Pricing
Direct-pay, transparent, no surprises
NEW PATIENT VISIT
$350
A comprehensive first visit including a full review of your history, current symptoms, prior testing, and treatment goals.
60 minutes
FOLLOW-UP VISIT
$175
Ongoing care visits to review labs, adjust treatment, and address new concerns as they come up.
45 minutes
What direct-pay means
Office visits are paid directly at the time of service rather than billed through insurance. Visits are accepted by credit card, HSA, or FSA.
The direct-pay model is an alternative to the healthcare industries current standard where insurance reimbursement rewards short, high-volume visits — which makes it hard to actually think through a complicated case. By stepping outside that system, I can offer longer appointments and the time to do careful clinical work without the constraints insurance places on a primary care practice.
For patients, this means more direct access to their clinician, more time spent understanding the full picture of their health, and care that can be proactive rather than rushed and reactive. Instead of trying to fit complex hormone, metabolic, or chronic health concerns into a brief visit designed around billing codes, the focus shifts toward continuity, thoughtful follow-through, and building a long-term patient/provider relationship centered on prevention, education, and personalized treatment planning.
Patients can still submit a superbill to their insurance for potential out-of-network reimbursement. Most patients find direct-pay is simpler than it sounds, and many find it less expensive overall than copays.
How insurance fits in
While office visits are direct-pay, insurance is used for the parts of care where it works well — labs, imaging, and specialist referrals. These are billed through your insurance whenever possible, the same as they would be at any primary care practice.
What you pay for
Office visits (new patient and follow-up), at the rates above.
What insurance covers
Labs, imaging, vaccines administered elsewhere, prescriptions, and specialist referrals — billed through your insurance.
If you don't have insurance
Patients without insurance can still access care. Most labs and imaging are available at significantly reduced cash rates when paid directly, often less than insurance copays after deductibles. We can talk through the most cost-effective approach for your situation at your visit.