To keep our administrative costs minimal, we have decided to remain OUT-OF-NETWORK so that we can continue to offer quality services for a fee that fairly reimburses the time and efforts of our Providers and Practitioners - without compromising the quality of services and environment for our patients.
Payment Options
We understand that paying our fees up front may daunting to some, but what makes our services even more cost-effective is that we are targeted in our approaches and have a reputation for providing significant relief in your symptoms in fewer than five (5) appointments. Patients may pay on the date of service - OR - agree to alternate billing options). Please note that NORTH SHORE OSTEOPATHIC also does not submit insurance claims.
Debit or Credit cards (American Express, Visa, Mastercard, Discover, JCB or UnionPay International logo)
Health Savings Account (HSA) cards or checks
Check, cash or money order with payment to North Shore Osteopathic, LLC
All-Inclusive Veteran / First Responder Visits (Non-Insurance Option)
Due to the changes with government spending options, NORTH SHORE OSTEOPATHIC has opted to return to offering Veterans and First Responders/Security its All-Inclusive Consultation and Followup Visit options including discount!
90-Minute All-Inclusive Consultation $200
45-Minute All-Inclusive Followup Visit $85
All-Inclusive Visits (Non-Insurance Option)
After careful reconsideration, NORTH SHORE OSTEOPATHIC has opted to return to the option of All-Inclusive appointments for those patients who do NOT WISH TO USE - OR DO NOT HAVE INSURANCE. These visits include the same type of physician evaluation, diagnostic testing and/or imaging ordering and/or review, medication management including new prescriptions, and procedures (as indicated) as any other visit that would be at least partially reimbursable via your insurance.
90-Minute All-Inclusive Consultation $275
75-Minute All-Inclusive Followup Visit $150
60-Minute All-Inclusive Followup Visit $125
45-Minute All-Inclusive Followup Visit $100
Standard New Patient Evaluation & Management
NEW PATIENT CONSULTATION only needs to be scheduled if a patient has NOT been evaluated and treated by the same Provider in the last two (2) years. Consultation fees include evaluation, medication management and ordering of referrals and/or imaging. It does NOT include procedures performed at that time. If time is available, patients may ask for procedures to be performed (for additional fee).
CPT 99205 Multiple diagnoses or chronic conditions that affect balance, bowel, bladder or cognitive function - often requiring extensive data review, diagnostic testing and coordination of care.
$215 / 75 minutesCPT 99204 2+ minor problems or symptoms -OR- progressively worsening stable chronic issue -OR- a recent uncomplicated injury without prior workup
$190 / 60 minutesCPT 99203 Minor problem or other symptom that is stable but chronic (ex. joint or muscle pain)
$165 / 45 minutesCPT 99202 Minor problem or other symptom requiring basic evaluation and management plan that may require imaging, medications, and/or non-surgical referrals
$140 / 30 minutes
Standard Return Patient Evaluation & Management
Don’t pay for more than you get! This fee will be only added if a new problem is addressed via review of information, making referrals, ordering or reviewing test results/images or if there are new prescriptions/adjustments to medications so as to help better refine the plan of care.
2+ Stable Chronic Issues -OR- 1 New Undiagnosed Issue Requiring Ordering, Review of Diagnostic Information
E&M 99215 $155 / 75 minutesNew or Chronic Condition with Significant Exacerbation -OR- Progression -OR- With Significant Side Effect of Treatment
E&M 99214 $120 / 60 minutes2+ Minor Problems -OR- 1+ Stable Chronic Issue -OR- Acute Uncomplicated Injury
E&M 99213 $95 / 45 minutesOne Minor Problem or Condition
E&M 99212 $70 / 30 minutes
Team-Based All-Inclusive Visits
Welcome to our unique team-based diagnostic and therapeutic approach to treatment! What sets NORTH SHORE OSTEOPATHIC apart from other pain-management groups or practitioners is that we actually evaluate and treat our patients as an integrative team - as much as possible! These appointments with multiple providers offer more efficient evaluation and management visits as a discounted package option, including procedures appropriate to that time. You may opt into this type of visit at any time - or opt out - and continue your symptom management with single provider visits.
All-Inclusive Team-Based 120-Minute Consultation $460
which includes team conference time, physician evaluation & management, acupuncture and soft tissue evaluations. Initiation of Peer Mentorship and at least one procedure is included.If acupuncture is suggested as part of plan of care, patients should anticipate weekly appointments for 4-6 weeks which may or may not be scheduled as part of the Team-Based Followup visit.
If Soft Tissue Bodywork is suggested as part of plan of care, scheduling is usually at the convenience of the patient but recommendations will be provided by the Practitioner.
All-Inclusive Team-Based 120-Minute Followup Visit $340
which includes weekly team conference time physician oversight & management, peer mentor involvement, acupuncture and/or soft-tissue evaluations. Physician and acupuncture (or massage) procedures included.All-Inclusive Team-Based 90-Minute Followup Visit $265
which includes weekly team conference time, physician oversight and management, peer mentor involvement, acupuncture and/or soft-tissue evaluations. One procedure included.
Additional Fees
Completion of Special Reports or Forms
ex., POLST, walking handicap placard, etc. $25Additional 15 Minutes of Clinic Time Over Maximum
i.e, for consultation or followup visits $45Team Conference with Physician, Mentor and Patient/Family
E&M 99366 for mentor $70 / 30 minutes, PLUS
E&M 99212 physician time $70 / 30 minutes
Worker’s Compensation
Regarding Workers’Compensation, cases MUST be referred from primary source already assigned case. Official coverage through Case Coordinator MUST be confirmed before any appointment is scheduled - otherwise you as a patient should expect to pay all fees (Payment plan would of course be offered!).
Osteopathic Manipulation (OMT)
No additional E&M fee is necessary for treatment of typical waxing and waning, or acute-on-chronic exacerbations that do not require a significant change to the plan of care or medication/supplement adjustments. These procedures may be performed at any visit as long as it is appropriate, the patient consents and there are NO contraindications.
Osteopathic Manipulation fees are based on number of treated ‘sites’ (out of 10 sites): Head, Cervical, thoracic, lumbar, rib, pelvic, sacral, abdominal/other, upper & lower extremity
1-2 sites (98925) $70
3-4 sites (98926) $85
5-6 sites (98927) $100
7-8 sites (98928) $115
9-10 sites (98929) $130
OSTEOPATHIC CRANIAL THERAPY usually involves two sites, but may be combined (if desired) with PEMF or RED LED for optimization of time and treatment efficacy.
Minimally-Invasive Procedures
Trigger points 1 or 2 muscles (CPT 20552) $60
Injection to single tendon sheath, or ligament, aponeurosis (CPT 20550) $65
One Diagnostic or Therapeutic Subcutaneous or Intramuscular Injections of Substance (CPT 96372) $20
Therapeutic and diagnostic carpal tunnel injection (CPT 20526) $100
Therapeutic and diagnostic single tendon origin/insertion injection (CPT 20551) $65
Aspiration and/or Injection of Ganglion Cysts (CPT 20612 any site) $75
Prolotherapy Injection to single site using Dextrose 12.5% dilution solution in sterile water (not covered by insurance, CPT M0076) $65
Intraarticular injection of anesthetics such as Lidocaine 1% - OR - Bupivicaine 0.25% with or without steroids are included in the below injection:
Small joint (fingers or toes): CPT 20600 $55
Intermediate joint (TMJ, AC joint, elbow, wrist, ankle): CPT 20605 $65
Major joint (hip, shoulder, knee): CPT 20610 $75
Non-Invasive Procedures
No additional E&M fee will need to be scheduled for treatment of typical waxing and waning, or acute-on-chronic exacerbations that do not require a significant change to the plan of care, and also do not require medication/supplement adjustments.
These procedures may be scheduled as RETURN VISITS after Provider has confirmed availability of equipment and that there is no contraindication to the procedure (i.e., patient with a non-MRI compatible permanent pacemaker cannot be treated with pEMF or ICES) .
Whole Body Vibration Therapy for ADHD, PTSD, depression, anxiety, lymphedema, peripheral neuropathy, obesity, osteopenia, balance and strength using platform $15 / 15 min
Red LED / Photobiomodulation to increase mitochondria for Painful Inflammatory Joint Pain Syndromes, Post-Workout Optimization, Insomnia, Improved skin damaged from sun, and hair loss $15 / 15 min
Green or Yellow LED / Photonic Stimulation for Painful Neuropathy, Peripheral Circulation Issues and/or Claudication $15 / 15 min
Focused Musculoskeletal / Integrated Manual Mobilization of atrophied muscle, adhesions, fibrosis and/or joint
Physician Treatment $45 /15 minUltrasound Cavitation Therapy for entrapment / adipose tissue optimization $30 / 15 min
High-intensity pEMF / ICES® DigiCeutical® C5 Model System For acute OR chronic joint and/or soft tissue injury $30 / 15 min
Therapeutic stretch to increase range of motion and reduce tone $30 / 15 min
Osteopathic Lymphedema Therapy $45 / 15 min
Compare Our Fees With Others
Ex. Pain Provider E&M Rates for New Patient/ Consultation
30-44 min $200-$240
45-59 min $225-$270
Ex. Pain Provider Evaluation Rates for
Established Patient / Follow-up Visits20-30 min $85-$122
30-45 min $136-$177
45-60 min $194-$215
