Get the treatments you need

Visit Types for Headache & Migraine Care:

  • Discovery Call

    15 minutes

    FREE

    Meet your provider
    Determine if we're a good fit

    No medical advice or prescriptions provided

  • Initial Visit

    90 minutes

    GRAND OPENING SPECIAL: $250
    (normally $350)

    Complete headache history
    Virtual neuro exam
    Medication review and optimization
    Personalized treatment plan
    Education & follow-up care coordination

  • Follow-up Visit

    30-45 minutes

    GRAND OPENING SPECIAL: $150
    (normally $200)

    Treatment response evaluation
    Medication adjustments and monitoring
    Ongoing migraine optimization
    Education and support
    Care plan updates

  • Botox Injections

    15-30 minutes

    $350

    Most of this is reimbursable
    PREEMPT protocol injection pattern
    31 injection sites, 155-200 units total
    Quick check-in pre-injection
    3-month treatment cycle
    Optional home visit available

Add-Ons

*

Add-Ons *

Enhance your care with these additional services tailored to your specific needs.

  • $30/month

    • Unlimited messaging between visits

    • Guaranteed 24-hour response time

    • Simple medication adjustments can be done between appointments

      • Provider may call you to discuss plan as brief check-ins. These are free of charge if indicated and initiated by the provider.​

    • 6-month commitment required

    • 10% discount off cost of Follow-up Visits and Botox injection fee.  

  • $30 each

    • Masseters (TMJ pain relief)

    • Orbicularis oculi (if eye squinting or smiling is a trigger)​

    Not offered as standalone services; may be added-on to Botox injection visit.

  • Price varies

    • Toradol (ketorolac)

    • Zofran (ondansetron)

    • Phenergan (promethazine)

    • Vitamin B12

    • IM Steroid

    May be done in combination with Botox visit.

Pricing & Insurance

Out-of-Network Benefits

Cascade Headache is currently an out-of-network provider, which means we don't bill insurance directly.
However, many patients receive partial or full reimbursement by submitting superbills to their insurance company.

How it works:

  1. You pay at the time of your visit

  2. Cascade Headache provides a detailed superbill (itemized receipt with diagnosis codes)

  3. You submit this to your insurance for out-of-network reimbursement

  4. Your insurance reimburses you directly based on your plan's benefits

Before your visit:

I recommend calling your insurance to ask about out-of-network mental health or specialist benefits. Key questions to ask:

  • "What is my out-of-network deductible?"

  • "What percentage do you reimburse for out-of-network specialists after my deductible is met?"

  • How do I submit a claim for out-of-network care for reimbursement?

Why Out-of-Network?

When providers contract with insurance companies, care is often limited by what's covered—not what's needed. This can mean shorter appointments, restricted testing, and less focus on root-cause or preventative care.

Being out-of-network allows me to offer longer, more personalized visits, ongoing support between appointments, and the freedom to truly prioritize your long-term health—not just your symptoms.

Making Care Accessible

I understand that paying out-of-pocket can be challenging.

To help make care more accessible, I offer:

  • Payment Plans: Flexible installment options to spread costs over time

  • Sliding Scale Pricing: Reduced rates based on demonstrated financial need

  • Premium Membership: Bundled pricing that can reduce overall costs for ongoing care

If cost is a concern, please reach out. I'm committed to finding a solution that works for both of us so you can get the care you need.