We're a cash-pay practice, which means no insurance gatekeeping, no surprise bills, and more time focused on your actual care. Here's exactly what it costs — laid out plainly, so you can decide with full information.
Everything begins here. An unhurried, thorough start — so your care is built on a real understanding of you, not a rushed first impression.
For patients who continue care after their evaluation. Steady, attentive partnership — not a once-a-year checkup.
We believe in full transparency. These are billed independently, and we help you find the most affordable option.
The question isn't just "what does it cost?" — it's "what am I getting?" Here's the honest comparison.
The honest answers to what people most often wonder before booking.
Insurance reimbursement rewards short, high-volume visits — the opposite of what good hormone and metabolic care requires. By staying cash-pay, we can offer 60-minute visits, order the labs that actually matter for your situation, and answer your messages directly, without an insurer dictating your care. You're not paying for a quicker prescription; you're paying for time, attention, and a provider who looks for the cause. For many people, the cost is comparable to a few insurance copays once you account for the depth of care.
The membership is for people who want ongoing partnership, not a once-a-year checkup. It covers continuous prescription management, direct secure messaging with your nurse practitioner, regular lab tracking, and follow-up visits as needed. If your situation is stable and simple, you may not need it — and we'll tell you so honestly. It's there for the people whose care genuinely benefits from steady, attentive follow-through, not as something everyone is pushed into.
No. There are no long-term contracts. Monthly membership can be cancelled anytime with 30 days' written notice. The relationship continues because it's working for you, not because you're trapped in it.
That's completely fine, and it's how most people start. The $175 initial evaluation stands on its own — two visits, a thorough workup, and a clear plan. There is no obligation to continue with membership afterward. Some people take that plan and run with it independently; others choose ongoing care. The choice is genuinely yours.
Because it keeps your costs honest and flexible. Rather than bundling a marked-up lab fee into the practice price, we let you run labs through Rupa Health at cash-pay rates (typically $150–250 for a comprehensive panel) or through your own insurance — whichever is cheaper for your specific situation. We help you decide. You only pay for the testing you actually need.
Often, yes — just not for the practice fees themselves. Many patients run their lab work and fill their prescriptions through their insurance benefits, which can significantly reduce those separate costs. Imaging like a CAC scan may also be covered. We're glad to help you use your insurance where it genuinely saves you money.
Start with the $175 initial evaluation, or take a smaller first step — a free 15-minute intro call or our 2-minute symptom self-check. No pressure, no obligation.