Insurances
NY Insurances
[In-network status may vary by location]
1199
Aetna
Affinity
Amerigroup (Empire BCBS Medicaid JLJ) only at Manhattan and Astoria locations
Empire/ BCBS
Fidelis
Healthfirst
Oscar
Cigna
GHI
HIP/ Emblem (except Prime)
Health Care Partners
Molina
Multiplan
Medicare (only by appointment at Manhattan, Brooklyn, Astoria & Northern Blvd locations)
Magnacare (except at Northern Blvd)
Somos IPA
United/ Oxford (except Liberty & Metro plan thru' Obama exchange. May require a PCP referral according to your plan).
Complete lists of in and not-in-network insurances
For a complete list of in-network insurances, click here
For a complete list of not in-network insurances, click here.
LA Insurances
In-Network Plans
American Choice Provider Network
Anthem Blue Cross California (includes SAG)
Blue Shield California
California Foundation
HealthNet PPO (except Ambetter)
HealthNET HMO & Medi-Cal with REGAL, LAKESIDE, or ACCESS IPA with prior authorization.
LA Care
Lakeside
Medicare
MediCal
Multiplan
NX Health Network
Prime Health Services, Inc
Regal (may need authorization from PCP)
Three Rivers Provider Network
Tricare Certified only (not prime)
United HealthCare of California
USA MCO
Plans in the process of becoming in Network
Medicaid California – South
Molina Healthcare CA
Optum Care Network (Formerly Monarch Healthcare IPA
Primary Care Associates of CA
Cash or Self Pay Fees
CASH PACKAGES
Medical Termination of pregnancy package: $1100 (does not include the initial pregnancy confirmation visit)
Well Woman Package: $800.00
(VISIT + PAP+SONO + STD PANEL)
Ovarian Reserve package: $800
A LA Carte Fees
Provider visit (in-person): New Patient: $ 300.00/ Follow up: $200.00
Recall (only for Abnormal pap, Chlamydia, Gonorrhea or Trichomonas) $120.00
Televisit: New: $120.00 (Dr. Gupta: $200)/ Estb: $100.00 (Dr. Gupta: $150).
Medical Termination actual visit only (we don't charge insurance for the TOP visit): $360
Sonogram (pelvic ultrasound): $300
Infertility sonogram initial: $300
Infertility sonogram, follow-up: $150
Colposcopy - $300.00 (Lab will be separately from biopsy).
Endometrial biopsy - $300
Incision and Drainage of abcess - $300
Endosee (office hysteroscopy) - $1200.00
Genital warts treatment (freezing or TCA)- $250.00 per session.
IUD insertion (Insertion only) - $300
IUD removal (removal only) - $120 (Removal + visit = Add as above)
IUD cost (Self-pay) – pay the specialty pharmacy directly.
Injection - $200 (if injection as a follow up to visit in 1-2days: $100)
Pessary cost - $60 (does not include visit cost)
Pessary first visit - $350. Estb: $250
Urodynamics - $600
Biofeedback - $300 per session x 6 weekly sessions.
Manual Vacuum Aspiration (if retained products): $500
No show fees- $50
FUNCTIONAL MEDICINE (holistic): $500 (first), $350 (follow up).
PLEASE NOTE: THAT LAB WILL BILL THE PATIENT SEPARATELY FOR SPECIMENS.
Patient Forms
Please fill them out before you come in for faster Check-In process. You can do it on your Smart Device or Computer.
1. Medical Record release form (English)
2. Medical Record Release (Spanish)
3. PRIVACY POLICY -Walk IN
4. IUD CHECK LIST FOR PATIENTS
5. "Well-Visit"- Covered services
6. Hereditary Cancer Screening Tool
7. PMS Journal
8. Menopause Journal
9. PCOS Journal
10. Post operative instructions