Initial Consultations, Second Opinions, and “One-off” or Occasional Visits
My consultation fee for non-members is $180 for the first hour and $120 / hour for subsequent hours(*), not inclusive of lab charges. For those interested in establishing a longer-term relationship and joining my practice as a regular patient, I generally suggest an initial 90 minute consultation ($240). If the chemistry seems like a good mutual fit, I will invite you to become a supporting member and have me as your regular provider.
Monthly membership fees
As of January 1, 2020 the monthly membership fee for new patients who wish to join the practice is $75 / month(*). In addition to having direct access to me via e-mail (preferred) and/or telephone (for more urgent situations), this monthly fee covers in-office or video consultations. (I do reserve the right to negotiate other arrangements for members needing more than 7 visits per calendar year and/or for those patients whose care imposes a particularly heavy burden for me or my staff.)
(*) – I recognize and regret that my prices may not be affordable to everybody. If you’re struggling to make ends meet but are “stuck” and need help with some larger health concerns, let me know more about your situation and perhaps we can work something out. I want decent medical care to be accessible to those who need it.
I offer significant discounts on lab prices. The cost of my suggested initial comprehensive enrollment screening lab panel is roughly $150. I am happy to tailor this set of initial screening labs to your individual needs, but prefer you to not try to use your insurance to pay for the enrollment panel as these labs are being done primarily for screening (not diagnostic) purposes. (Insurance companies generally demand ICD-10 diagnostic codes to justify a need for each test before they will pay for it. Since we don’t know what issues we might uncover before we look for them, it’s not possible for me to provide your insurance company with all of the diagnostic codes they’ll require at the time I order the tests.)
There is a 10% discount for prepaying for a year’s membership.
Medications and supplies
I also sell a variety of generic prescription medications at steeply discounted prices. Hydroxocobalamin (a preferred/active form of Vitamin B-12) shots are available for $10 each. There may rarely be a modest and reasonable charge (generally at or near my cost) for other medications administered and/or supplies used or dispensed in the office.
If mutually convenient, house calls may be scheduled for an additional $75 charge.
Outside GYN care
I do provide basic well-woman care (including pap smears), but understand that many women feel more comfortable receiving such care from a female provider. Upon request I can generally arrange these types of visits with one of my female associates for about $60-$75 (in addition to any lab costs incurred).
In order to keep costs as low as possible I avoid manual billing as much as possible. Accordingly, membership fees are auto-debited monthly in advance. To facilitate payment of monthly membership fees and any incidental fees for labs, medications, or supplements, you should leave a credit/debit card on file or (preferably) authorize automatic monthly deductions from a checking account. E-mailed reminders of pending charges are sent each month a few days before your scheduled billing date.