Direct-Pay Visit Pricing and Practice Policies
Clear pricing, no surprises: know exactly what you'll pay before your first visit. Questions? We're happy to help.
Insurance & Payment FAQ
Pricing
Insurance
All telehealth visits are private pay. We do not bill insurance directly. This allows Dr. Kiswani-Barley to spend the time needed with each patient without insurance restrictions on visit length or treatment options. We provide an itemized insurance invoice upon request for potential out-of-network reimbursement.
FSA/HSA Eligible: Our services qualify for FSA and HSA payments. Please check with your plan administrator for details.
Initial Consultation
New patients starting physician care begin here, including primary care, weight loss, and hormone optimization. The follow-up visit prices below apply once you are established.
Follow-up visits
Acute Care Visit
For a single focused concern such as infections, rashes, medication refills, or lab/diagnostic review via telehealth.
Primary Care Visit
Comprehensive primary care for up to 3 chronic conditions. Also used for follow-up visits for weight loss, HRT, and TRT programs.
Complex Care Visit
For established patients managing 4 or more conditions requiring complex medical decision-making. New patients begin with the $250 initial consultation above.
Who Should Book Which Visit?
Not sure which visit type is right for you? Here are some common examples to help you choose:
Acute Visit: $100
- UTI symptoms or sinus infection
- Medication refill request
- Skin rash or minor concern
- Lab review discussion: if you'd like a detailed telehealth call to go over your results
Primary Care: $200
- Managing 1–3 chronic conditions
- Follow-up visit for ongoing care
- Preventive care and wellness check
- Follow-up for weight loss, HRT, or TRT programs
Medically Complex Follow-Up: $250
- For established patients with medically complex needs
- Complexity determined by the physician, not condition count alone
- New physician patients always start with the $250 comprehensive initial visit
Still unsure? No problem. Reach out and we'll help you pick the right visit type.
What's Included
Payment Method on File
To schedule your appointment, simply add a credit or debit card to your patient portal. No upfront deposit is required. Fees are due at the time of service. Your saved payment method is typically charged after the visit. FSA/HSA cards are accepted as your payment method on file.
Understanding Your Costs: Direct-Pay vs. Insurance
Many patients with high-deductible health plans pay the full allowed amount for office visits until their deductible is met. Here's how Thrive RX's transparent pricing compares.
Typical Insurance-Based Visit
Visit time often limited to 10–15 minutes. Treatment may require prior authorization.
Thrive RX Direct-Pay Visit
Unhurried visits with the physician. No prior authorizations. No network restrictions.
Important note: We recognize that health insurance provides critical value for hospitalizations, surgeries, emergencies, and catastrophic events. This comparison applies to routine primary care visits only. Individual costs vary based on your specific insurance plan, deductible status, and network. Typical employer-sponsored plans include an average primary care copay of approximately $26 and 20% coinsurance for office visits after deductible is met.
Additional Costs
Laboratory Testing
Labs are billed separately from your visit and are drawn through our partner labs. We offer competitive cash-pay pricing so you know what to expect.
Where to Get Labs Drawn
- Access Labs (Preferred): Walk-in phlebotomy at partner lab locations with preferred cash-pay rates at the prices listed below.
- Quest Diagnostics: We can provide a lab order for you to use your insurance at any Quest location.
- Blood Draws: One phlebotomy fee per draw: $75 walk-in or $129 mobile if you prefer at-home blood draws.
Common Starting Panels (Access Labs Cash-Pay)
These standard panels give you an idea of typical costs. Your labs are always individualized: Dr. Kiswani-Barley orders what your presentation, history, and symptoms call for. Tap a panel to see every test included.
Medical Weight Loss
Hormone Optimization
Weight Loss + Hormone Optimization
Looking for a specific test? See the full lab menu and compare prices on our Lab Panels & Pricing page.
Compare your last lab bill
Pull out a recent bill from Labcorp, Quest, or any other lab. Check off the tests you had done and see what the same labs cost through Thrive RX. It is a simple way to compare your responsibility with insurance against our direct cash prices.
One note: Dr. Kiswani-Barley takes a primary care approach, and the labs she orders are individualized. She determines what is necessary for your workup and does not order tests that are not pertinent. We publish our full lab pricing because we believe in transparency, so treat this as a price check, not an order form.
Add a blood draw? (optional, one fee per draw)
Kit services do not include a blood draw. Include a kit charge only if separately required; do not add it again if already included in your collection arrangement.
Now compare that to what your last bill said. No insurance markups, no surprise balance bills.
Lab prices do not include the blood draw. One phlebotomy fee is added per lab set: $75 walk-in or $129 mobile. All lab prices are estimates for Access Labs cash-pay rates. Prices may vary slightly. Using Quest Diagnostics with your insurance may result in different costs depending on your plan.
Medications
Dr. Kiswani-Barley prescribes FDA-approved medications tailored to your health profile. You fill prescriptions at the pharmacy of your choice. We do not sell or deliver medications directly.
We guide you to the most cost-effective options, including manufacturer savings programs (LillyDirect, Novo Nordisk), using your insurance, or retail pharmacies. Medication costs vary by drug and dosage.
Practice Policies
Telehealth in Florida
Due to state medical licensing laws, we provide telehealth services only to patients who are physically located in Florida at the time of their appointment. All visits are conducted via secure, HIPAA-compliant video conferencing. In-person appointments are not available at this time.
No Insurance Billing
This is a direct-pay practice. We do not bill insurance companies. Upon request, we provide an itemized insurance invoice that you can submit to your insurance for potential out-of-network reimbursement. Reimbursement amounts vary by plan.
Cancellations & Rescheduling
We understand that life happens. If you need to cancel or reschedule, we kindly ask for at least 24 hours' notice so we can offer that time to another patient.
We won't charge you if something comes up last minute. We get it. However, if missed appointments become a pattern (habitual no-shows), a $50 no-show fee may apply to future bookings. Our goal isn't to be punitive; we simply ask that you make a good-faith effort to keep appointments or let us know in advance.
To cancel or reschedule, please contact us at info@thriverx.care or call (954) 300-4094.
Communication & Portal Messaging
Established patients may send non-urgent messages through the secure patient portal. Up to 10 minutes of clinician review and response time per calendar month is included at no charge.
If messaging requires additional clinician time beyond the included 10 minutes, fees may apply: up to 10 additional minutes ($45), up to 20 additional minutes ($90). For complex or ongoing concerns, we may recommend a scheduled visit instead.
Routine messages are typically answered within 1 business day. For urgent concerns, please call our office or seek emergency care if appropriate.
Prescriptions & Refills
Medications, including refills, are prescribed for patients actively under our care and may require a follow-up appointment depending on the medication type or time since your last visit. We prescribe only FDA-approved medications. No compounded medications.
Labs & Imaging
We partner with Access Labs (preferred cash-pay rates) and Quest Diagnostics (insurance-friendly option) for laboratory testing. Mobile phlebotomy is available for an additional fee. Imaging referrals are coordinated with local facilities as needed.
Ready to Get Started?
Schedule your first appointment and experience the difference of physician-led, patient-centered care.
Questions? Contact us at info@thriverx.care or (954) 300-4094