What To Expect
Your First Visit
Most of the time, when women come to me they are looking for something a little different. This is not your typical visit to the doctor's office. Your visit starts prior to our time together, as I read through and reflect on your initial paperwork that you will complete at prior to the visit. Your first visit we allow for 90 minutes, and within a few days of the visit you will receive a follow up email from me including the plan and any additional information that we discuss.
Please note that I am out of network with all insurance companies, which means I do not bill insurance directly. Payment is due in full at the time of service. If you would like a superbill to submit to your insurance, please let me know.
A word on labs: Not all women and not all scenarios require labs. Most of the time a diagnosis can be made and a treatment plan formulated without utilizing labwork. All labs, with the exception of labs done in house, are an additional fee. If you have insurance, we can use your insurance for these labs through LabCorp. Other labs can be completed through Quest Diagnostics for an additional charge. All saliva, neurotransmitter, and Genesight testing is billed seperately.
Initial consultation (90 minutes) $425
Membership options and updated pricing coming 1/1/24
COVID/flu/strep swab (same day results) $50
Gonorrhea, Chlamydia, Trichomonas swab (same day results) $120
Hemoglobin A1C included in visit (same day results)
Urinalysis included in visit (same day results)
Comprehensive laboratory testing pricing available and can be discussed prior to or during your visit
Urinary neurotransmitter $300
Saliva sex hormone testing + cortisol x 1 $200
Saliva sex hormone testing + cortisol x 4 $250
I do not bill insurance directly, which means I am Out Of Network. This decision was not made without a lot of contemplation about reimbursement rates, insurance best practices, and other requirements that go into billing an insurance group. Not billing insurance allows me to keep my costs lower, and to provide more time with you without being forced to see more patients.
I do provide superbill upon request. A superbill is a statement with specific codes on it, to file with your insurance on your own. They may put it towards your out of network deductible, they may reimburse you for your visit with me. This is all dependent on your specific plan.
The CPT codes I use are 99205 (new patients) and 99214 or 99215 (established patients). The established patient codes are dependent on time. If you have a 25 minute follow up your code is 99214, if you have a 50 minute follow up your code is 99215.
The ICD 10 codes I roughly use are N95.1 (menopausal or any hormone concern), F52.0 (female sexual dysfunction of any severity/type), R53.82 (a chronic fatigue code), and a host of other codes that may be more specific or pertain to you based on your health history.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item.
You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 1-800-985-3059
Effective January 1, 2022