Self-Pay Rates

Healthcare is not one-size-fits-all, and neither are our financial realities. Our tiered pricing model helps make care more accessible by allowing patients to choose the rate that best reflects their circumstances. Those who are able to contribute more help create access for those who need a lower-cost option, helping us build a practice rooted in trust, equity, and community care. All patients receive the same quality of care regardless of the tier selected. We trust patients to choose the rate that feels both sustainable and honest for their situation. For patients experiencing financial hardship or those who anticipate needing more frequent visits, such as ongoing pelvic floor therapy, additional discounts or individualized arrangements can always be discussed directly with your provider. We never want cost to be the sole reason someone goes without care. The goal is to keep pricing transparent, flexible, and rooted in community.

No. Every patient receives the same time, attention, clinical decision-making, and commitment to care regardless of which pricing tier they choose.

We ask patients to select the rate that feels both sustainable and honest for their current circumstances. The Access Tier is intended for those who need additional financial support. The Sustainer Tier reflects the true cost of providing care. The Steward Tier helps support the long-term sustainability of the practice and contributes toward lower-cost care for others in the community. If you're wondering which tier is the best fit, we encourage you to explore the Green Bottle sliding scale self-assessment tool created by Alexis J. Cunningfolk. This resource offers thoughtful guidance for navigating tiered pricing models and helps clarify the difference between financial sacrifice and financial hardship. Our model is built on trust. We do not require applications, proof of income, or financial documentation. We trust patients to choose the rate that best reflects their circumstances and ability to contribute.

The Access Tier is intended for patients experiencing financial hardship, limited financial resources, or other barriers to accessing healthcare. Our model is built on trust, and we do not require income verification, tax returns, pay stubs, or other financial documentation. Patients who choose the Access Tier are asked to complete a brief financial attestation annually confirming that this rate best reflects their current circumstances. We recognize that financial need is complex and not always reflected by income alone. Our goal is to make care more accessible while preserving dignity, privacy, and trust.

Your visit fee supports more than just the time spent in the exam room. It allows us to provide personalized, relationship-based healthcare with greater access, continuity, and support than is often possible in conventional healthcare settings. As a patient, you'll have access to: Longer, unhurried appointments that start on time Increased access to your doctor and improved continuity of care Comprehensive primary care, including wellness visits, preventive care, well child checks, sports physicals, and DOT-CDL exams A naturopathic and functional medicine perspective that integrates conventional and natural approaches Both telemedicine and in-person care options Care coordination with specialists, imaging centers, hospitals, and other providers when needed Transparent laboratory options and cost-conscious medication recommendations Discounts on many professional-grade supplements Personalized treatment plans tailored to your health history, goals, and values Health education, resources, and wellness programs that support long-term change

In most cases, yes. Visits are typically eligible expenses for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). We can provide detailed receipts or documentation if needed. Because plans vary, we recommend confirming specific eligibility requirements with your HSA or FSA administrator.

We strongly recommend maintaining health insurance whenever possible. While our practice can provide many primary care services, insurance remains important for hospitalizations, emergency care, specialist visits, surgery, advanced imaging, and other high-cost medical expenses.

When testing is needed, we've got your back! If you’re using insurance, labs and imaging are billed directly through the facility performing the test according to your plan benefits. If you’re uninsured, do not have lab benefits, have a high deductible, or prefer not to use insurance, we can arrange discounted cash-pay options instead. We've secured reduced pricing for many common labs and imaging studies, and we review costs beforehand so you know what to expect.

If a prescription is part of your care plan, Dr. Turner can write it for you as long as you are an established patient in the practice. You may use your insurance at the pharmacy of your choice, or pay out of pocket if you prefer. When helpful, we can also provide GoodRx discount options to help lower medication costs.

If specialty care is needed, we can help coordinate referrals and communicate with other members of your healthcare team. Specialist visits are billed separately by the specialist's office and may be covered by your insurance depending on your plan.

Vaccination decisions are personal and often complex. Our goal is to provide safe, non-judgmental care and to offer quality, evidence-informed information so families can make the best decision for their child and their family. We will never turn anyone away based on their choice to vaccinate or not. Your family’s health and well-being are our top priority. We do not currently offer vaccines at our clinic, but we will provide reliable referrals to help meet your family’s preventive healthcare goals. Families who choose to vaccinate are encouraged to maintain a relationship with a primary pediatric provider or local health department for immunizations and required documentation.

Not exactly. Direct Primary Care practices typically charge a recurring monthly membership fee that covers a defined set of services. Our model uses a visit-based, self-pay structure with community-supported pricing. While both models aim to reduce reliance on insurance billing and foster stronger patient-provider relationships, our approach allows patients to pay for care as needed while helping make care more accessible through tiered pricing.

The short answer is that insurance companies place limits on how healthcare is delivered. Insurance reimbursement can influence how much time providers are able to spend with patients, what services are covered, and require an unsustainable amount of needless documentation. For many patients seeking relationship-based, whole-person care, these limitations can create barriers to the kind of healthcare they are looking for. These limitations are also an underlying reason for the high burnout in this profession. For naturopathic physicians in Oregon, there is an additional challenge: we are often reimbursed at lower rates than other healthcare providers for providing the same services using the same billing codes. In recent years, many insurance companies have also reduced or eliminated reimbursement for services that fall within our scope of practice, including manual therapy and pelvic floor therapy. These changes can increase costs for both patients and clinics while making it more difficult to provide comprehensive care. Our self-pay model allows us to focus on what matters most: spending meaningful time with patients, offering individualized care, and making clinical decisions based on your needs rather than insurance requirements. While we continue to work within the insurance system in limited ways, our long-term goal is to move toward a model that prioritizes accessibility, transparency, and patient-centered care over insurance-driven healthcare.