A new patient visit is required for all patients to establish care with Dr. Grethen. At the time of the appointment, Dr. Grethen will assist in determining if membership is right for you.

Please note, as a direct care practice, Dr. Grethen is not in network with any insurance, including Medicare. Patients pay directly at the time of the appointment. We accept all major credit cards, check, and bank transfer.

We welcome you to join our membership program which enables consistent, high-quality personalized endocrine care when you need it. Benefits of membership include unlimited appointments, priority scheduling, complimentary pump and CGM downloads, and unlimited direct communication with Dr. Grethen via portal, text, or phone. The first two months of membership will be complimentary for patients who enroll in membership at the initial visit.

Discount for patients from Dr. Grethen’s prior practice who schedule before 7/1/2025:

Prior patients of Dr. Grethen who enroll in membership at the initial visit will not need to pay the initial consultation fee.

  • $395

    • 60+ minute initial appointment to address your endocrine concerns

    • Retrieval and detailed review of past medical records

    • Lab testing and imaging if necessary will be ordered

    • CGM or pump download with review and interpretation of data, if indicated

    • Pertinent nutritional and diabetes education provided if needed

    • One 15 minute follow up phone call

    • Two months complimentary membership for those who enroll in membership at the initial visit

    Prescriptions for new medications will be available to those who enroll in membership or plan to follow up.

    A $75 deposit will be collected at registration and will be applied toward the consultation fee. The balance will be collected at the time of the appointment. Deposits will be refunded for cancellations made at least 24 hours prior to the appointment.

  • $110 per month*

    The first two months of membership are complimentary for those who enroll at the initial visit.

    Membership includes all features listed under ‘non-membership’ unless otherwise specified.

    - Priority scheduling: in-person or telehealth visits as often as medically necessary

    - Access to patient portal: The patient portal enables access to view your test results, medical records, request prescription refills, and communicate effectively with the doctor

    - Direct communication: Access to Dr. Grethen via text / email/ phone so you can receive care when you need it

    - Complimentary CGM or pump data review: Dr. Grethen will review your CGM or pump data as medically necessary between visits.

    - Discounts on many lab tests: Dr. Grethen has negotiated significant discounts on lab tests for those who wish to pay directly. Alternatively, you are able to use your insurance if that is your preference.

    - Expedited prior authorizations: Medications, imaging and other tests often require additional paperwork for approval. We will work with your insurance company toward approval of these as quickly as possible. 

    - Body Composition Analysis: Determine your body composition through bioimpedance to help monitor progress toward your lifestyle and exercise goals

    - Individualized diabetes education as needed: Education can be provided at your medical appointment by Dr. Grethen

    • Diabetes education provided by diabetes educator: $65 / hr (non-member cost: $125/hr)

    While we encourage continuous membership for personalized high quality endocrine care, we understand that your health needs may change over time. If you should choose to rejoin after taking a break from membership, please note there will be a rejoin fee of $200.

    *5% discount per person for family members. *discount applied if membership paid quarterly (2%), semi-annually (4%), or annually (6%)

  • Recommended if anticipating 1-2 visits per year.

    In-person 30 min: $265

    In-person 60 min: $325

    Virtual visit 30 min: $225

    Phone visit: $300/hr, charged in 10 min increments

    - Diabetes education provided by diabetes educator: $125/hr

    -Email consultation/ discussion: $300/hr, prorated in 10 min increments

    - CGM or pump download, review and interpretation of data: $55

    - Prior authorizations for medications, supplies, imaging or procedures: $35 per PA

    - Installation and teaching of CGM placement and management: $85

    - InBody testing and interpretation of data: $35

    -Additional letters/forms: $25 each

  • - Diabetes in pregnancy: $1200. For pre-existing type 1 or type 2 diabetes, or gestational diabetes. Diabetes in pregnancy must be monitored closely in order to achieve the best possible outcome for mother and baby. In this intensive program patients will have priority access to Dr. Grethen. Blood sugars will be monitored every 1-2 weeks throughout pregnancy. There will be one follow up 2-3 weeks post-delivery.

     - Thyroid disease in pregnancy: $950 For patients on thyroid medication. Thyroid function must be closely monitored and medication carefully adjusted throughout pregnancy to maintain pregnancy-specific levels. Labs are typically checked on a monthly basis.