Get the treatments you need
Visit Types for Headache & Migraine Care:
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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
$250
Complete headache history
Virtual neuro exam
Medication review and optimization
Personalized treatment plan
Education & follow-up care coordination -
Follow-up Visit
30-45 minutes
$150
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
(medication not included in fee)
Quick check-in pre-injection
3-month treatment cycle
Add-Ons
*
Add-Ons *
-
$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.
Enhance your care with these additional services tailored to your specific needs.
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:
You pay at the time of your visit
Cascade Headache provides a detailed superbill (itemized receipt with diagnosis codes)
You submit this to your insurance for out-of-network reimbursement
Your insurance reimburses you directly based on your plan's benefits
Before your visit:
We 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 us 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
We understand that paying out-of-pocket can be challenging.
To help make care more accessible, we 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. We are committed to finding a solution that works for both of us so you can get the care you need.