flexible Spending Account (FSA) or Health Savings Account (HSA) card

After your insurance has paid their portion, we will:

  • notify you via email of the balance owed
  • charge the balance owed to your card on file
  • email a receipt for the charge

Your credit card information will always be fully protected by our off-site, card-processing partner Elavon, and not on our computers, as required by industry standards (Payment Card Industry Data Security Standard – PCI-DSS).

Fees

Self-Pay (No Insurance) Fees
Doctor Visit $125
School / Sport Physicals $125
STD Exam, Tests, Medications! $199
Cryosurgery Warts, Skin Tags… $100
D.O.T. Certification $195
Urine Drug Test $30
Flu Shot $25
Chest Xray $60
IV Hydration $100
Sutures / Repara Glue For Lacerations $125
Womens’ Wellness Exam (PAP Smear) $175
Splints / Casts Of Fractures / Sprains $125
Incision & Drainge Of Boil/Infection $125
Travel Vaccinations (Scheduling Needed) $395
Electrocardiogramm (EKG or ECG) $40
Pulmonary Function Test $50
Nebulized Albuterol Treatment $40
Hormonal Check For Weight Loss Treatment $450
No Shows
Missed Appointment $50
Missed Physical $100
Late Cancellation $50
No-Show $50
Missed Procedure $200