Simple, transparent pricing.
Every new patient starts with an initial consult. From there, choose the care option that fits.
No insurance networks. No surprise bills. Payment is due at time of service.
Step 1 · Start here
Every new patient starts with an initial consultation.
After your consultation, established patients choose one of three paths. Membership covers your visits and the day-to-day support between them.
Initial Consultation
$525
· 60 minutes
In office or virtual
- A thorough, unhurried evaluation with Dr. McFarland
- Review of your past records and outside labs before your visit, when available
- One 15 minute phone call with Dr. McFarland to review any results and determine your next best steps
You will be charged a deposit fee of $200 to book your consult. This is nonrefundable if you cancel your appointment less than 24 hours prior. You will be charged the remainder of the consult fee at the time of your visit.
Step 2 · Continue your care
After your consultation, established patients choose one of three paths. Membership covers your visits and day-to-day support. Most patients find it both easier and better value.
Scroll right to view price options
Pay Per VisitNon-Member |
MembershipStandard |
MembershipPremium |
|
Compare Care OptionsAll care is provided directly by Dr. McFarland, in office or virtual. |
$
475
/visit
|
$
150
/month
|
$
200
/month
|
| Best suited for | Stable condition, seen 1–2 times/yr to monitor and refill (max 2 visits/yr) | 2–3 endocrine conditions needing between-visit support | 3+ chronic conditions needing close, ongoing care |
| Average visits needed per year | Pay per visit | 3–4 visits | 5–8 visits |
| Office & virtual visits | |||
| No extra fee for included visits | |||
| Patient portal messaging | Limited amount | ||
| Calls & emails with Dr. McFarland | Limited; $50 for phone call > 15 mins | ||
| Post-visit results call | 1 call included | ||
| Medication adjustments between visits | Closer Support | ||
| Priority appointment access | Within 5 business days | Same or next day; off hours | |
| Prescriptions & refills | At visits | Unlimited | Unlimited |
| Forms, prior authorizations & appeals | $50 each | Included | Included |
| Testing & interpretation | At visits | Unlimited | Unlimited |
| CGM / pump support | $50 download | ||
| Communication on your behalf (insurance, other physicians, work) | |||
| 1 month free with annual prepayment |
Why do patients choose membership?
After your consultation, established patients choose one of three paths. Membership covers your visits and the day-to-day support between them.
No additional bills
Your monthly fee covers your included visits and the support between them — no per-visit charges.
Flexible scheduling
Members enjoy unlimited, penalty-free rescheduling and cancellations.
1 month off annually
Pay for the year up front and receive one month of membership free.
Membership &
Pricing FAQ
What's the difference between Standard and Premium membership?
Both include your visits, unlimited portal messaging, prescriptions, forms and prior authorizations, testing and interpretation, and CGM/pump support. Standard ($150/mo) suits 2–3 endocrine conditions with an average of 3–4 visits a year. Premium ($200/mo) is built for 3+ chronic conditions, same- or next-day appointments, and opportunity for off hours scheduling.
Which option is right for me?
If your condition is stable and you only need to be seen once or twice a year to monitor and refill, the non-member option may be enough. If you have ongoing conditions that need adjustments and communication between visits, membership is usually both easier and better value — Standard for moderate needs, Premium for complex care.
Do you offer a discount for paying annually?
Yes. Members who prepay for the year receive one month of membership free.
As a member, are my visits included or do I pay per visit?
Your allotted visits for the year are included in your membership — there’s no additional per-visit fee. Standard includes 3–4 visits per year and Premium includes 5–8.
Can I message Dr. McFarland between visits?
Members can reach the practice through secure patient-portal messaging between visits.
What does the initial consultation include?
A 60-minute evaluation with Dr. McFarland (in office or virtual) for $525. It includes review of your past records and outside labs before the visit when available, plus a 15 minute phone call to review results — including discussing the results of any testing she orders during your consultation. Expect a detailed review of your medical history, outside records, imaging, nutrition status, current concerns and symptoms, and a physical exam, with appropriate testing ordered at the end of the visit.
Do you take insurance?
Direct Endocrine RI is a direct-care, out-of-network practice; payment is due at the time of service and we provide an itemized receipt for possible out-of-network reimbursement. Lab tests and imaging are billed to your insurance like any in-network doctor.
How do I cancel my membership?
Membership cancellation requires 30 days’ notice. If you cancel and later decide to rejoin, a $200 re-enrollment fee applies.