Fee Schedule & What to Expect in Return

Office visits (consultations & follow-up care):

• The cost for the initial consultation is $1000.  This initial consultation typically takes between 90 to 120 minutes, depending on the complexity of the reason for referral.  
• If your case is so complex that this initial consultation surpasses 120 minutes, a charge of $276 per additional half hour will be applied.
• The cost for a follow-up visit is $276.  Follow-up visits typically last 45 to 60 minutes. 

Procedures (cost of medications is in addition to the cost of procedures)

• Arthocentesis (joint aspiration &/or injection) -- $150 per procedure site (small, medium, or large joint)
• Ganglion cyst aspiration -- $150 per procedure site
• Medications for injection -- cost dependent on price of individual medications.
• 2023 Corticosteroids: Methylprednisolone acetate (DepoMedrol), triamcinolone acetonide (Kenalog) = $90 for doses 20 - 80 mg (price for each single dose vial, dose notwithstanding).

Hawaii County GE Tax (4.712%) will be added to all billable charges
Accepted methods of payment: cash, checks, debit cards, & Visa/Mastercard


What you will receive in return

• Patient-centered, individualized, & collaborative care.
• On-time appointments, scheduled at your convenience.
• Adequate time to learn about your rheumatic disease & to address your concerns.
• Copies of all your office notes & diagnostic test results--you should leave each visit knowing what our management plan entails.