Self Pay Information
If you are uninsured or have commercial insurance, you can choose to self pay at GI For Kids.
If you have commercial insurance, you will just need to complete an Insurance Opt-out form in our office. You may opt back in to using your insurance by requesting and completing the opt-in form when you check in for your office appointment.
If you are uninsured, you may also request a Good Faith Estimate by calling our office at 865-546-3998.
Please don’t hesitate to reach out if you have any questions.
Self Pay Rates | ||
Service | Self Pay Rate | Outside Billed Charges |
New Patient Appointment | $150.00 | |
Return Patient Appointment | $100.00 | |
Dietitian New Patient Appointment | $150.00 | |
Dietitian Return Patient Appointment | $100.00 | |
H.pylori Breath Testing | $100.00 | |
Allergy Scratch Testing per Allergen (avg 74) | $6.50 | |
Vscan-Bedside | $125.00 | |
*X-Ray Single View Abdomen | $30.00 | |
*Ultrasound-Abdomen Complete | $150.00 | |
*Ultrasound-Shearwave | $100.00 | |
*Endoscopy | $325.00 | Facility, Anesthesia, Histology (biopsies), Quest/Labcorp (specialized tests) |
*Colonoscopy | $450.00 | Facility, Anesthesia, Histology (biopsies), Quest/Labcorp (specialized tests) |
*Labwork | PathGroup | |
*Radiology
Radiology studies are read by Radiologists at Vista Radiology and will result in a separate charge and bill.
*Labwork
Labwork in our offices is drawn, processed, and billed separately through PathGroup.
*Endoscopies, Colonoscopies, and other Procedures
Please click here for more detailed information on Procedure Billing
Procedures will incur separate charges and bills which may include the following:
- Facility Charges
- Anesthesia Charges
- Histology Charges for biopsies (OPUS)
- Specialized Lab Tests (Quest or Labcorp)
