Transparency

Service Fees & Policies

Straightforward, cash-based pricing so you always know what to expect.

Insurance & Payment

Our billing philosophy

At this time, Mainestream Health Co. is not in network with any insurance providers. Insurance companies dictate a treatment course or will often only cover certain conditions. This creates space for inadequate or inappropriate patient care, which is our top priority for you.

If your insurance offers coverage for acupuncture, chiropractic, or medical services, we would be more than happy to create a superbill, or a receipt of treatments, for you to submit to your provider for reimbursement. Please contact your insurance provider prior to your visit to inquire about coverage — we can send you a list of appropriate questions for your best opportunity to get reimbursed.

Payment is due in full at the time of service.

Cash, check, HSA/FSA funds/card, credit card, or debit card.

Cancellation Policy
Questions

Frequently Asked Questions

Service Fees

Transparent pricing

Gonstead Chiropractic

New Patient Examination (60 min)
$360

Comprehensive health history, bio-structural exam, x-ray examination, and adjustment.

Adjustments / Follow-up
$75
Pediatric Exams (40 min)
$180

Depending on age & complexity of your child's case the doctor may elect to take x-rays (additional $165).

Acupuncture

Initial Acupuncture Exam
$260

For new patients — includes comprehensive health history review and analysis, Traditional Chinese diagnostic evaluation, goal setting, goal-achievement planning, and treatment.

Follow-Up Appointments
$95

For established acupuncture patients — includes a brief health update, diagnostic evaluation, and treatment with acupuncture, cupping, or a combination of other modalities.

Peptide Therapy

Monthly Membership
$200 / month

Direct access to our nurse practitioner and nurse during business hours, follow-up lab reviews, dose adjustments, timely refills, and peptide cycling. No long-term contract — discontinue at any time.

Peptide Medications & Supplies
Varies

Peptide medications are filled by the pharmacy, and you pay the pharmacy directly. Injection supplies are provided at our cost. Varies by the specific protocol prescribed.

Learn more on our Peptide Therapy page.

Hormone Therapy

Oral Progesterone Only
$75 / month

For patients taking oral micronized progesterone on its own. Includes routine check-ins, lab reviews, and support. No long-term contract — discontinue at any time.

Hormone Therapy Membership
$200 / month

Direct access to our nurse practitioner and nurse during business hours, follow-up lab reviews, dose adjustments, and timely refills. No long-term contract — discontinue at any time.

Hormone Medications
Varies

Filled by the pharmacy, and you pay the pharmacy directly. Varies by the specific prescription.

Doing hormone therapy and peptide therapy together? It's one $200 monthly fee — not two.

Learn more on our Hormone Therapy page.

Nurse Practitioner Services

Initial Exam
$400

A single fee, paid at your first visit, covering your initial exam, your blood draw, and the 30-minute follow-up appointment where we review your results and outline your plan. Lab work is billed separately. This is the starting point for most patients establishing care with our Nurse Practitioner, and the appointment that lays the groundwork before starting hormone therapy or peptide therapy.

30-minute follow-up appointment
$150
15-minute follow-up appointment
$75

For quick follow-up discussions or prescription medication adjustments. Established patients only.

Urgent care visit
$150

For established patients only.

In-Office Phlebotomy

In-Office Blood Draw / Phlebotomy
$30

Per draw. Lab fees are billed separately, and you'll receive the lab invoice directly by email.

Office Policy

Late Cancellation / No-Show Policy

Follow-up appointments: cancelled within 24 hours of the appointment time are charged the cost of that appointment.

New patient exams: cancelled within 48 hours of the appointment time are charged the full exam fee. We allocate 60–90 minutes for these appointments and they are hard to fill on short notice.

This policy helps us ensure that everyone has access to timely appointments and that our team can continue to provide the best possible care. We appreciate your understanding!

Ready to book?

Have a question about fees or which visit type is right for you? Reach out and we'll walk you through it.