The following table helps us show you at a high-level what the general differences are between using a self-pay clinic, and going to a facility and using your insurance. This will help you with some of the questions you may have that are herder to get answered.
|
Provider type |
Typical cash price you’d pay for an equivalent bundle |
Discounted price (if offered) |
Why the number is so high elsewhere |
|
Your Self-Pay Specialty Clinic (MMR&R) |
$810* Comprehensive bundle (exams + tests + labs + imaging + follow-up) |
10% off the initial exam (for ages ≥ 55, military, & first responders) ≈$769 |
Transparent fees, no facility fees, direct payment removes the need for insurance billing and residual fees being passed to the patient * = $400 Deposit to get on the Schedule & $410 due on the exam date |
|
Major hospital outpatient clinic |
≈ $1,500 – $1,800 (doctor $150-$600 (Debt.org, Mira Health) + 18 functional tests ~$450 (Mira Health) + lab panel $385 (GoodRx) + facility fee $600 (Houston Chronicle) |
None |
Hospitals add “facility fees” and charge list-price for every line item inflating the cost of care to recuperate their initial costs from insurance (especially Medicare/Medicaid), leaving patients or taxpayers with an inflated residual bill |
|
Average urgent-care center |
Base visit $280 (Mira Health) + limited labs if any (a-la-cart); matching your full test set would push total to ≈ $500-$700 + wait time |
Occasional coupons ($25-$50 off) |
Short visits; a-la-carte pricing for each extra test |
|
Standalone ER / free-standing ED |
$2,700 – $3,000 visit charge alone (Mira Health, BetterCare) + labs often >$3,200 |
None |
Emergency facility fees + 24/7 cost structure, even for non-emergencies due to similar hospital model for billing and recuperation of fees |
|
Traditional doctor’s office (15-min visit) |
$150 – $600 visit (Mira Health) + separate referrals for labs/tests (another $300-$500) |
Copay only if insured, but true price hidden until the end of the billing period |
Short appointment plus multiple bills over several weeks |
The next table is helps us show you at a high-level what the general differences are between using a self-pay clinic and going to a facility and using your Medicare/Medicaid insurances. We just want you to have a good idea of whats heppening to help with questions you may have.
|
Provider / payer path |
Typical cash price you must pay (no insurance) |
Medicare Part B patient cost † |
Medicaid patient cost ‡ |
Why the numbers differ |
|
Your self-pay clinic |
Comprehensive $810* (exams + tests + comprehensive wellness and functional labs + Imaging + follow-up with a 10% community discount [for those who qualify] ≈$769**) (financing is also available) |
N/A (clinic does not bill Medicare) |
N/A |
Direct pay, no facility fees, no third-party markup |
|
Major hospital outpatient clinic |
$1,500 – $1,800 |
First $240 annual deductible (2024) -Then ≈ 20 % coinsurance on allowed amount ≈ $150 – $300 out of pocket§ |
Usually $0–$10 copay; but state may deny several tests as “not covered” or “not medically necessary” |
Facility fees + line-item charges elevate gross price; coverage rules still leave many services uncovered |
|
Typical urgent-care center |
$500 – $700 (if every test added à-la-carte) |
Part B deductible + 20 % of allowed charge; common labs often 100 % covered ≈ $60 – $120 OOP |
$0–$10 copay; limited on-site testing |
Short visits; may need outside referrals for many of your 18 tests elongating treatment and testing times |
|
Standalone ER / free-standing ED |
$3,200 + (visit fee + lab bundle) |
Part B deductible + 20 %: $400+ OOP (and facility may bill Part A) |
Copay usually $0, but state must approve “true emergency”; non-emergent visits can be denied, leaving patient liable for the full charge |
24/7 overhead drives very high “facility” charges |
|
Traditional doctor’s office (15-min visit) |
$150 – $600 visit + outside labs $300 – $500 |
After deductible: 20 % of allowed visit (≈ $30–$120) Most basic labs $0 |
$0–$5 copay; advanced or functional labs rarely covered |
Multiple appointments & bills; labs are often sent to third parties |
Notes:
* = $400 Deposit to get on the Schedule & $410 due on the exam date
** = $400 Deposit to get on the Schedule & discounted $369 due on the exam date
† Medicare Part B (2024): annual deductible $240, then 20 % coinsurance on allowed amount. Many routine clinical labs are paid 100 %; functional or preventive tests may be denied. Supplemental plans may cover part or all coinsurance.
‡ Medicaid: copays vary by state (often $0); states can (and often do) refuse payment for “non-covered” services such as advanced functional testing, gait/balance scans, or extended rehab time.
§ Example: Medicare-allowed amount for a 60-min new-patient visit (99205) ≈ $230; 20 % coinsurance ≈ $46. Add facility coinsurance for hospital-based billing plus lab coinsurance/deductible to reach $150-$300 typical OOP.
New Patient Initial Physical Examinations (approximately 100 minutes)
Further financing options are available see next page or give us a call for more information!
Once a payment method for the initial exam is chosen, you will then be assigned to a recommended subscription category to ensure your ailments are fully addressed, your nutrition is fully monitored and treated, and to ensure the treatment plan has time to establish itself in your body and deliver the changes and improvements to your health that you are seeking.
As found on our services page, our initial exam includes testing and evaluations that help us better understand the full state of your health and condition. We look for the root cause of the issue and these tests allow us to do that the best way possible. However, some of the modalities used in treatment and examination may not be covered by insurance. So, to save you money and time we pass savings from not dealing with insurance on to you through, the current payment model.
The credit is embedded in your monthly price to help you with the cost of your nutraceuticals/supplementation and diagnostics. Its hard enough paying for the care but then the nutrition and medicinal products that go with it can also be cumbersome. The pricing is to help you with that, just as an HSA works. This credit will roll over from month to month with you as you progress through your care and will be used for your prescriptions and/or for follow-up diagnostics such as X-rays. The credit can only be used in the clinic for active treatment periods and is not able to be remitted for cash refunds.
***Please understand that since the treatments and modalities are non-invasive and medical grade (needing a license to obtain), although natural, more time may be needed for your body to improve and progress through the treatment regimens prescribed.***
Per provider recommendation based on the initial exam findings and results, one of the following subscription tiers will be recommended and selected by default:
Monthly Subscription Tier |
Monthly Cost |
What’s Included? |
Ideal for... |
Maintenance Path |
$229/mo |
$50 Prescription/Diagnostic Credit + Up to 4 visits/mo, all modalities (manual, laser, decompression, neuro rehab, UTS) |
Patient beyond the acute treatment phase. (usually beyond 3-6 months)Severe chronic pain, acute injury, complex or subacute care patients, etc. |
Correction Path |
$399/mo |
$150 Prescription/Diagnostic Credit + Up to 8 visits/mo, all modalities (manual, laser, decompression, neuro rehab, UTS, and more) |
New patients in the acute/intensive care phase of treatment (most times within the first 6 months of care). Severe chronic pain, acute injury, subacute injury, complex or subacute care patients, surgical recovery, etc. |
Subscription Tier |
Monthly Cost |
What’s Included? |
Ideal for... |
|
WellnessPath |
$149/mo |
$50 Prescription/Diagnostic Credit + Up to 2 visits/mo, all modalities (manual, laser, decompression, neuro rehab, UTS) |
General pediatric & adolescent care, developmental support, or chronic gut/posture issues, etc.Moderate chronic pain/issues, ongoing chronic conditions, etc. |
|
Adolecent Path |
$199/mo |
$50 Prescription/Diagnostic Credit + Up to 4 visits/mo, all modalities (manual, laser, decompression, neuro rehab, UTS) |
All adolecent & pediatric patients, school & athletic/sports injuries, concussions, or acute injuries (torn ACLs, etc.).Severe chronic pain, acute injury, complex or subacute care patients, etc. |
|
Pediatric Correction Path |
$299/mo |
$75 Prescription/Diagnostic Credit + Up to 8 visits/mo, all modalities (manual, laser, decompression, neuro rehab, UTS, and more) |
New patients in the first 6 months of chronic intensive care (congenital, abnormalities, and chronic conditions).Severe chronic pain, acute injury, subacute injury, complex or subacute care patients, surgical recovery, etc. |
Beginning at the follow-up visit, if the patient decides to move forward with treatment, the nutraceuticals and supplementations prescribed will have have the credit applied and the difference will be paid by the patient. The regimen will be decided based on exam findings and disclosed to the patient at follow up.
(please check for pricing updates as this can change)