Rates & Insurance
Insurance
Please also note that because of the nature of our practice, we do NOT take insurance and we are considered an out-of-network provider with ALL insurance companies. If you have out-of-network benefits, we can provide you with a detailed superbill upon request so that you can submit for potential reimbursement directly from your insurance provider. This approach allows our practitioners to focus entirely on delivering high-quality, personalized patient care. Please note that due to current staffing limitations, we cannot assist with producing prior authorizations for specialty medications that may require additional insurance approval.
Reminder: Claims cannot be submitted for reimbursement with any government health plans (Medicare, Medicaid/Medical, or Tricare) as DanaRamsey, CNM, and Nurture Women's Health and Fertility have opted out of these plans.
Prepaid packages are available at discounted rates.
We accept cash, check, credit cards, and health savings accounts.
Rates
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*For Dr. Sienna Titens’ rates, please click HERE
New Patient Consultation (not fertility) 60 mins // $300
New Patient Fertility Consultation 60 mins // $350
Established Patient Visit
30-45 mins // $200-250Acute Patient Visit/Brief Follow Up 25 mins // $175
Complex Annual GYN Exam (established patient)
45 mins // $250Simple Annual GYN Exam(established patient) 30 mins // $200
Telemedicine: depends on length and complexity of visit // $200-$250
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IUI Procedure // $550
SIS Procedure // $550
ABBI Procedure // $750
Ultrasounds - all ultrasounds take about 30 minutes from start to finish and does not require a full bladder
Follicle Ultrasound // $225
Gynecology Ultrasound // $280
3D Ultrasound // $285
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New Patient Intake Session 60 mins // $250
Follow Up Sessions 45 mins // $200
PFT Packages:
4 sessions - $700
6 sessions - $1,025
8 sessions - $1,350
*All packages require an initial visit prior to purchasing. 4 session and 6 session packages must be used within 6 months of purchase. 8 session package must be used 8 months from purchase.
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Therapy Initial Intake $250 (60 mins)
Therapy Individual Session $180 (50 mins)
Therapy Couples Session $220 (50 mins)
Therapy Extended Session $250 (75 mins)**
Postpartum Package 10 visits in total//$1500
**Extended session are available by request or on a case-by-case basis. Please contact Bree for more information.
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Initial Intake 75 mins // $150
Follow Up* 45 mins // $100
*Packages available after an initial visit.
Additional Booking Notes
Nurture Women's Health & Fertility has a 48 hour cancellation policy. Please give at least 48 hours notice if you need to reschedule or cancel your appointment. You can reach us through the messaging feature in Practice Better or call us at 831-515-7078. Our late cancellation/no show fee is the full visit amount of your scheduled service and will be charged to the card on file.
Our office is located upstairs. If you need any accommodations, please let us know as soon as possible.
Our providers do most of their communication through the messaging feature on Practice Better, so if you need anything at all, don't hesitate to reach out! On average the response to messages are within 24-48 hours. If you have an emergency please seek care at your local emergency department.
Insurance Tips for Using Nurture as an Out-of-Network Provider
Please Note: Every insurance plan is different. Patients are responsible for verifying their own benefits. We are a small, independently owned practice and do not work with insurance companies in any capacity, we are not able to contact your insurance company, resubmit claims, correct processing errors, or provide follow-up on your behalf.
Before You Start
Many insurance plans include out-of-network benefits, but every plan is different. Before your first visit, call the member services number on the back of your insurance card and ask:
• Do I have out-of-network benefits?
• Do I need preauthorization?
• Can I request an out-of-network (network gap) exception?
• What is my deductible?
• What percentage of my visit will be reimbursed?
• Are there visit limits?
What Is an Out-of-Network Exception?
Sometimes the specialized care you need isn't available from an in-network provider. An out-of-network exception is a request asking your insurance company to cover services from an out-of-network provider using your in-network benefits because appropriate care is not reasonably available within their network.
You may qualify if:
• No in-network provider has the expertise to treat your condition.
• Specialized women's health services are unavailable in-network.
• Wait times or access to care are unreasonable.
• Your provider offers specialized expertise that is medically necessary.
Why this matters: If approved, your insurance may reimburse your visits at the in-network rate, reducing your out-of-pocket costs.
How to Get Started
Call your insurance company and say:
"I'd like to request an out-of-network exception because I'm seeking specialized women's health care that isn't available through an in-network provider. What information do you need to begin that process?'"
They may request your provider's NPI, Tax ID, diagnosis codes, procedure codes, number of visits requested, or a letter of medical necessity.
Submitting for Reimbursement
After each visit, Nurture can provide a Superbill upon request that includes the diagnosis codes, procedure codes, provider information, date of service, and amount paid. Submit this directly to your insurance company according to their instructions.
How We Help
We're happy to provide detailed superbills, billing information, and supporting documentation for out-of-network exception requests when appropriate. While we cannot guarantee insurance coverage or payment, we'll do our best to make the reimbursement process as simple as possible.
Helpful Tips
• Keep notes from every conversation with your insurance company.
• Save copies of submitted paperwork.
• Ask about the appeals process if your request or claim is denied