Prices & Policies
When the services they’re seeking are covered here, many patients typically have just a low-cost copay and/or coinsurance for our care.
We welcome health insurance plans from these major local and national insurance companies: United Healthcare, Blue Cross Blue Shield, Presbyterian, and CIGNA. (NOTE: CIGNA unilaterally canceled its entire Acupuncture network nationwide in 2021, therefore CIGNA members may choose us for Out of Network Acupuncture.)
Keep in mind that some plans have various deductibles the Patient must meet prior to Insurance assuming any responsibility. For more information see our Billing FAQ Page HERE.
Whenever someone selects a treatment that is either not covered by their insurance plan, or for which they choose not to use their Insurance, it is considered a Self Pay service. Self Pay services are considered Spa treatments and do not include Medical Record Documentation. If you require Medical Documentation without insurance billing, please see our Self Pay with Documentation rates clearly listed below.
Payment is due in full at the time of service. All Self Pay Prices are pre-NM Gross Receipts Tax:
Acupuncture
$129 for Follow-Up Acupuncture for All Patient Ages 13 and over
$159 for Initial Acupuncture (and Patients Returning After 3+ Years since their last visit), for both Adults and Children
$79 Half hour Follow-Up Acupuncture, Children 12 and under
Massage Therapy
$129 for both Initial or Follow-Up Medical Massage
Colon Hydrotherapy
$129 for Each Session of Colon Hydrotherapy
$349 for Package of 3 Colon Hydrotherapy Sessions (10% Discount!)
Herbal Consultations
$129 for Initial Consult, Adult or Child (Plus cost of Herbal Medicine)
$79 for Follow-Up Consult, Adult or Child (Plus cost of Herbal Medicine)
Homeopathy Consultations, with Dr. Janet Mandell
$159 for Initial Consult & Patients Returning After 3+ Years, All Patients Ages 13 and over
$89 for Follow-Up Consult, All Patients Ages 13 and over
$159 for Follow-Up Consult with Acupuncture treatment at same visit, All Patients 13 and over
$119 for Initial Consult (and Patients Returning After 3+ Years), Children 12 and under
$79 for Follow-Up Consult, Children 12 and under
$99 for Follow-Up Consult with Acupuncture, Children 12 and under
Botanical Facials
Please click here to see our BOTANICAL FACIALS page, for complete details on current pricing.
Specimen Collection for SELF-PAY Functional Medicine Testing
We collect specimens, typically blood draws, for specific Functional Medicine Tests that we offer here at Mountain Spirit. These include a range of Cell Science System Tests, featuring ALCAT Food and Chemical Sensitivity Tests. Our current pricing for specimen collection for any self-pay Functional Medicine Testing (typically a Blood Draw) is $129 plus tax. This does NOT include the cost of the Test(s) themselves, which typically begin at an additional $199 and up and are to be paid by the Patient directly to the Testing Company at the time of the Specimen Collection. Interested in scheduling these? CLICK HERE to Request an Appointment.
Gift Certificates & Sales in our Online SHOP
Gift Certificates are available Online in our SHOP Store. CLICK HERE for our Online Store, or click SHOP in the MENU above for access. These are also available at any of our Clinic locations. These purchases may be used for yourself, or given to anyone you choose!
Gift Certificates may only be redeemed by bringing in the gift certificate or receipt (proof of purchase) on the day of treatment. If a Gift Certificate or Proof of Purchase is not brought to the appointment, that Gift Certificate may not be redeemed at the time of service, and payment in the form of cash or a credit card will be required prior to receiving care.
Value of Purchased Gift Certificates, including Products and Services purchased in our online SHOP do not expire. However, they are NON-REFUNDABLE.
Gift Certificates that are won or donated will have an expiration or "use by" date. As gifts/donations from our Company, they do not have any cash value, and therefore cannot be used for copayments when using insurance.
Purchased gift Certificates may be transferred to another party, unless otherwise specified on the Gift Certificate. Their Value (or whatever Value remaining) may be applied to the amount due for any of our Products and/or Services.
A Gift Certificate that is used for an appointment that is cancelled with less than 24 hours notice from the appointment time will render the Gift Certificate void in lieu of a cancellation fee.
Self Pay with Medical Documentation Rates
There are instances when a patient may want a Self Pay treatment to be accompanied by a “Superbill” or “Detailed Receipt” that involves “Medical Diagnostic Coding” for reimbursement by a third party payor. (Such as a Health Savings Account, Health Insurance Plan, any type of reimbursement for which we are not billing the Patient’s Insurance as an In-Network Provider). When a Patient has a Personal Injury Claim (MVA, Slip and Fall, etc) of any kind, in which they do not have active medical payments aka MedPay available - they must utilize the Self Pay with Documentation process to receive care here. These represent an additional separate service, equivalent to health insurance billing-level documentation, that take our Providers and Staff significant additional time and cost to develop, maintain, and communicate to the Patient. Therefore, there is an additional cost for these Self Pay with Medical Documentation visits. In order to provide this level of notation, coding, documentation and detailed superbill receipt: They must be requested at the time of Visit, and paid for in full as shown below on the Date of Service. NOTES: It takes a minimum of 30 days from the Date of Service to receive Detailed Receipts and/or Medical Records. If you believe this is an option you want or need, advise at the time of scheduling. Please note, these represent significant discounts and are only available when Self Pay with Documentation is elected and paid on the date of service. If such Documentation is needed or sent later, our Clinic provides this service at the then-current NM Workers Compensation Fee Schedule rates for each separately identifiable service provided, based on usual and customary medical billing practices, per date of service.
Acupuncture - Self Pay with Medical Documentation
$159 for Follow-Up Acupuncture for all Patients ages 13 and over, with Documentation
$199 for Initial Acupuncture & Patients Returning After 3+ Years, for both Adults and Children, with Documentation
$99 Half hour Follow-Up Acupuncture, Children 12 and under, with Documentation
Physical Medicine / Medical Massage - Self Pay with Medical Documentation
$159 for Follow-Up Medical Massage or OT Visit, with Documentation (All Ages)
$199 for Initial Medical Massage or OT Visit, with Documentation (All Ages)
Special MEDICAID Acupuncture and Massage Discounts
We offer a generous discount to patients actively facing significant financial difficulty as evidenced by active Medicaid enrollment. Unfortunately, New Mexico does not fund Acupuncture or Massage in the State’s Medicaid Program aka Centennial Care. However, when you provide proof of a valid, non-expired BCBS or Presbyterian Centennial Care Insurance & valid NM State ID cards at time of visit: Our Self-Pay rates for up to 2 Centennial Care Discounted Visits in any calendar month are at a great discount! If you choose any more than 2 hourlong Acupuncture and/or Massage Visits in any calendar month, then those visit costs are due and payable at the Regular Self Pay rates described herein. NOTES: All Centennial Care Rate Self Pay services do not include Medical Record Documentation; that’s because they are not billable to Medicaid. If a Centennial Care Patient requires full Medical Record Documentation for any Self Pay service, they must pay the full Self Pay with Medical Documentation Rates described on this page. Also, all Facial and Cosmetic Services including Facial Acupuncture remain at regular Self-Pay rates regardless of one’s Medicaid status.
$69 for PRES/BCBS CENTENNIAL CARE- VERIFIED Initial & Patients Returning After 3+ Years: Acupuncture OR Massage (First Visit)
$59 for PRES/BCBS CENTENNIAL CARE- VERIFIED Follow-Up Acupuncture OR Massage (Follow-up Visit)
Maximum of 2 Such Discounted Visits per Calendar Month
As a private medical practice with no requirement to offer any Discount of any kind: We reserve the right to amend, or withdraw this Medicaid Discount at any time by publishing an update on this page
* Our Cancellation policy is 24 hours notice without charge.
If your appointment is not cancelled with notice given by you to our team more than 24 hours prior to your scheduled appointment time, the cost of the appointment will be collected. Typically this is $69.00 per appointment missed, but may be higher such as the actual cost, depending on what type of appointment you scheduled. Reasonable exceptions for genuine emergencies directly involving the patient who missed an appointment may be made at Staff discretion. This requires the patient who canceled due to an emergency reschedules promptly for same service preferably with same provider, within one week or less of the appointment missed, and written proof of the emergency is also required. For our Late Cancellation Policy, see our Your First Visit page, and click on the New Patient Paperwork link.
You may cancel / reschedule by phone or electronically by clicking the CONTACT link here or above to complete our online form. Remember, our office staff is available 7 days a week to take your call.
Billing your Insurance
Insurance rates are dependent on your insurance plan coverage, copays, and plan year deductibles. We will collect your insurance information at your initial New Patient Intake phone call and we will email you to advise you of your benefits. Copays are due at the time of service and more than one service on the same day does not guarantee only one copay will be generated by your insurance. For specific questions such as these, we encourage our patients to contact their insurance to verify how your insurance will process your claims.
We bill your insurance and an explanation of benefits will be generated by your insurance once your claim has been processed. We encourage our patients to know their benefit information so that they may identify and verify that their health insurance has paid the correct amounts on their claims. Plan limitations are the responsibility of the insurance holder, and Mountain Spirit Staff and Billing Department does not track patient visits to ensure limitations are not surpassed. Please verify your specific plans limits as any benefit limits surpassed in a benefit year are the patients' responsibility to pay.
Benefits quoted are for the current calendar year and may be subject to your insurance’s determination of medical necessity. Please call our offices or your insurance company if you need clarification on your benefit details. Any and all benefits are quoted by your insurance company, and Mountain Spirit Integrative Medicine holds no liability if the benefits given to us by your insurance have been misquoted in any benefit detail. To ensure correct processing of your claims, please review your explanation of benefits from your insurance company carefully. Benefits are not a guarantee of payment, and will be subject to your insurance company’s review process. All patient responsibilities are determined by your insurance company and balances requested are in coordination with your insurance company's determination. If you have questions about your policy, please call the customer service number located on the back of your insurance card.
Below are just a few of the New Mexico based Employer plans that cover services in our office:
State of New Mexico, Presbyterian or Blue Cross Blue Shield
County of Santa Fe, Presbyterian or Blue Cross Blue Shield
New Mexico Public Schools Insurance Authority (NMPSIA), Presbyterian or Blue Cross Blue Shield
Los Alamos National Labs, Blue Cross Blue Shield
City of Santa Fe, CIGNA
St. Vincent's Hospital, United Healthcare
AND MANY MANY MORE, based both within and outside of NM!
Questions about your Plan? Call us at (505) 988-2449. We'll directly verify your insurance benefits.
Post-Surgical Return to Care Policy
Physical Medicine: Massage, Occupational and Physical Therapy
In order to protect our Patients' health and wellbeing, it is essential after any type of surgery to have clear guidelines of when Physical Medicine services may resume. This includes any type of Massage Therapy, Occupational or Physical Therapy. Therefore, we require a post-surgical letter of clearance from the surgeon who performed the Patient's surgery, with detailed instructions of exactly when and where any type of body work or physical medicine may begin or resume. This letter must be received by us, prior to a Patient resuming any Massage/OT/PT appointment after any surgery.
Acupuncture and Oriental Medicine
After a patient is stabilized, officially discharged from their surgical center, and cleared to resume daily activities outside of their home: They are eligible to receive a visit with any of our Doctors of Oriental Medicine. DOMs are Physician Level Providers, and are the sole licensed practitioners of Acupuncture in NM. For any condition that is not an Emergency, nor requires immediate Urgent Care: DOM's are able to determine their appropriate care at each visit. They will determine on a case by case basis when and where treatment is possible, and may treat a patient without working anywhere near a surgical region. Furthermore, traditional Asian medicine has many systemic treatments post-trauma (surgery is a type of purposeful trauma) that potentially include Acupuncture, application of heat or cold, Asian herbal formulas, and more.
Patient Responsibility
It is the Patient's responsibility to inform us in writing with their post-surgical status, and include the information required above for any given service. A Patient who has not cleared the requirements, is not eligible for these services until they have done so. Failure to follow this policy with written notification at minimum 24 hours in advance of any scheduled appointment, or showing up to a relevant appointment without having fulfilled these safety requirements, will result in a Late Cancellation Fee being collected.
Minor Patients, Visitors - Under 18 Years Old
IMPORTANT POLICIES REGARDING MINORS: READ ALL
Some of our Providers at Mountain Spirit offer health and wellness services to Patients under 18 years old, known as Minors. In order to learn more about which of our Providers offer such services, simply SEARCH our website for "Pediatrics" or ask our Staff.
Minor aged patients must always be accompanied by a Parent or Legal Guardian for all of their scheduled appointments. Parents promise to remain present and respectful within the treatment room for the entire visit of their child under 18 years old. Patients 15 and over are logically entitled to access any NM State Licensed Physician Level Provider here with reasonable privacy, if agreed upon by said Provider. In such cases, the Parent / Legal Guardian still must remain on Clinic premises throughout the Visit.
Minor aged Patients or Visitors cannot under any circumstance be 'dropped off' and 'picked up' at a later time. If the Parent or Guardian cannot stay for the duration of their Minor's scheduled appointment, then such appointments will be cancelled and a Late Cancellation Fee will be collected. No exceptions.
Minor aged children cannot be left alone anywhere on our premises, including waiting rooms. They must stay with their Parent / Guardian at all times. No exceptions.
Parents and Guardians of Minors: You must make arrangements for your children to receive child care elsewhere when coming to Mountain Spirit for your own scheduled appointments. Knowing that your child is safely cared for will allow for the maximum benefits, including relaxation, for the treatment you have scheduled for yourself. If, on a rare occasion, you absolutely must bring your minor aged child with you to your appointment, they will be required to stay with you at all times, including staying inside the treatment room with you and your Provider for the entire duration of your visit. If the Provider finds the Visit to be interrupted or not reasonable to complete due to any behavior displayed by a Minor - then your appointment will be cancelled and a Late Cancellation Fee will be collected. No exceptions.
In summary: Mountain Spirit does not provide or offer child care of any kind at our Clinics. Our staff members are very busy with their work and are not responsible for any visiting minor. Only the Parent / Guardian is personally and financially responsible for their Minor, including the cost of any care received here. Thank you for your understanding and compliance with these common-sense policies, which prioritize the wellbeing and personal safety of children under 18 years old.
Pet Policy
ONLY WORKING SERVICE DOGS PERMITTED: READ ALL
For the health and safety of our patients, Mountain Spirit Integrative Medicine has a NO-PETS policy.
We love animals. However, we require you leave your pet at home during your visit to Mountain Spirit. This No-Pets policy applies to:
Pets
Emotional Support Animals
Comfort Animals
Therapy Animals
Service animals are individually trained to perform work or tasks for people with disabilities. Service animals are required to be leashed or harnessed except when performing work or tasks where such tethering would interfere with the dog’s ability to perform the work or tasks. Mountain Spirit allows Certified Working Service Animals ONLY to accompany our patients, but ONLY if all of the following apply:
A) Notify our Staff one week or more in Advance of the Appointment
B) Receive Permission from our Practice Management in writing (via email) that the Animal is permitted to accompany the Patient, PRIOR to Arrival for such Appointment(s).
Dogs whose sole function is to provide comfort or emotional support do NOT qualify as service animals under the ADA. Under ADA regulations that became effective on March 15, 2011, there are no protections for emotional support animals in terms of access to public accommodations and public entities. The Department of Justice has stated that emotional support animals are not protected as service animals under these regulations.
To avoid any disruption or inconvenience, we ask that you please leave your pet at home.
Should you arrive to an appointment with a pet that is not a Certified Working Service Animal:
You will be asked to remove the animal from our healthcare facility. For safety of all Animals, we do not allow Animals to be kept in any car on our premises, nor left unattended at our premises, at any time. Therefore, you must leave with your pet.
Your appointment(s) that day will be canceled immediately
You will be required to promptly pay all Late Cancellation Fee(s) for Missed Appointment(s) that day.
If you wish to continue coming to our clinic for ANY future care: You will be required to sign a statement certifying that you understand the above rules of our Private Clinic, and that you will not bring any Pet(s) to any Future Appointment(s).
Thank you for your understanding and compliance with this commonsense pet policy!