Direct Care & Pricing

Why did Dr. Abuav choose the Direct Patient Care model?

This is a modern practice model that Dr. Abuav is passionate about. It inspires strong doctor-patient relationships because bureaucracy is blocked. How? Dr. Abuav has opted out of Medicare and discontinued contracts with private insurance companies.

A direct care model is simple. It is no more complicated than eating at your favorite restaurant. You stop in, get service, and you pay for it. Direct patient care practices operate much the same way. No hidden fees, no surprise bills, no co-pays or insurance cards. Just straightforward medical care when you need it. This is NOT a concierge model. There is NO membership fee.
Direct care models are free market based. In a free market, no one forces people to buy a product, nor does it tell consumers where to buy it or how they must use it. Why should it be different with healthcare? And yet it is different in the traditional medical model.

Direct care models decrease costs by cutting out the overhead that comes with insurance companies and regulations. Prices can be kept reasonably low and transparent because of lower overhead costs. Prices are published on this website, so that you can make an informed decision.

Dr. Abuav DOES believe that medical insurance is beneficial but feels that we have lost sight of the proper place for insurance. Like car, life and disability insurance, the role of medical insurance should be reserved for large, expensive, and catastrophic events- not typical day-to-day care. Could you imagine using your car insurance to pay for gas, oil changes or new tires? The result would be unaffordable car insurance costs, lack of price transparency, over-utilization of services and subsequent insurance control of the care of your vehicle. This is exactly what has transpired in medicine.

The direct care model type of practice model allows Dr. Abuav to spend more quality time face-to-face with patients. There is less time waiting for your appointment. You can often book a same-day or next day appointment, and you will be seen at your appointment time. Your time is valuable, and Dr. Abuav appreciates that.

Pricing:

Note to Medicare Patients: All Medicare patients will need to sign a ”Medicare Private Contract” every 2 years while under Dr. Abuav’s care.  This contract demonstrates understanding that Dr. Abuav is non-partipating in all Medicare programs, and that no reimbursement for services may be sought through Medicare.  Unfortunately, Dr. Abuav may not see Medicare patients if this contract is not signed.

Flexibility in lab fees: You have options. You may use your insurance for bloodwork and pathology fees, or we have deeply discounted cash fees. Self-pay, uninsured, and patients with high deductibles benefit most from this flexibility.

Credit Card Processing fees:  In order for Dr. Abuav to keep her prices low, she has contracted with CardX for card processing. CardX charges 3% credit card acceptance fee for the convenience of using a credit card. There is no additional fee for debit card, FSA, HSA debit cards, cash or personal check payments.

Good Faith Estimate:

  • You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
  • Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 877-696-6775.

Fee schedule updated June 03, 2024:

Visit Description

Fee

Notes:

New Patient

$325

Full skin examination, suspicious spots, rashes, acne, hair loss, or multiple issues.  This appointment type will give us plenty of time to cover all of your concerns and allow for minor procedures as well.

Established Patient, Straightforward

 

Established Patient, Comprehensive

 

 

Multiple Issues + Full Skin Examination

$225

 

$325

 

 

$650

1 straightforward problem, stable rash follow-up, and medication refills. Do not book this appointment type for a full skin examination.

Full skin examination, rashes, hair loss, a complex problem, or multiple issues.  This appointment type will give us plenty of time to cover all of your concerns and allow for minor procedures as well.

Full skin examination AND rashes, hair loss, a complex problem, cosmetic concerns, multiple issues.

 

2nd Opinion Consultation

$1,000

Generally required for patients who would like extended time to sort through a complex medical situation.  This appointment type will allow extended time to discuss the background without feeling rushed.  It will allow Dr. Abuav to review prior testing and
external notes/evaluations completed.  This is an extended appointment and you should arrange to email your prior records ahead of time.  Dr. Abuav reviews records in advance of the appointment to provide the best analysis.  A $250 deposit is required for
this appointment and will be refunded if cancellation occurs at least 72 hours in advance of the appointment.    This appointment may require biopsy or other laboratory investigation.  (Additional fees will apply in those cases).  Depending on the volume of
records provided or the time it will take to discuss the case with consulting physicians, there may be additional fees ($100-200).  Follow-up appointments are generally charged at the standard follow up rates.

Autoimmune 2nd Opinion Consultation

$1,000

Generally required for patients with known or suspected autoimmune disease, who require a comprehensive analysis of their medical history and current problems.  This is an extended appointment and you should arrange to email your prior records ahead of time. 
Dr. Abuav reviews records in advance of the appointment to provide the best analysis.  A $250 deposit is required for this appointment and will be refunded if cancellation occurs at least 72 hours in advance of the appointment.    This appointment may require
skin biopsy or other laboratory investigation—which will be completed during this visit (Additional fees will apply).  Depending on the volume of records provided or the time it will take to discuss the case with consulting physicians, there may be additional
fees ($100-200).  Follow-up appointments are generally charged at the standard follow up rates.

Cosmetic Consultation

$325

New patients desiring cosmetic treatments are REQUIRED to book a cosmetic consultation, so that Dr. Abuav has the opportunity to provide her expert opinion.  Procedures may be performed the same day as time allows. If you plan to have any treatments done the same day as your consultation, please advise us so that we may schedule the appropriate amount of time to meet your needs.  Cosmetic procedure fees are NOT included in the consultation fee.

*Pathology fee is not included in pricing.  For general pathology, not requiring additional work-up, the fee is $95 per specimen.  You may, however, elect to have your pathology fees submitted and paid by your insurance (for commercial PPO plans and Medicare A/B plans)

Procedure Description

Fee

Shave removal or biopsy, non-facial body area*

$100

Shave removal or biopsy on the face*

$125

Punch biopsy of lesion w/suture (suture removal is included)*

$175 first lesion, $125 for additional lesions

Destruction of lesions with liquid nitrogen, simple

$75

Destruction of lesions with liquid nitrogen, moderate

$150

Destruction of lesions with liquid nitrogen, complex

$300-$500

Single skin tag removal

$100

Skin tag removal in 1 location (e.g. both underarms)

$250

Skin tag removal in multiple locations or extensive removal of single location

$500

Milia extraction, single lesion

$75

Milia extraction up to 5 lesions

$250

Milia extraction (extensive), acne surgery, destruction of sebaceous hyperplasia or seborrheic keratoses (full face or neck treatment)

$750

Simple intralesional injection of Kenalog (fewer than 10 injections)

$95

Extensive intralesional injection of Kenalog (e.g. scalp)

$220

Intramuscular injection of Kenalog (per 40 mg)

$80

Patch testing for allergic contact dermatitis: The total fee includes 3 office visits in 1 week (Monday/Wednesday/Friday), custom-ordered patch testing materials (80-110 allergens), application of patch testing, interpretation of patch testing with specialized counseling by Dr. Abuav

$1500-$1700

Incision & Drainage of cyst or abscess

$300 for simple; $400 for complex

Cyst surgery <3 cm*

$750

Cyst surgery >3 cm*

$1000

Skin cancer or mole removal surgery <1 cm*

$750

Skin cancer or mole removal surgery >1 cm*

$1000


Pathology fees (per specimen) $95 (or use insurance)
Laboratory draw fee (for bloodwork) / In-office microscopy (fungus, yeast, scabies) $20
Prior authorization for medications (or we have cash-based options outside of your insurance to avoid this fee)
$25
Outside record review (non-autoimmune) $50
Outside record review (autoimmune)—please email records ahead of appointment $100-$200
Disability and FMLA paperwork (per document)
$50/document
Biologics Prior Authorization fee $125/year
Telephone discussion with Dr. Abuav
$50/5 minutes
Email exchange: Dr. Abuav is happy to provide 1 email exchange for follow up questions/clarifications after each office visit (at no additional charge).  However, any subsequent patient-initiated emails with the doctor are subject to a $25 fee (per email exchange). Communication with Dr. Abuav’s staff via email is provided without charge. Any email exchange, which is initiated by Dr. Abuav is also complimentary.
$25

Testimonials

Isabella and her team have been looking after me for over 10 years, and are without a doubt the best in the industry. They know exactly how to make me feel beautiful, and every visit is a relaxing, fabulous experience.

Lorena Barker

I had an amazing experience at Flair Salon. They nailed what I wanted and showed me how to style my hair at home! I'm so happy and will definitely become a regular client. Thank you guys for making me so beautiful.

Helen Closs

Flair is the best hair and beauty salon in the city, hands down! I've been to many salons, but none of them had the same professionalism and touch as Isabella's team. Highly recommended.

Lilly Brown

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