I got my itemized bill for my visit. $ 145.26 to take my pulse. $ 46.84 to take my BP. They charge to write down your vitals and the prescriptions. You would think that would be included in the $ 637 doctor’s fee. Here is the final, itemized cost of my visit: Doctor Fee $ 637.56 Exam Room Fee $ 1,336.04 Take Pulse $ 145.26 Take Blood Pressure $ 46.84 Medication –1 Prednazone $ 116.76 Latex Gloves(2 pr) $ 9.18 Write Down Vital Signs $ 3.45 Write Prescription $ 9.73 Write Prescription $ 3.45 Total $ 2,308.27 Update 1⁄19 Neighbors waived the additional $ 150 they wanted me to pay. The got a $ 200 co-pay and about $ 1200 in insurance payments. $ 1400 for this visit was still nuts, and I think they even realized that.