All new patients will be charged a non-refundable $100 deposit in order to book an appointment. This fee goes towards the first visit as long as the patient is seen as scheduled. If the patient does not come for the scheduled visit or if the patient cancels the scheduled appointment with less than 24 hours notice, then the deposit is forfeited by the patient.  If the patient comes for the visit, as scheduled, then the deposit is deducted from the calculated total amount due at the end of the visit and patient then pays the remaining balance the same day at check out.

All medical/surgical office visits must be paid in full the same day at check out. Some planned larger procedures (including cosmetics) may be charged before services are rendered. We will not charge your card without first discussing your charges with you. Health savings accounts can also be used for non-cosmetic services. Some insurance companies may require a receipt with medical codes on it as proof of services.

We accept cash, debit cards (including HSA cards), and credit cards. We do not accept checks.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Click here for notice.

Medical Visit Pricing

When you call to schedule, our staff will help estimate how much time you need and schedule you accordingly. Scheduled appointment lengths are estimates–your visit may be a bit longer or shorter based on your needs. Charges for your visit(s) are based on the actual time you spend with Dr. Buster. After the starting visit time (zero to fifteen minutes), visits are priced in 5 minute increments. For example, if seen for 12 minutes, that is classified as a 15 minute visit. See below table and examples for further details.

We have medical visits based on time. Prices include simple procedures such as curetting small benign lesions (e.g., warts). Most patient visits are between 15 and 30 minutes. Full-body skin exams typically require 20 to 30 minutes.

 

Minutes	Fee		Minutes	Fee
up to 15	$100		40	$250
20	$130		45	$280
25	$160		50	$320
30	$190		55	$360
35	$220		60	$400

 

*Biopsy moves the visit up to the next level. For example, if there is a 15 minute (0-15 minutes) and a biopsy is done, then it is considered a 20 minute visit. Hence there is a 20 minute minimum ($130) for a skin biopsy/shave removal. Two or more shave biopsies/removals are charged $160 minimum. 

**Cryosurgery (“freezing”) incurs an additional $25 charge for the liquid nitrogen. This includes any amount of cryosurgery. Similarly, steroid injections incur a $10 charge for the steroid and related supplies (regardless of number of injections).

Examples of visits that may be 15 minutes (1-15 minutes):

• Check of one mole that is being monitored
• Check of one spot of concern
• Recheck of a chronic rash (e.g., eczema) that is doing well on topical treatment
• Mild acne follow-up
• Follow-up of a rash that is not responding to treatment
• Several spots of concern

Examples of visits that may be 20 minutes (16-20 minutes):

• Upper body skin exam
• Established patient on medication(s) requiring extensive monitoring and/or counseling

Examples of visits that may be 25 minutes or longer (21+ minutes):

• Extensive rash
• Multiple skin concerns
• Detailed discussions or responding to many questions
• Full body skin exam

 

Cosmetic Services Pricing

Cosmetic Consult $190

Up to 30 minute consultation includes exam of area(s) of concern, complexion analysis analysis, and tailored treatment plan. Consult fee goes towards any cosmetic service(s) rendered the same day or scheduled for and initiated/completed within 1 month of consult. At your consult or shortly after, we provide detailed pricing information for each component of the treatment plan developed specifically for you.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surgery Visit Pricing

Dr. Buster or her staff will generally tell you which surgery slot is most likely going to fit your surgical need; however, surgery time cannot always be precisely predicted ahead of time and may be longer than anticipated. In such cases patients agree to pay the balance the day of surgery at time of check out.

Surgery	Fee
Simple Level 1	$200
Simple Level 2	$250
Standard Level 1	$350
Standard Level 2	$500
Standard Level 3	$700
Standard Level 4	$1000

Simple Surgery example(s): Destruction of one to two skin cancer(s) or very small excision requiring no stiches or only 1-3 stitches to close.

Standard Surgery example(s):

• Level 1: Excision of a cyst or a small skin cancer and repair with stitches.
• Level 2: Excision of a medium-sized benign lesion or skin cancer and repair with stitches; may also apply to excision of 2 lesions and repair of each with stitches. 
• Level 3: Excision of a large benign lesion or skin cancer and repair with stitches; may also apply to excision of 2 lesions and repair of each with stitches. Some ear split repairs.
• Level 4:  Ear gauge repairs (including both ears), earlobe reduction (both ears) and some ear split repairs (including both ears).

 

Other Charges

At VibrantSkin Dermatology and Laser we dispense many of the medications Dr. Buster prescribes directly from our office in order to conveniently provide you with affordable prescriptions. We know that there will be instances in which we do not dispense the medication(s) needed for your condition. In that case we will search for the best price for you locally and provide you with coupons (if helpful) with the goal of getting the medication(s) at a reasonable cost.

If you have private insurance and wish to use it for any prescriptions, we’re happy to oblige by sending the prescription to the pharmacy of your choice. If, however, your insurance requires a prior authorization (a “PA”) Dr. Buster will typically find an alternative medication for you. If you prefer to have us complete the PA, we charge a nominal fee for the additional time needed to complete that paperwork.

Prior Authorization

• Non-biologic medication PAs: $25
• Biologic or small molecule medication PAs: $50

Other Paperwork

• Family Medical Leave Act (FMLA), cancer policy forms, etc.: $25
• Coded receipt: $5
  • Dr. Buster will only use codes if coded receipt requested. Dr. Buster must look them up to provide them for you.
  • There is no charge for an itemized receipt without codes.
• Completed CMS 1500 form: $25

Pathology Services 

• $75 per specimen in most cases.

 

CoolSculpting Consult 

 

Brief (5 minute) CoolSculpting Consults are complimentary. Such consults focus only on CoolSculpting. 

At VibrantSkin Dermatology and Laser, it is our goal to get back to the basics—a doctor patient relationship that allows us to customize a treatment plan that we believe is best for you without hindrance of third parties (e.g., insurance companies, employers, government, etc.). Providing direct care to you cuts costs, provides transparency, and simplifies medical care for the patient and physician. It also means we can get you an appointment quickly–usually within 1 week of your call for an appointment. Similar to hotel booking, appointments missed without 24-hours notice may result in a “no show” fee. One exception to this is an emergency and these are determined on a case-by-case basis at the discretion of our office. Please arrive on time for your appointment.

Please note that prices are subject to change at any time without notice.

Notice of Services

All patients seen at VibrantSkin should review and sign our Notice of Services prior to/at their first appointment. This can be reviewed and printed here and you can bring a signed copy to your first appointment or you can sign one upon your arrival.