*Medical Complexity is determined during the visit at the physician's discretion factoring in time, medical decision making, time before & after visit, and comprehensive physical exam.
A 10% increase from the October 2022 prices below reflects our hard work to increase our patients' experience. In the past 2 years, we have
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Payment Plan Option: 4 installments every 2 weeks $290.62 (total $1162.48)
Payment Plan Option: 4 installments every 2 weeks $256.25 (total $1,025)
Payment Plan Option: 4 installments every 2 weeks $246.87 (total $987.48)
Payment Plan Option: 4 installments every 2 weeks $218.75 (total $875)
Acute Homeopathic and Hydrotherapy Rx. Rx refills, Letter writing, other physician time. No E&M.
E&M Code 99212: Problem Focused history & Exam with straightforward medical complexity. Average length of appointment is 30 minutes.
E&M Code 99213: Expanded Problem Focused with low medical complexity. Average length of appointment is 45 minutes.
E&M code 99214: Expanded Problem Focused with low medical complexity. Average length of visit is 60 minutes.
E&M code 99215: Comprehensive History & Exam with High Medical Complexity. Average length of visit is 75-90 minutes.
C.H.T. (Constitutional Hydrotherapy) is a gentle, detoxifying and revitalizing medical treatment for patients. Learn More Here. Package of 10 Constitutional Hydrotherapies is 15% off of the Total Value: $900. Expires within 2 months of purchase.
Pre-Pay Package appointments expire after 2 months of 1st visit. Cancelled or rescheduled visits forfeit $250 deposit if notification via email or text is not received within 48 hours. How medical complexity & coding for Evaluation and Management (E&M) Services is determined: https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/evaluation-management.html.
If you are experiencing financial and/or life hardship, please call our office and we are happy to discuss options with you.
If you are happy with your naturopathic journey and wish to pass it on to someone else, please consider donating naturopathic care to those in need by donating to the Giving Fund.
Healing using our most basic ingredients: Heat, Water & Electrons.
Constitutional Hydrotherapy (C.H.T) is an advanced naturopathic technique to stimulate the vis, tonify organs, and increase hydration. There are multiple beneficial effects and multiple variations. Please click here to learn more. Sessions are between 60-90 minutes with a brief Naturopathic Physician eval to adjust treatments.
Pre-pay discount for package of 10= $750 (over 15% off equaling 75 per session. expires in 2 months of purchase)
Osteopathic Manipulation Technique (O.M.T) uses techniques such as Trigger Point Therapy, HVLA (high velocity low amplitude), manual therapy, indirect and direct ROM technique
Provides deep heating of joints, muscles, and organs, as indicated. Treatment sessions are 10-15 minutes applied for various conditions such as osteoarthritis, liver congestion, lung pneumonia, IBS/IBS/Crohn's/Ulcerative Colitis flares to decrease inflammation.
A mini hyperthermia treatment using infrared heat to to raise the body temperature. Sessions are 20-45 minutes and viral illness, chronic illness, chronic systemic inflammation or other conditions due to low body temperature or inefficient fever. This can be followed by a wet sheet wrap as a remedy for cold/flu or other detox.
Red Light Laser is for a rehabilitative tissue response which acts to normalize cellular function. Infrared Laser is for therapeutic tissue response which addresses the reduction of symptoms such as pain and inflammation. Sessions are applied at 3-10 minutes per treatment area.
Issues addressed are low level of medical decision making. Most appointments are straight-forward and take 45-75 minutes. Food Intolerance Evaluation: sample collection is included in the first visit. Results discussed during the follow-up as part of dietary counseling. $200 Processing Fee is applied at first visit.
Issues addressed are moderate level of medical decision making. Most appointments take 75-120 minutes. Food Intolerance Evaluation: sample collection is included in the first visit. Results discussed during the follow-up as part of dietary counseling. $200 Processing Fee is applied at first visit.
Issues addressed are high medical complexity and take more time to address. This level of visits takes 90-150 minutes. Food Intolerance Evaluation: sample collection is included in the first visit. Results discussed during the follow-up as part of dietary counseling. $200 Processing Fee is applied at first visit.
A great option for those who already have a great doctor and just want to learn their food intolerances. This includes a 15 minute sample collection visit followed by a 30-60 minute in person appointment to discuss and teach the details of Food Intolerances. No medical advice can be given for this service.
Price List may be subject to change. Inflation expectations usually suggest price increases annually of 5-15% for services.
Telephone calls, e-mail and chat communications may be subject to time-based invoicing at the hourly physician rate.
A Credit Card is required to make an appointment and held via Healthie, the secure and PCI compliant Electronic Medical Record System, for the purpose of invoicing. Payment is collected at the time of the appointment.
Cancellation & Rescheduling Policy: Notice must be by email, text, or voicemail and be sent no later than 24 hours prior to the start of your scheduled appointment time. Appointments not cancelled within 24 hours of the scheduled appointment time (including no-shows) are charged 100% of the scheduled visit’s value. Regarding rescheduling outside of 24 hours advance notice, the first time has no penalty. The second reschedule is charged 50% of the visit’s value. The third reschedule is charged 100% of the visit’s value. For established patients, one cancellation charge is waived. Please give your calendar a thorough look before scheduling.
* Pre-Pay Package appointments expire after 2 months of 1st visit.
* Cancelled or rescheduled visits forfeit $250 deposit if notification via email or text is not received within 48 hours.
* How medical complexity & coding for Evaluation and Management (E&M) Services is determined: https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/evaluation-management.html.
Roots & Rivers Naturopathic Medical Center
Dr. Maria Luisa Gussak - Naturopathic Physician & Medical Director
5 S. Wenatchee Ave Suite #301 Wenatchee, WA 98801
P:(509)537-3660 F:(833)390-1316
Naturopathic Doctor, licensed and insured
Washington state. Holistic & Natural Medicine Consultant
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