HSA & FSA cards welcome​​​

​

$240 First Appointment

​

$125 Follow Up

​

Multi-Pack Discount for follow ups 

​

5-pack

$575

($50 discount)

​

All major credit cards are accepted 

​

Out of pocket patients are responsible for any and all administrative work, superbills may be provided for out of network benefits to be self-submitted. We are a fully cash practice, out of network with all insurance networks, due to most insurance networks requiring networking through American Specialty Health (ASH).

​

Price list is considered "prompt pay", which is a discounted rate, and not the same as "insurance schedule" rates. Insurance companies are billed at a pre-established insurance schedule rate which they will reimburse a negotiated smaller portion of. This is not made publicly available. Please don't hesitate to inquire directly for questions about your explanation of benefits after a claim comes back. A "unit" of acupuncture is for time a physician is directly with a patient, not the total time you are in our office, along with many other legal stipulations that we follow regarding an insurance claim or superbill.

 

*Various network directories are in circulation for (1) to five (5) years with outdated information about participation. You may find us included with networks, however this is inaccurate and we are out of network with all networks including Cigna and United as of Dec 13, 2023.

​

Why did we leave insurance networks? 

​

This FAQ is due in part, with insurance companies in California deciding recently to prioritize revenue over patient care. Blue Shield, Anthem BC, and Aetna were the first to require a third party (American Specialty Health, or ASH) to run all their claims for chiropractic, acupuncture, and physical therapy. By this way of indirect billing, agreeing to be in network with ASH, means taking fractional reimbursement, without any ability to recoup the difference from patients. Furthermore, ASH reduced the number of visits allowed per year, through manipulating approvals in small batches of visits. For example, a Blue Shield HMO with "20 visits" per year, would only allow 5 visits. To extract another 3-5 visits, a very arduous medical necessity form has to be filled out by the physician, which often is arbitrarily rejected after 7 visits. Regardless of evidence, reduced pain, and consumers requesting directly. Attempting to use all 20 of someone's "allotted annual" visits results in a penalty to the "tier" a provider is in. In turn, Blue Shield and others saw record revenue years directly following their partnership with ASH. Myself, as well as many other specialists and leading physicians do not tolerate this way of doing business. They continue to recruit new physicians and businesses who do not have many patients or experience, to meet their minimum provider count per zip code and continue this practice.

 

How do you set your rates? 

 

We implement a number of cost cutting solutions to keep cash prices fair, including requiring online booking for follow ups, rather than staffing administrative employees to field the phones. In '24 we removed our outsourced billing staff in favor of going to all cash, which in the end benefits our customers in the long run, as the complications and frustrations dealing with bills everyone thought was covered initially, turned out to be entirely different once the insurer processed the claims. Now it's just a set rate, and there's a high chance the insurance will comp some of it through a super-bill claim directly out of network. Our bottleneck, however, is that running a one-person does everything operation isn't scalable, we have to limit new patients, and self-scheduling with online booking is required. 

 

In regards to quality and getting what you pay for, see the physician bio and credentials page, the delta from entry level licensed acupuncturist, to a top tier doctoral level specialist, is a large margin. Patient care and treatment solutions, diagnosis, etc. varies so significantly and is unfortunately not standardized well in our industry. Continuing education can be done cheaply and easily online like traffic school, or you can fly around the world and apprentice under top doctors in their clinics like I did. Apropos of nothing, we remain competitive and below market value out of the love of treating sports athletes and competitors who do not yet have the means or sponsorships to receive these treatments given at the pro level. For athletes, by athletes. 

​