Skip the referral. It's probably something we can just do here.
Cryotherapy, toenail removal, incision and drainage, laceration repair, skin biopsy, joint injections, simple ultrasound — full-spectrum family medicine is trained for all of it. The goal at Metronome is to take care of what you need without sending you to dermatology, podiatry, orthopedic surgery, urgent care, or the ER for something that can happen right here.
Take Care of It Here, Without the Referral
A lot of common procedures get referred out by default — not because they're beyond what primary care can safely do, but because the system is built around sending you somewhere else. Cryotherapy gets sent to dermatology. An ingrown toenail gets sent to podiatry. An abscess or a cut gets sent to urgent care or the ER.
Full-spectrum family medicine training covers all of this. The goal at Metronome is straightforward: take care of your needs without unnecessary referral, unnecessary appointments, and unnecessary facility markups.
What's Actually Available Here
Each of these is commonly routed to a specialist, urgent care, or the ER by default. They don't have to be.
Cryotherapy for Skin Lesions
Warts and other benign lesions treated on-site — a routine dermatology referral, handled here instead.
Toenail Removal (Avulsion)
Ingrown or problem toenails addressed directly, without a podiatry referral or an urgent care detour.
Incision & Drainage
Abscesses drained on-site — a common urgent care or ER visit, done here for a fraction of the cost.
Laceration Repair & Suturing
Cuts that need stitches, closed in the office rather than in a waiting room.
Skin Biopsy & Lesion Removal
Concerning spots evaluated and, when appropriate, removed or biopsied without a dermatology wait.
Joint & Trigger Point Injections
Joint and trigger point injections for pain and inflammation — often enough to avoid a referral to orthopedic surgery, managed within your existing care relationship.
Simple Ultrasound
Point-of-care ultrasound for appropriate musculoskeletal and soft-tissue evaluation, on-site.
Minor Wound Care
Ongoing wound checks and dressing changes without a separate wound-care clinic visit.
PRP Injections
Platelet-rich plasma injections, prepared on-site with an EmCyte system, are in development — and will be bookable by non-members as well, the same as other procedure visits.
Full-Spectrum Training Includes This
Family medicine residency includes hands-on training in exactly these procedures — injections, biopsies, minor surgery, wound repair. This isn't a doctor stretching outside their lane; it's a doctor using the full scope of what they were actually trained to do.
The Wait and the Bill Are Both Bigger Than They Need to Be
These aren't abstract inconveniences — they're measurable in weeks and dollars.
Dermatology Wait Times Keep Growing
The average U.S. wait for a non-urgent dermatology appointment was about 36.5 days in 2025 across major metro markets, up from 34.5 days in 2022 — and some 2026 analyses put the national average well past 140 days.
ER and Urgent Care Pricing Tiers
A simple ER laceration repair runs roughly $800–$2,000+ before facility fees — not a Metronome price, just what that visit costs elsewhere. The same repair at urgent care is typically $165–$425 self-pay, and an in-office incision and drainage can run as little as $75–$175 elsewhere — often less here, without a second facility bill.
Primary Care Can Do This Safely
A 12-month review of minor procedures performed in primary care — including ingrown toenail removal, lesion excision, and punch biopsy — found a low rate of misdiagnosis on biopsy and minimal complications overall.
None of this means every procedure belongs in primary care — see below. It means the ones that do shouldn't be routed elsewhere by default.
See: Healthgrades dermatology wait-time report · GoodRx on urgent care pricing · PMC — minor surgery in primary care, 12-month review
Single-Visit Procedure Consults Are Available
You don't have to join Metronome to get a procedure done here.
Covers the consultation and any procedure performed that same visit. If you decide to become a member afterward, that $299 is credited toward your membership — it isn't money left on the table.
Book a Single-Visit Procedure →Call or Text Ahead to Confirm
If you think you need a specific procedure, call or text in advance of your appointment so it can be confirmed. Some procedures require special equipment that has to be ordered ahead of time — showing up unannounced can mean a second visit instead of one.
Some procedures also carry a surcharge for the equipment, materials, or medications used. That's discussed up front, not added as a surprise afterward.
Procedures Are Part of a Bigger Picture
Begin the Conversation
If you're looking for primary care that can handle both medical concerns and minor procedures without unnecessary referrals or inflated facility fees, you're invited to reach out.
Begin the Conversation →Not every patient or procedure is a fit for in-office care; clinical judgment determines what's appropriate, and referral is made when it is. Some procedures require advance scheduling for equipment and may carry an equipment or materials surcharge — call or text ahead to confirm. The $299 non-member rate applies to a single visit and is credited toward membership for patients who convert. Sources: Healthgrades, GoodRx, PMC.