Shining Star Pediatrics Fees and Pricing Table
I understand that this is a new concept for many. It was for me too! But here are some things to consider if you are trying to figure out if joining a DPC practice is worth it.
- Financial: You currently pay monthly for private health insurance, but likely don’t use it that often. However, when you do, you still have to pay copays and deductibles out of pocket. If medication is prescribed, that is an additional expense. And some expenses don’t show up until the next EOB, so you don’t even realize the true cost of a single visit. Additionally, with insurance, your doctor is only paid if they see your child in the office, so the incentive is always to have you make an appointment.
• In some cases, one year of my services is equal to a single month premium of private insurance. And preventing even one unnecessary ICC or ED visit can be a significant amount of money that stays in your wallet. - Time and piece of mind: What are these worth? This is harder to put a dollar sign on, but here are some questions to ask based on input from current members:
• How long do you spend on the phone trying to get an appointment with your current non DPC pediatrician?
• Can you reasonably expect to be seen on a true same day basis?
• Do you get to see your preferred doctor, on a day and at a time that works best for your schedule? Or do you take what you can get, and either take off work, or send the child in with a family member or sitter?
• If you call the office do you get advice immediately, or do you have to leave a message with staff and get an answer when your doctor has a spare second between patients?
• If something happens after office hours, is your only option to go to the ICC or ED?
• Does your current office offer appointments after 4:30 pm or later? Or on weekends?
• Can you get a school note without having to make an appointment, based on an email or phone discussion with your child’s doctor?
• Does your child have to leave the current practice at 18 years of age, no exceptions?
• Does your child dread going to the doctor? Will they hide symptoms to avoid having to go? Do they express a preference, or act differently depending on who they see? - And finally, from a budgeting perspective: Current families considered what they paid for owning a pet, landscaping, lawn mowing, haircuts, manicures, upgrading cell phones, phone apps, video games, eating out, using Grub Hub, and vacations. For them, it didn’t take a lot of sacrifice to make minor changes in order to find the extra money per month. Since joining, some have already reported decreases in their overall medical expenses compared to the same time period in prior years.
Fee Schedule
PATIENT AGE
Monthly
3 months
(2% discount)
6 months
(5% discount)
12 months
(11% discount)
0 mo to 23 mo
$90
$265
$513
$961
2 yr to 11yr
$85
$250
$485
$908
12 yr to 18
$80
$235
$456
$851
18 yr to 24*
$75
$221
$428
$801
More than 3
children
$300
$882
$1710
$3204
• New Patients $20.00 Enrollment Fee will be charged.
• Established Patients (patients that Dr. Abbott has seen regularly in the past 5 years) and any second generation patients:
⇒ Enrollment Fee Waived
⇒ Additional discounts may be available upon inquiry. (For instance, if paying with Cash or Check)
⇒ No charges will be processed until patient is accepted and DPC contract is reviewed and signed.
⇒* Shining Star Pediatrics will not accept NEW patients who have already reached the age of 18. But once established, patients will be allowed to “age out” when they are ready, turn 26, get married, or have a child of their own.
Fee Schedule
| PATIENT AGE | Monthly | 3 months (2% discount) |
6 months (5% discount) |
12 months (11% discount) |
| 0 mo to 23 mo | $90 | $265 | $513 | $961 |
| 2 yr to 11yr | $85 | $250 | $485 | $908 |
| 12 yr to 18 | $80 | $235 | $456 | $851 |
| 18 yr to 24* | $75 | $221 | $428 | $801 |
| More than 3 children |
$300 | $882 | $1710 | $3204 |
• New Patients $20.00 Enrollment Fee will be charged.
• Established Patients (patients that Dr. Abbott has seen regularly in the past 5 years) and any second generation patients:
⇒ Enrollment Fee Waived
⇒ Additional discounts may be available upon inquiry. (For instance, if paying with Cash or Check)
⇒ No charges will be processed until patient is accepted and DPC contract is reviewed and signed.
⇒* Shining Star Pediatrics will not accept NEW patients who have already reached the age of 18. But once established, patients will be allowed to “age out” when they are ready, turn 26, get married, or have a child of their own.