Nelhuayo Contribution Rates
New Patient Intake  
1 hour appointment $280 
(sliding scale $100-280)
New patient appointments entail reviewing past medical history, labs or imaging and pertinent physical exam and establishing goals.
Follow up Consult   
40 minute appointment $180
(sliding scale $80-$180)
Established patient appointments are usually 20-60 minutes long, for acute issues or follow ups. 
Follow-up consults can be in person or by video/phone consult options are also available.
Food Intolerance Assessments (Carroll Method) 
40 minute session $200
(sliding scale $90-$200)
Stand alone service which includes assessment and counseling -  included in a New Patient follow up visit.
Well Exams/ annual physicals 
45 minute appointment
$260 with basic screening labs 
$200 without screening labs 
(sliding scale $75-260 with basic labs, $75-200 without labs)
Well-checks or annual exams for adults or children. These visits are NON-PROBLEM focused. For ages 6 months and up. **Male sensitive exams may be performed with option to have chaperone present**.
Sports Physicals  
$80.00
(sliding scale $30-80)
For middle school to high school students ONLY.
LENS biofeedback 
  • First LENS Session, includes evaluation and medical history review, goals and expectations.
    • $140 (sliding scale $50-$140)
  • LENS Session
    • Each - $50 (sliding scale $20-$50)
    • 10 session bundle - $300 (sliding scale $175-$350) (initial session not included)
Physical and Energy Medicine
Craniosacral/Reiki session
  • 60 minutes appointment- $120 (sliding scale $50-$120)
Neural Therapy (NT)/ Perineural therapy (PIT)
  • stand-alone session $80 (sliding scale $30-$80)
  • add-on to office visit-$40 (sliding scale $15-$40)
Neural therapy with Craniosacral Integration
  • 60 minutes appointment- $180 (sliding scale $65-$180)
Sliding Contribution Rates
In order to provide services to as many individuals and families as possible, I request your active participation in deciding your level of contribution for my services.  
Please bear in mind that we are socialized to see what we lack better than the big and small privileges we do have. 
Those able to pay on the higher end of the scale help me serve those on the lower end of the scale. 
I am open to questions about this fee structure and look forward to serving you. 

Please read the 3 situations below. Depending on your CURRENT situation, you'll be able to choose your level of contribution. 
Your patient intake form will have a place where you will be able to input your assessment at that time. 
(This sliding scale and some verbiage were introduced by the Andean Medicine for Liberation Workshop via PDDC. Nelhuayo appreciates the intellectual labor in creating this useful tool. If you know the original creator, we’d love to create and compensate them.)
Situation 0

I have out of network insurance coverage and intend to submit my claim.














Situation 1

I am able to meet all of my basic needs.
I may have some debt but it does not prohibit attainment.
I have access to savings.
I also have access to earned and unearned assets.
I can afford an annual vacation or to take time off without financial burden. 
I have expendable income. 
I own or lease a car. 





Situation 2

I may stress about meeting my needs sometimes but I regularly achieve them. 
I have some debt, but I can attain my basic needs.  I may have student loans, and some of my family members have a higher education / trade school education. 
I may have some savings.
I can take a vacation annually or every few years.
I have some expendable income. 
My family has some assets.
My housing is stable. 

Situation 3

I frequently stress about meeting basic needs and don't always achieve them. 
I have no access to savings. 
I have limited expendable income (I'm on a tight budget). 
I qualify for government assistance.