How it works
Care with a clear plan.
Before anything begins, you will understand what is proposed and what it costs.
Starting with a conversation
The initial consultation
Every patient relationship begins with a $199 initial consultation. The $199 fee includes a structured review of your concerns, relevant health history, and goals; an overview of potentially relevant services and costs; and a basic initial laboratory panel collected at the clinic. If additional or expanded testing is recommended based on your concerns, history, goals, and proposed care, those charges are separate and will be explained before testing. Treatment decisions are made at a follow-up after laboratory results are available and reviewed. Laboratory results help determine whether treatment may be appropriate but do not guarantee medication, a prescription, or a particular treatment plan. Patients are not obligated to begin treatment or an Episode of Care after their laboratory review.
Initial consultation — $199
Payment model
Cash-pay only
423HRT is a cash-pay clinic and does not bill insurance, submit claims, or request prior authorization. The $199 initial consultation includes a basic initial laboratory panel. If additional or expanded testing is recommended, those charges are separate and will be explained before testing. If care is recommended after clinical and laboratory review, the proposed plan and its cost are explained before you decide whether to proceed.
Additional or expanded testing, when recommended, is billed separately and discussed before testing begins.
The four-step process
How care is structured
When treatment is recommended, care may be organized into a structured 10-week Episode of Care with patient education, follow-up, monitoring, and progress review. The proposed plan and cost are explained before you decide whether to begin. Patients are not required to begin an Episode of Care.
Call to Schedule
Call 423-316-0476 to request an initial consultation. Consultations are available Monday through Wednesday by appointment.
Complete Your Consultation and Lab Draw
The $199 consultation includes a review of your concerns, history, and goals; an overview of potentially relevant services and costs; and a basic initial laboratory panel collected at the clinic.
Return for Laboratory Review
After results are available, the clinician reviews the findings alongside your concerns, history, goals, and clinical assessment to determine whether treatment may be appropriate. Laboratory results do not guarantee a particular medication, prescription, or treatment plan. You are not obligated to begin treatment after this review.
Review Your Options
If care is recommended, the proposed plan, what it includes, follow-up expectations, and cost are explained before you decide whether to proceed.
Episodes of care do not guarantee specific outcomes.
Availability
When we're available
New consultations are scheduled Monday through Wednesday by appointment. Thursday is reserved for patient follow-up and return calls; consultations are not scheduled. Friday is procedure day; consultations are not scheduled.
Call to scheduleMonday–Wednesday
Consultations by appointment
Thursday
Patient follow-up and return calls; consultations are not scheduled
Friday
Procedure day; consultations are not scheduled
Scope of care
Our clinic focuses on optimization services and does not replace primary care. Please maintain a primary care provider for routine, urgent, and chronic health needs.
Ready to start the conversation?
The initial consultation is $199 and includes a basic initial laboratory panel.