Portland doctor posts flat self-pay prices as 2026 insurance costs rise

A Portland naturopathic practice has published fixed self-pay visit prices online so patients can see the cost before booking, as individual-market medical costs are projected to rise 8.5% in 2026. The move is meant to reduce billing surprises and appeal to patients facing higher deductibles, prior-authorization delays and uncertain out-of-pocket costs. Why it matters: - Patients increasingly want to know the price of care before they book, especially as insurance costs, deductibles and billing friction rise. - AndyND’s published self-pay rates give patients a clear upfront cost and remove the risk of later co-insurance surprises or claim denials. - PwC projects individual-market medical costs will rise 8.5% in 2026, and enhanced ACA subsidies that lowered premiums for millions are set to expire. What happened: - AndyND, a Portland naturopathic practice led by Dr. Andy Turner, ND, published its full self-pay pricing online. - The practice posts tiered rates for self-pay primary care before booking, so patients can choose the rate that fits their circumstances. - AndyND says the model is designed for women, families and gender-diverse patients across Portland. The details: - Published self-pay rates range from $130 to $330 per visit. - Higher tiers help subsidize lower-cost access for other patients under an equity model. - The pricing applies to primary care, women’s health and pediatric visits. - Appointments run 45 to 60 minutes. - Patients get direct access to the doctor. - AndyND says there are no membership fees and no surprise billing. - Most HSA and FSA plans cover the visits. - The practice describes its care as direct-pay and relationship-centered. Between the lines: - The pricing strategy is a response to a broader shift toward direct-pay care as insured patients face more administrative friction. - Dr. Andy Turner said many people put off care because they cannot find out what it costs. - Turner also said posting prices is meant to replace billing uncertainty with a clear decision before the appointment. - The model frames cash-pay care as a choice, not a workaround. What’s next: - As 2026 insurance costs rise, more patients may compare direct-pay clinics on transparency and visit length, not just network status. - AndyND is likely to lean on its published pricing as a differentiator for patients seeking predictable out-of-pocket costs. - More information is available on the company’s announcement , the practice’s Instagram and the practice’s Facebook page . The bottom line: - AndyND is betting that clear prices, longer visits and direct access to a doctor will matter more to patients as insurance gets more expensive and harder to navigate.