Starting June 21st, 2025 . . .Lower Fees!
To keep our administrative costs minimal, we have decided to remain OUT-OF-NETWORK so that we can continue to offer quality services for a fee that fairly reimburses the time and efforts of our Providers and Practitioners - without compromising the quality of services and environment for our patients. We understand that our fees may daunting to some, but what makes our services cost-effective is that we are targeted in our approaches and have a reputation for providing significant relief in your symptoms in fewer than five (5) appointments.
We are proud that we can keep our fees near-Medicare rates so that you should be reimbursed most of your out-of-pocket expenses (except for those therapies specified as non-insurance reimburseable). That being said, we encourage you to contact your insurance carrier BEFORE SCHEDULING so as to clarify which services will be covered.
NORTH SHORE OSTEOPATHIC does not directly submit insurance claims - BUT after your fees are paid in full, a “SUPERBILL” will be provided for you to submit to your insurance company for reimbursement. Please request this option from staff - OR - request this in the comments section during online scheduling.
Payment Options
Patients may pay on the date of service - OR - agree to alternate billing options (invoices emailed to be paid within 30 days).
Debit or Credit cards (American Express, Visa, Mastercard, Discover, JCB or UnionPay International logo)
Check, cash or money order with payment to North Shore Osteopathic, LLC
All-Inclusive Visits
This is essentially a discounted package option so not available to those planning to submit for insurance reimbursement.
May be available to some with HSA (please call your carrier to confirm)
Not eligible for additional age-based or seasonal discounts.
All evaluation and management, including procedures:
120 minute New Patient All-Inclusive visit (E&M code 99205) $350
60 minute Established Patient / Follow-Up all-inclusive visit $140
New Patient Evaluation & Management
A NEW PATIENT CONSULTATION needs to be scheduled if a patient has NOT been evaluated and treated by the same Provider in the last 3 years. Patients may set up a time to speak with Dr. Behling directly before scheduling a consultation.
Consultation fee includes medication management and ordering of referrals and/or imaging. It does NOT, however, include any procedures performed at that time. If time is available, patients may ask for procedures to be performed for additional fee.
90 minute New Patient Evaluation for non-spinal symptoms $275
120 minute New Patient Evaluation for brain, spine or nerve symptoms $325
Return Patient Evaluation & Management
No additional E&M fee will need to be added if there is no change to the plan of care (i.e., ordering of tests, images or making medication/supplement adjustments).Otherwise the following fees apply:
Evaluation for 2+ Minor Problems -OR- 1+ Stable Chronic Issue - OR - Acute Uncomplicated Injury $80 / 30 minutes (99213)
Evaluation for New or Chronic Condition with Exacerbation, Progresssion or Side Effect of Treatment $100/ 45 minutes (99214)
E-Mail Clinical Services Flat fee with additional fees for new prescriptions or for counseling / support $25 / email
Tele-Clinical Services Flat fee
telephone or texting time $25 / 15 minInitial Health and Behavior Assessment Flat Fee (eg, health‐focused clinical interview, behavioral observations, psychophysiological monitoring, health‐oriented questionnaires), face‐to‐ face $30 / 15 minutes
Health Behavior Assessment or Re-Assessment Flat Fee through health-focused clinical interviews, observation and clinical decision-making $30 / 15 minutes
- AND -
Initial Health Behavior Intervention (HBI) Services Flat Fee, face-to-face, one-on-one (e.g. addressing cognitive, emotional, social, and cultural factors that may hinder the management of the patient’s physical health issues so as to develop strategies that promote better self-management of chronic diseases, ultimately aiming to improve the patient’s overall health outcomes). $60 / 30 minutes
Additional Fees
Completion of Special Reports or Forms - ex., POLST, walking handicap placard, etc. $25
Worker’s Compensation
Regarding Workers’Compensation, cases MUST be referred from primary source already assigned case. Official coverage through Case Coordinator MUST be confirmed before any appointment is scheduled - otherwise you as a patient should expect to pay all fees (minus appropriate discounts) within 30 days.
Osteopathic Manipulation (OMT)
No additional E&M fee is necessary for treatment of typical waxing and waning, or acute-on-chronic exacerbations that do not require a significant change to the plan of care or medication/supplement adjustments. These procedures may be performed at any visit as long as it is appropriate, the patient consents and there are NO contraindications.
Osteopathic Manipulation fees are based on number of treated ‘sites’ (out of 10 sites): Head, Cervical, thoracic, lumbar, rib, pelvic, sacral, abdominal/other, upper & lower extremity
1-2 sites $60
3-4 sites $75
5-6 sites $90
7-8 sites $105
9-10 sites $120
OSTEOPATHIC CRANIAL THERAPY usually involves two sites, but may be combined (if desired) with PEMF or RED LED for optimization of time and treatment efficacy.
Minimally-Invasive Procedures
Trigger points 1 or 2 muscles (CPT 20552) $60
Injection to single tendon sheath, or ligament, aponeurosis (CPT 20550) $65
One Diagnostic or Therapeutic Subcutaneous or Intramuscular Injections of Substance (CPT 96372) $20
Therapeutic and diagnostic carpal tunnel injection (CPT 20526) $100
Therapeutic and diagnostic singer tendon origin/insertion injection (CPT 20551) $65
Aspiration and/or Injection of Ganglion Cysts (CPT 20612 any site) $75
Prolotherapy Injection to single site using Dextrose 12.5% dilution solution in sterile water (not covered by insurance, CPT M0076) $65
Intraarticular injection of anesthetics such as Lidocaine 1% - OR - Bupivicaine 0.25% with or without steroids are included in the below injection:
Small joint (fingers or toes): CPT 20600 $55
Intermediate joint (TMJ, AC joint, elbow, wrist, ankle): CPT 20605 $65
Major joint (hip, shoulder, knee): CPT 20610 $75
Non-Invasive Procedures
No additional E&M fee will need to be scheduled for treatment of typical waxing and waning, or acute-on-chronic exacerbations that do not require a significant change to the plan of care, and also do not require medication/supplement adjustments.
These procedures may be scheduled as RETURN VISITS after Provider has confirmed availability of equipment and that there is no contraindication to the procedure (i.e., patient with a non-MRI compatible permanent pacemaker cannot be treated with pEMF or ICES) .
Whole Body Vibration Therapy for ADHD, PTSD, depression, anxiety, lymphedema, peripheral neuropathy, obesity, osteopenia, balance and strength using platform (15 minutes, FREE 6th visit) $15
Red LED / Photobiomodulation to increase mitochondria for Painful Inflammatory Joint Pain Syndromes, Post-Workout Optimization, Insomnia, Improved skin damaged from sun, and hair loss (15 minutes, FREE 6th visit) $15
Green or Yellow LED / Photonic Stimulation for Painful Neuropathy, Peripheral Circulation Issues and/or Claudication (15 minutes, FREE 6th visit) $15
Focused Musculoskeletal / Integrated Manual Mobilization of atrophied muscle, adhesions, fibrosis and/or joint
Physician Treatment 15 minutes $60
Return (Nicole Mosier, 30 minutes) $60Ultrasound Cavitation Therapy for entrapment / adipose tissue optimization
(30 minutes, FREE 6th visit) $60High-intensity pEMF / ICES® DigiCeutical® C5 Model System For acute OR chronic joint and/or soft tissue injury (20 minutes, FREE 6th visit) $60
Foot evaluation, including nail care/cutting for those with peripheral neuropathy, FREE 6th visit $60
Therapeutic stretch to increase range of motion and reduce tone $60
Infrared and PEMF Mat for insomnia, restlessness, fibromyalgia, diffuse pain (30 minutes, FREE 6th visit) $60
Osteopathic Lymphedema Therapy (30 minutes, FREE 6th visit) $90
Compare Our Fees With Others
Ex. Pain Provider E&M Rates for New Patient/ Consultation
45 min $200-$240
60 min $225-$270
Ex. Pain Provider Evaluation Rates for
Established Patient / Follow-up Visits20-30 min $85-$122
30-45 min $136-$177
45-60 min $194-$215