We're a cash-pay practice, which means no insurance gatekeeping, no surprise bills, and more time focused on your actual care. Our pricing is kept simple and unbundled — you always know exactly what you're paying for and to whom. Here's exactly what it costs — laid out plainly, so you can decide with full information.
Once your intake forms are complete and reviewed, we place your lab order right away — so your results are already in hand by the time we meet, and your visit is spent on answers, not waiting.
Your full 60 minutes are spent on your actual results — not a first conversation before we know anything. Because your labs come first, we go straight to what your body is showing and build your plan from there.
Finding the problem is step one. Fixing it takes time and adjustment. For hormone and metabolic health, ongoing management isn't optional — it is the treatment. We'll talk through whether this is the right fit for you at the end of your visit, not as an afterthought later.
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.
For hormone and metabolic health, ongoing care isn't a "nice to have" — it's how the treatment actually works. If you're on hormone therapy, a GLP-1, or managing a metabolic condition, your protocol needs to be adjusted as your body responds, your labs need tracking over time, and your prescriptions need managing. That's what ongoing care covers, and it's where results come from. That said, if your situation is simple and correctable, I'll tell you honestly that you don't need it — and you're welcome to return for a paid follow-up visit whenever you'd like. I'd rather earn your trust than sell you a subscription you don't need.
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. Your labs stand on their own — you're welcome to have them drawn and simply have the results in hand. Most people do choose the $175 visit afterward to have everything interpreted and turned into an actual plan, since raw numbers rarely tell the whole story on their own, but there's no obligation to book it. There is no obligation to continue with membership either. The choice is genuinely yours at every step.
Because guessing is a poor use of your hour. Once your intake is complete and reviewed, we order your labs right away — so by the time we meet, your results are already in front of us. Instead of taking a history and speculating, we go straight to what your body is actually showing. Most people leave that 60-minute visit with a concrete roadmap, not a lab order and a "let's see."
If you've had relevant labs drawn within the last 90 days — through your primary care provider, urgent care, or elsewhere — let us know during intake and send them along. We'll review what you have instead of ordering a new panel, at no extra cost to you. If your results don't fully cover what we'd want to see for your situation, we'll tell you plainly before your visit and can add whatever's missing, billed separately the same way any lab is.
Keeping the visit fee and the lab bill separate keeps things simpler and more transparent for everyone. You pay Fullscript directly for your labs, at our practitioner (wholesale) cost — not a markup added onto our own fee. It also means a lower, more approachable price to get started, and it lets you use an HSA or FSA card on the lab portion if your plan allows it. Nothing about your care changes: we still order thoughtfully and review your results together in full.
Our own visit and membership fees are cash-pay and not billed to insurance. For labs, most patients order through Fullscript at wholesale cost — that's not billed to insurance either, but HSA/FSA cards are accepted there. If Quest isn't reasonably accessible to you, we can instead issue a signed lab requisition for a local facility that accepts your insurance; we cannot guarantee what your insurance will cover, so that's always discussed upfront. Many patients also use their insurance pharmacy benefit for medications, which can meaningfully reduce those costs, and imaging like a CAC scan may be covered if recommended. We're glad to help you use your insurance wherever it genuinely saves you money.
Book to get started — complete your intake, and we'll place your lab order right away so your results are ready for your $175 visit. Or take a smaller first step — a free 15-minute intro call or our 2-minute symptom self-check. No pressure, no obligation.