We believe in transparent and straightforward healthcare without surprises. Our practice is designed around providing you with personalized, high-quality care that addresses your unique needs. Here’s how our pricing and insurance policies work, so you can focus on what truly matters—your health and wellbeing.
Pricing & Insurance
Accepted/In-Network Insurance Plans
We are happy to be in-network with all major PPO plans including Aetna, Anthem Blue Cross, Blue Shield, Cigna, United Healthcare, Tricare, and Medicare Part B, offering you the specialized care you deserve. We are also happy to accept Medicare Advantage PPO plans although we remain out-of-network with these and occasionally copays may be higher than an in-network provider.
If you have a Greater Tri-Cities IPA-affiliated primary physician, we accept your HMO plan!
For those with other commercial insurance plans, we operate on an out-of-network basis – but don’t let that worry you. Fees are due at the time of service but we assist you in navigating the claims submission process so you can submit your visits to your insurer for potential reimbursement.
Note: at present time, Medi-Cal (Medicaid) plans are not accepted.
Aetna PPO (includes Open Access plans)
Beech Street PPO
Blue Cross PPO (excluding Select/Narrow PPO plans)
Blue Shield PPO (including TPPO, Federal, and out-of-state plans)
Cigna PPO
First Health Network
Humana ChoiceCare
HealthSmart
Medicare Part B with/without supplement
Medicare Advantage PPO (any provider)
Multiplan
Pacific Foundation for Medical Care
Prime Health Services
Private Healthcare Systems (PHCS)
Scripps Employee Medical Plan
Three Rivers PPO
Tricare (referrals required for Prime)
USA MCO
Prospect Medical Group Senior & Commercial PPO
United Healthcare PPO
Greater Tri-Cities IPA-affiliated HMO plans
Transparent Out-of-Network Pricing for Unparalleled Care
Understanding the cost of your healthcare is important. Below is a detailed pricing table that compares our services with potential costs you might encounter at other practices or hospital systems. Our prices reflect not only the exceptional level of care you receive but also our commitment to access, efficiency, and personalization.
| Service | Estimated Traditional Cost (ie. UCSD, Scripps, Sharp, etc) |
Synergy Rheumatology Cash Discount Price
|
| Extended consultation including reviewing past records, communicating with other physicians as needed, ordering lab/imaging as necessary, ultrasound examination when applicable, immediate treatment when applicable (may be additional fee for injection), and report to your primary physician/other physicians, up to 75 minutes. Includes access to Elation Passport patient portal with full view of chart and electronic messaging. | $1,600 | $350 |
| Extended follow-up visit to review results, determine next steps/recommendations, monitor treatment, refill medications, etc. Up to 30 minutes. | $600 | $225 |
| Elation Passport (Patient Electronic Portal) messaging to Dr. Fellows | $400/hr |
Included (for clarifications only)
|
| Direct communication with Dr. Fellows via phone, SMS messaging | Not available in traditional practices | N/A |
| Extended hours communication and appointments (phone/SMS text messages/portal messaging/video visits/in-office visits) | Not available in traditional practices | N/A |
| Medication monitoring and refills | $400/hr |
with follow-up appointments only
|
| Joint, tendon, or soft tissue injections (corticosteroids, “cortisone”) | $1700/joint without ultrasound |
$100/joint without ultrasound ($150/joint with ultrasound guidance)
|
| Ultrasound diagnostics and guidance for injections (RhMSUS-certification) | $700/joint varying on areas examined |
$70 per area (hand, shoulder, etc) for diagnostic ultrasound or injection guidance
|
| Between-visit coordination with your other physicians | $400/hr |
$200/hr prorated
|
| Prior authorizations for imaging studies, testing, and advanced medications completed on your behalf | $400/hr | $100 flat-rate |
| Weight loss services including education/counseling/medication either with rheum services or alone | $400/hr | N/A |
| E-consult w/ other physicians | N/A | $50 |
| Negotiated rates for cash-pay labs (in some cases, cheaper than your plan’s co-pay) | Not available in traditional practices | N/A |
| Prolotherapy for tendon injuries | $600 | N/A |
Commitment to Quality and Accessibility
At Synergy Rheumatology, your health is our top priority. Our pricing and insurance policies are designed with your best interests in mind, ensuring that financial considerations do not stand in the way of exceptional care. Dr. Zachary Fellows and our dedicated team are committed to transforming your healthcare experience, offering personalized, accessible, and high-quality rheumatology and obesity medicine services.
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