Costs of Treatment

Commitment creates value, and those who make a commitment to health
are much more likely to achieve a positive outcome.

Northern Illinois Center for Functional Medicine, SC Explanation of Costs of Treatment

Visit Type Duration Physician Fee* CPT code**
Initial Consultation 60-90 minutes $360-$540 99205 +/- 99354
Follow-up–Extended 60 minutes $360 99215
Follow-up–Regular 45 minutes $270 99215
Follow-up–Short 30 minutes $180 99214

*Dr. Karney’s fee structure is simple–$360 per hour.  She uses only the time necessary to investigate the root causes of your concerns and get you on the right path towards improved health.

**You may find out what your insurance company will reimburse for the visits by using the above CPT codes and asking the out-of-network reimbursement for those codes.

Insurance Coverage

Northern Illinois Center for Functional Medicine, SC is not contracted with insurance, Medicare, or Medicaid, and is an out-of-network provider.  Office fees are payable at the time of your visit.  Dr. Karney will provide you with a “super-bill”, that you may submit to your insurance for reimbursement, if you have a PPO insurance. Please note that HMO insurances, Medicare and Medicaid do not provide any benefits for out-of-network providers.

Laboratory Testing

Many lab tests are covered by insurance, but some may not be. You will be advised of the possible out-of-pocket expense of recommended tests before you commit to them.

The exact lab testing ordered after the Initial Evaluation depends on your individual circumstances, but may include:

  • Blood tests measuring cholesterol, thyroid function, vitamin levels, autoimmune markers, and markers of hidden infections
  • Advanced stool testing to screen for digestive inadequacies, parasites, fungal overgrowth, bacterial infections, intestinal inflammation, and dysbiosis
  • Breath testing for gastrointestinal bacterial imbalances
  • Toxicity evaluation by blood and/or urine testing
  • Saliva or blood hormone testing for adrenal and sex hormone status
  • Urine testing for hormone metabolism assessment
  • Genetic testing for detoxification and neurotransmitter enzyme functionality

Supplements

Nutritional supplements are often recommended. For your convenience, you will have the opportunity to purchase supplements directly from the office, at a discount from MSRP, online at the web store, or you may research other options. You are not obligated to purchase any supplements from Dr. Karney.

Letters and Messages

Service Fee
Portal messages Simple clarifications from recent visits and/or management of side effects of recently-prescribed therapy is included in the visit price.
More complex, detailed responses or questions outside of a recent visit are billed prorated by the time it takes to read the question and respond,
at $50 for each 15 minute interval.
Letter writing and forms If research is required for letter writing or form completion, $50 will be billed for each 15 minute interval.

I offer complementary phone consultations to make sure we both think my practice is a good fit for you.  Expect to spend about 10 minutes discussing your concerns and I will give you an honest assessment of whether I think I can help you achieve your goals.