Direct Pay Model

CORA Pediatric & Adolescent Health is a direct-pay practice and does not participate with commercial insurance plans. This model allows us to offer longer appointments, individualized care, and the time needed to understand the whole child without allowing insurance requirements to determine the length or structure of a visit.

Comprehensive New Patient Consultation

— $600

90-120 minutes

A comprehensive physician consultation to understand your child's story, concerns, strengths, medical history, development, nutrition, sleep, emotional health, environment, and goals. Includes review of submitted records and an individualized care plan.

Extended Follow-Up Visit

— $400

60-90 minutes

Initial and ongoing complex follow ups may include in-depth review and interpretation of laboratory results, review of assessments and outside specialist reports, complex medication and/or care plan adjustments, family support, and shared decision-making.

Routine Follow-Up Visit

— $200

30-45 minutes

Ongoing routine follow-ups include check-ins, minor medication and care plan adjustments, family support, and shared decision making.

Insurance Reimbursement

Although CORA does not bill insurance directly, we can provide a superbill after eligible visits. A superbill includes the diagnostic and service codes your insurance company may require for an out-of-network reimbursement claim.

Families may submit the superbill directly to their insurance company. Reimbursement varies significantly by plan, deductible, and out-of-network benefits, so we encourage families to contact their insurer before their first visit if reimbursement is important to them.

CORA cannot guarantee that an insurance company will reimburse any portion of your visit.

HSA & FSA

Medical services provided by CORA may generally be eligible for payment using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds, subject to the rules of your individual plan.

Laboratory Testing, Medications & Other Services

When appropriate, laboratory orders and prescriptions can still be submitted using your existing insurance coverage, depending on the laboratory, pharmacy, and terms of your individual health plan.