69$ is for the renewal its 100$ for new patients, not such a good deal afterall as this is pretty much going rate and the renewal fee is actually a bit on the pricey side, still it is a good price in comparison to other clinics that advertise. A good resource regardless, I hope this helps someone. My first card cost my patient 50$, one of my patients paid 200$ at THCF, the other two paid 100$ from a local physician. The only one that has a renewal fee over 20$ is the THCF patient, I believe they charge like 100$.