Rates

In order to make osteopathic care more accessible, I offer a sliding scale.  As you’re thinking about where you fall on this scale, please thoughtfully consider your resources. One common pitfall in relating to a sliding scale is that people with family wealth but temporary personal scarcity select a lower rate than people with temporary abundance but no safety net.


The descriptions below are not meant to perfectly describe any person’s reality, but to evoke a general sense of access to resources. Please select whichever most closely describes your circumstances.


I currently have a wait list for new osteopathic patients in Tiers 1 and 2
. To be added to the wait list and notified when appointments become available, please click here.


If you have questions, please reach out.

Osteopathic Rates

a sparse forest with dry grass

$25 - 50

Tier 1

  • I am not consistently able to meet my basic needs (such as food, housing, health care, and transportation)

  • I cover my expenses primarily through SSI/SSDI, accruing debt

  • I have disabilities that mostly or entirely limit my ability to work

  • I have unstable housing

  • My family of origin are unable to meet basic needs. I regularly financially support my parent(s) or extended family

  • I have credit card debt or other loans for basic expenses that I am not consistently able to pay off

  • I cannot afford to take time off without financial burden

  • In the event of a major out of pocket health expense ($2000) I would forego necessary care

There is currently a wait list for this tier.

a small creek running through a mossyforest

  • I sometimes stress about meeting my basic needs but am consistently able to

  • I cover my expenses through greater than full time or involuntarily part time employment

  • I have disabilities that somewhat limit my ability to work.

  • I rent a single room or live with family

  • My family of origin are renting or paying off a home, working after retirement age but able to meet their basic needs. 

  • I did not or am unlikely to receive any type of inheritance

  • I have credit card debt or other loans that I am paying off

  • I can sometimes afford to take a little time off

  • In the event of a major out of pocket health expense ($2000) I would crowdfund or get another job

$75 - 150

Tier 2

There is currently a wait list for this tier.

a river running between grassy cliffs

Tier 3

  • I meet my basic needs comfortably with some budgeting

  • I cover my expenses primarily through my employment

  • I am able to work or have disabilities that minimally limit my ability to work

  • I am paying off a mortgage or rent higher-end properties or rent and have a guest room/office/multiple rooms to myself

  • My family of origin has assets such as a home that is paid off, retirement savings. 

  • I have inherited or am likely to inherit some money, but less than $100,000

  •  In terms of debt I have a mortgage and/or student loans

  • I can afford to take an annual vacation

  • In the event of a major out of pocket health expense ($2000) I would dip into long term savings, ask family for support

$200 - 300

a wide river with tree-lined banks visible on the horizon

Tier 4

  • I meet my basic needs comfortably with minimal or no budgeting 

  • I cover my expenses primarily with passive or gifted income, family support, or a high-paying (greater than $100,000/year) job 

  • I am physically and mentally able to work a full time job

  • I choose to work less than full time or not at all (retired, focusing on school, voluntarily part-time, taking time between jobs, etc)

  • I own my own home and possibly multiple properties

  • My family of origin has assets such as investments, multiple properties.

  • I have inherited or am likely to inherit greater than $100,000

  • I have no debt

  • I travel internationally recreationally.

  • In the event of a major out of pocket health expense ($2000) I would just pay for it

$400 - 600

People who can afford Tier 3 and 4 rates enable me to provide care to people in Tiers 1 and 2.

Depending on your insurance plan, you may be able to get reimbursed for your visit.
Check out this Will I Get Reimbursed? worksheet for more information.

Request an Appointment

Gender Affirming Hormone Rates

A sparse forest with tall dry grass

$0

Tier 1

a small creek flowing through a mossy forest

$50

Tier 2

A river flowing through lush grassy cliffs

$150

Tier 3

a wide river with the tree-lined banks visible on the horizon

$250

Tier 4

Request an Appointment