Calvin Lei, MD
Internal Medicine Physician · Pleasanton, California
NPI: 1265432967
3.5
31 reviews · 3 sites
$269
First visit · CPT 99204
$159
Follow-up · CPT 99214
Pleasanton
California · 8 visit types priced
What You’d Pay
The negotiated rate is the whole bill for a visit with Dr. Lei; there is no separate list price on top. How much of it lands on you depends on which of three situations your plan puts you in.
Visit
Deductible not met
Met, 20% coinsurance
Copay plan
First visit
New patient visit, 45–59 min · CPT: 99204
Follow-up
Follow-up visit, 30–39 min · CPT: 99214
Annual physical
Annual physical, age 40–64 · CPT: 99396
Usually $0: in-network preventive visits are covered in full. Add-ons or a problem discussed during the visit are billed separately.
Coinsurance is shown at 20%, the most common in-network share; yours may be 10–40%. Primary care copays typically run $20–$50. Out-of-network or non-UnitedHealthcare plans will differ.
Not every visit needs an office. The Momentary app is AI primary care with real doctors, $19.99 a month for unlimited visits, prescriptions, lab orders and referrals; less than one $159 follow-up here.
Get the Momentary appNegotiated Rates
A new patient visit (45–59 min, CPT 99204) with Dr. Lei has a UnitedHealthcare negotiated rate of $269, about the same as the California median of $262. A routine follow-up (CPT 99214) is $159. These are the in-network prices UnitedHealthcare published for Dr. Lei’s own NPI in February 2026; what you owe depends on your plan.
Office visits
Problem-focused appointments, priced by length and complexity. Most routine follow-ups bill as 99213 or 99214.
New patient$178–$269
30–44 min99203
within 5% of California median ($176)
$178
45–59 min99204
within 5% of California median ($262)
$269
Follow-up (established patient)$121–$238
20–29 min99213
12% below California median ($137)
$121
30–39 min99214
18% below California median ($194)
$159
plans $140–$178
40–54 min99215
16% below California median ($284)
$238
Annual physicals and preventive visits
Wellness visits by age band. Covered in full in-network on almost all plans; the rate matters when a problem raised during the physical is billed as a separate visit.
New patient$217
Age 18–3999385
within 5% of California median ($219)
$217
Established patient$175–$175
Age 5–1199393
within 5% of California median ($176)
$175
Age 40–6499396
17% below California median ($210)
$175
In-office add-ons and telehealth
Billed on top of a visit, plus phone or portal visits.
Billed on top of a visit$44–$44
Blood draw (venipuncture)36415
$44
Therapeutic injection (intramuscular or subcutaneous)96372
$44
Hospital and emergency rates
Contract codes that do not apply to an office visit, including hospital, emergency and consult work this doctor may never bill. Shown for completeness.
Hospital, emergency and consult codes$115–$3,192
Initial hospital care, moderate complexity99222
$217
Initial hospital care, high complexity99223
$288
plans $255–$322
Subsequent hospital care, moderate complexity99232
$115
Subsequent hospital care, high complexity99233
$165
Emergency department visit, straightforward99282
$1,772
Emergency department visit, low complexity99283
$3,192
Emergency department visit, high complexity99285
$267
Critical care, first 30–74 minutes99291
$343
Rates are the median across UnitedHealthcare’s plan files for this doctor and code; where plans pay different amounts the range is shown underneath. The comparison is against the median among doctors listed on this site in the same city (when at least three report the code), otherwise statewide. Position counts every listed doctor in the city, lowest rate first.
Patient Reviews
3.5
Mixed · 31 reviews across 3 sites
Reviews checked March 2026
Patients praise
- Caring demeanor
- Thorough in addressing concerns
- Explains conditions clearly
Patients criticize
- Difficulties in follow-up care
- Appointments can feel rushed
- Communication issues
Themes and ratings come from public listings on U.S. News, Sharecare and RateMDs; we do not collect or host reviews. The headline rating is the review-count-weighted average across sites.
California Market
California internal medicine physicians with a published rate for new patient visit (45–59 min), cheapest first, with their public rating alongside. The cheapest and most expensive are always included, plus those priced closest to Dr. Lei.
Doctor
New patient visit, 45–59 min
Follow-up
Rating
Dr. Calvin Lei, MD this page
3.5 (31)
$269
New patient visit, 45–59 min
$159
follow-up
3.5
31 reviews
Same Contract
The same billing entity negotiates one UnitedHealthcare rate schedule for all of its doctors, so 1 other doctor listed in Pleasanton has the same prices as Dr. Lei. Pick among them on fit, availability and reviews; the bill will be the same.
About
Specialty
Internal Medicine Physician
Credentials
MD
NPI Number
1265432967CA Medical License
#A54048In Federal Registry Since
2005
Gender
Male
Practice Type
Group Practice
NPIs were first issued in 2005, so the registry date is a floor on years in practice, not a measure of it. License status is verifiable with the Medical Board of California.
Additional Practice Locations
1447 CEDARWOOD LANE #A, PLEASANTON, CA 94550 · (925) 460-9903
Location
Address
5565 W LAS POSITAS BLVD STE 260
Pleasanton, CA 94588
Phone
(925) 416-5470Questions
- How much does a first visit with Dr. Lei cost?
- Dr. Lei's negotiated rate with UnitedHealthcare for a new patient office visit, moderate-complexity decision-making, 45–59 minutes is $269, about the same as the California median of $262. This is the total the insurer and patient pay together; if you have not met your deductible you may owe all of it, and with a copay plan you pay only the copay.
- How much is a follow-up visit with Dr. Lei?
- An established patient office visit, moderate-complexity decision-making, 30–39 minutes is $159 (median; individual plans range $140–$178), 18% below the California median of $194. Most routine primary care follow-ups are billed as 99213 or 99214.
- Does Dr. Lei accept UnitedHealthcare?
- These rates were published in UnitedHealthcare's in-network price transparency file in February 2026, which indicates Dr. Lei was in at least one UnitedHealthcare network at that time. Networks change and vary by plan, so confirm with the office at (925) 416-5470 before booking.