Rates

Market rate for an hour long osteopathic visit is $400 or more.
In order to make this care more accessible,
I offer a sliding scale

This means people’s fee for the same service differs based on their ability to pay.  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 tool for locating yourself on the sliding scale

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

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

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