Our Pricing

Pricing

Fees depend on a combination of complexity and time, but usually $89 for new new patient visit, and $45 for medical followup visits.  A spinal manipulation-only visit is usually $35.

We are a community clinic.

Income level and insurance should not affect whether you get office-based medical care.

These low prices are made possible by eliminating the large staff and other bureaucratic expenses associated with being involved with insurance. If we don’t answer right away, we are probably with patients, so please leave a message on the answering machine.  Afternoon messages will be answered after 9 the next business day.

We are able to offer very affordable fees because we do not get involved in the the bureaucratic mess of government and primary insurance that are primarily responsible for inflating healthcare costs, disintegrating medical practices and disturbing doctor-patient relationships. Our aim is to restore medical care back to a high quality, personal, and affordable service which can only be achieved when the doctor-patient relationship is direct.

Therefore, on January 1, 2015 we transitioned completely to a no-insurance practice. If you have not met your deductible, our model will allow us to offer a higher level of service at a fee that is usually substantially below what you would pay at “in-network” clinics. Our fees are almost always half or less of the amount that you would have to pay even if you go to physician that takes your insurance (the amount you have to pay before you meet your deductible–regardless of your copay).  And most people do not realize that the copay portion that you would pay at at in-network office would count toward your deductible, which is negligible. So until you reach your deductible you should not expect to benefit by trying to use your insurance at an in-network clinic.

Medical supplements, Nature-Throid thyroid medication, and other prescription (generic) medications may be dispensed from the office. If available, patients may opt to fill their prescriptions at a pharmacy.  Our dispensing certificate only allows us to dispense medications to Dr. Barnett’s patients that are prescribed by Dr. Barnett.  Please note that Dr. Barnett has decided to not longer prescribe, nor dispense any narcotic or controlled substances!

Do not be fooled by low co-pays under your plan. Our patients are consistently surprised to find out that they would get a better deal by using our discount pricing rather than their insurance. Insurance companies try to induce patients to stay in-network to get an in-network discount.  They warn that visits that visits to out-of-network doctors will not count toward their deductible. This may be the case for some very high-end specialist services such as surgery, but unless you end up in the hospital or otherwise find a way to meet your high deductible, you are not likely to benefit from staying in-network instead of using Dr. Barnett.

Example: Brief follow-up at a specialist office: $45 copay but have not reached your $6000 deductible — Going in-network for a specialist follow-up: Billed for $140. Insurance discounted fee is $90 and your $40 copay is not counted toward your deductible. Our office charge for specialty follow-up is usually approx $45. You would save $45.

Insurance companies use this ‘network’ tactic to pressure doctors to sign contracts that are unfriendly to them. Doctors are afraid that patients will not choose them if they are not in-network. Insurance companies pressure as many doctors as possible into their networks so that they look attractive to patients even though patients must by now realize that the negative effect of this is a lower level of service as doctors have essentially run out of compensation mechanisms.

Dr. Barnett has decided that continued participation in government and managed care is tantamount to contributing to the root problems causing inflationary pricing in healthcare, the erosion of innovative and individualized health management, and the disintegration of the doctor-patient relationship. We aim to provide transparent pricing, mutual decision-making, and an effort that will hopefully reward us for providing a highest service/cost ratio.

When patients choose to by-pass insurance and pay directly for common low cost healthcare services, it invigorates the doctor’s primary loyalty to the patient. In short, doctors are caring for the patient rather than the insurance company or government, restoring the motivation that originally led them to pick healthcare as their vocation.

When patients by-pass using insurance, doctors get rewarded for offering “the best service for the best price”. Whereas in a government/managed care system, reward goes only to the doctor who earned certain medical degrees, who sold their soul to the most managed care organizations/government, or those who have managed to find the most efficient way to squeeze more patient visits or procedures into each day. In what industry have high level workers lost more liberty? Where is the free market for doctors?

Rarely do patients get the best deal in-network when you consider BOTH cost and quality of care. Without working in a doctor’s office, it is difficult for patients to fully appreciate that doctors may be willing to enhance their service or take less than the insurance company’s “discount” rate rate for services if they don’t have to bother with insurance-related paper work and associated liabilities. This is the opposite approach from “Obamacare”, which has made the managed care model the-law-of-the-land. It is now possible to bypass managed care for all healthcare except major medical expenses and the “free” stuff included in Obamacare.

Doctors Have to Choose Their Path To Survive The Times:

Doctors have been cobbling together various compensation to counter to eroding effects of the managed care squeeze, but are finally reaching the end of the road. With their backs against the wall the choices are relatively few. The choices are:

(1) Retire early

(2) Make a lateral professional move into a related area of healthcare such as academics, medical sales/consulting, research, insurance reviews, personal injury, etc

(3) Sell the practice to large hospital groups and become a 9-5 employee with rigid templates to follow

(4) Gather into larger high volume group practices, utilizing physician extenders such as nurse practitioners and physician assistants

(5) High-end concierge medicine, charging a membership/access fee (essentially for the wealthy and desperate frequent-flyers)

(6) Discount PCP community clinics who do not take insurance, and which requires multiple doctors to run under special fee arrangements for labs/imaging and specialty referrals, and access to special discounts for generic medicines. These clinics are usually walk-in only, and often have long wait times

(7) Discount specialty mini-clinic, who keeps costs down by having small offices and limited support staff. They avoid bureaucratic costs associated with accepting insurance, and focus on certain procedures/health conditions, and usually outsource labs, imaging, and ancillary services. These clinics will underwhelm if you are used to high-end medical specialty clinics, but the doctor and staff are less stressed, and there are obviously benefits to seeing a doctor that has more focus than a family doctor, but more general medical services and better access than a specialist.

So Why Choose Us? We have taken path#7 above — discount specialty mini-clinic — mainly hypothyroid, minor acute and chronic musculoskeletal conditions, and many of the most common family practice concerns.

We are an obvious choice for almost all common non-emergency healthcare. We DO NOT provide urgent care services for fractures, heart emergencies, asthma attacks, pregnancy related emergencies/delivery, severe attacks of pain (we do not use narcotic pain medicine), wounds which need stitches, insect/scorpion bites, etc. If in doubt about whether we provide a service for an urgent medical need, please go to urgent care or ER or call 911.

We provide medical exams and care for most problems that are typically presented to a the following types of offices: FAMILY PRACTICE (except vaccinations, PAP, & digital prostate exams, well-baby/child exam, well-woman exam, well-man exam).  We focus primarily on ages 14 to 64, ENDOCRINOLOGY (except Type 1 diabetes, hyperthyroid, and rare hormone diseases), spinal manipulation & traction as an ALTERNATIVE TO CHIROPRACTIC and PHYSICAL THERAPY, COSMETIC DERMATOLOGY (not diagnostic dermatology), and ACUPUNCTURE.