FEE SCHEDULE Effective week of JULY 4, 2022 WEEKLY FEE - For check or credit/debit card payments………………………………………………………………………..$87.50 (DUE BY FRIDAY. NO REFUNDS) CASH PAYMENT DISCOUNT ………………………………………………………………………..-$2.50 MEDICARE DISCOUNT….................................................................-$15.00 RETURNED ITEM FEE ………………………………………………………..……$35.00 (such as a Bounced Check or Credit / Debit Card Chargeback) PAYABLE IN CASH ONLY, ALONG WITH RETURNED ITEM THE FOLLOWING FEES ARE PAYABLE IN CASH ONLY, UNLESS COMBINED WITH A WEEKLY FEE ABOVE: REQUESTED ADDITIONAL DRUG SCREEN…………………………………………………$5.00 (Including EtG Test to distinguish diabetes from alcohol positive) REQUESTED CONFIRMATION DRUG TEST………………………………………………….$20.00 COPY OF MEDICAL RECORD (CHART)………………………………………………………………….$20.00