Prices & Membership

Simple. Transparent. No surprises.

Diana Girnita, MD, PhD, FACR

Double Board Certified in Rheumatology & Internal Medicine

Your First Consultation

  • Comprehensive Review: Dr. Girnita carefully examines your prior medical records, history, treatments, lab results, and imaging before your appointment.
  • Thorough Initial Consultation: Spend 60 to 90 minutes with Dr. Girnita discussing your medical journey and concerns.
  • Access to Discounted Tests: Enjoy over 80% savings on lab tests, imaging, and select medications.
  • Personalized Treatment Plan: Receive a clear and tailored plan from Dr. Girnita, covering potential diagnoses, necessary tests, and treatment options.
  • Supplements Counseling: Get personalized supplement recommendations based on scientific evidence if desired.
  • Booking Deposit Credit: Secure your appointment with a $100 deposit, credited towards your visit. (Non-refundable; check our licensed states.)
  • Second Opinion Option: Non-US residents can benefit from a second opinion consultation.

Total Cost: $697 Paid in full at time of consultation

Experience personalized care and saving with Dr. Girnita’s first consultation and unlock your path to better health today!

Rheumatology Services

Option A:
Membership Plan
Option B:
Fee for Service
CostFor patients in need to continue treatment after the first consultation, the membership is $345/ month, with a 4 month minimum. Varies
Best forPeople with a complex diagnosis or significant ongoing treatment needs. Includes followup appointments to confirm diagnosis & develop, monitor & adjust treatment plan.Best for occasional treatment or verifying an autoimmune or rheumatological diagnosis
Rheumatology Diagnosis & Treatment Consultation
Monthly follow-up visits (30 mins)$367
Urgent visits (30 mins)$450
Same day/next day appointmentsNo
Priority bookingNo
After-hours appointmentsNo
Cancellation < 48 hours$50
Email, text & phone access to doctor$399/hour, billed in 15-minute increments. Phone access not included.
Prescription renewalsDuring visits
Medical records review (documents submitted after the 1st consultation)$497/hr
Integrative & Lifestyle Medicine
Integrative medicine consultation$400
Online nutrition & mindfulness classes$20/month
Online physical therapy$20/month
Communication via ELATION portal between appointments
Care coordination with your other doctors$399/hour, billed in 15-minute increments
Additional Savings
Discounted lab servicesNo
Discounted ultrasound, MRI, CT, X-ray imagingNo
Local prescription discount locator serviceNo

Frequently-Asked Questions


We don’t participate in any insurance plans. Our patients pay us directly for all of the diagnostic and treatment services they receive.

If you have an HSA/FSA, check with your employer and tax advisor to determine whether your monthly membership fee can be reimbursed via your HSA/FSA account.

Labs & Imaging

Our membership includes standard labs and access to low-cost imaging and discounted prescription resources. This usually means you pay less than your health plan charges.

However, you’re always free to get labs, imaging and prescriptions through your health plan if you prefer.

If you have out-of-network benefits, we’re happy to provide a detailed statement (“superbill”) that you can submit for reimbursement. You’re also free to pay for these services with cash or your HSA/FSA if that works better for you.  

We have no control over possible reimbursement and cannot predict whether your plan will reimburse you or not.

NOTE: We strongly recommend that patients continue their regular medical insurance. It includes many important benefits like emergency room access, access to other providers, pharmacy benefits, and hospitalization benefits.

We strongly recommend that patients continue their regular medical insurance. It includes many important benefits like emergency room access, access to other providers, pharmacy benefits, and hospitalization benefits.

Dr. Girnita is opted out of Medicare and Medicaid programs. You will not be able to submit or receive reimbursement from  Medicare or Medicaid for serrvices provided by Rheumatologist OnCall.

Dr. Girnita is a strong advocate of affordable healthcare and transparent pricing. Our direct-care/direct-pay model provides great access to expert rheumatology for everyone regardless of their insurance status.

You will never be blindsided by a bill, and we also offer low-cost imaging, labs and prescription resources.

NOTE: We strongly recommend that patients continue their regular medical insurance. It includes many important benefits like emergency room access, access to other providers, pharmacy benefits, and hospitalization benefits.

Membership & Fees

After your initial consultation, you & Dr. Girnita will decide together whether our practice is a good fit for you. If you become our patient, a three-month membership is required. 

Your initial consultation fee will be credited against your membership fee.

This commitment allows enough time for Dr. Girnita to:

  • Thoroughly understand your health history and quality of life priorities
  • Order and review labs and imaging
  • Make a thorough diagnosis
  • Start your initial treatment
  • Follow up on your response to treatment
  • Adjust your treatment as needed
After three months, your membership is month-to-month and can be canceled at any time with 30 days notice.

Dr. Girnita offers your choice of in-person visits at our Irvine, CA office, or video telehealth visits for patients in our 8-state service area which includes Arizona, California, Florida, Indiana, Kentucky, Montana, Oklahoma and Texas.

Phone consultations are available only to participants in our membership plan.

After your initial consultation, you can become our patient via a membership plan or per-visit fees. 

Membership is best suited for people with complex diagnosis or treatment needs who benefit from ongoing care and rapid access to Dr. Girnita.

Per-visit fees are often best if:

  • You only need 1-2 consultations to clarify your autoimmune or rheumatological diagnosis—for example, a positive ANA test or elevated inflammation markers
  • You need only occasional rheumatological care—for example, gout attacks.

Our direct-care/direct-pay model requires none of the bureaucracy required to file insurance claims and follow up on  reimbursements. Since we pay less, you pay less.

We also contract directly with clinical labs and imaging centers. Cutting out the middleman means lower costs for you.

Medical Care

Our patients generally consider Dr. Girnita to be their primary rheumatologist. In addition, they continue to see their in-network family doctor, primary care physician, internist, ob-gyn, etc., as they normally would.

Your records are completely confidential and we will never share them without your permission.

We do encourage you to share treatment information with your primary care doctor to ensure continuity of care, and are happy to fax them your visit notes at your request.

If you wish, Dr. Girnita will also speak with your healthcare team to explain your diagnosis and help make sure that your treatment is as effective as possible. This includes discussing possible drug interactions related to any other medications you may be taking.

Yes, Dr. Girnita will write required prescriptions at the end of your initial consultation or follow-up visit. No medications are prescribed for second-opinion consultations.

NOTE: Our practice does not prescribe narcotics, neurologic medications, or medical marijuana.

We provide discounted prescription resources. However, you’re free to refill your prescriptions through your health insurance if you prefer. Dr. Girnita can complete preauthorization forms and speak to your insurance company if needed.

Dr. Girnita has worked with a physical therapist to create an online physical therapy program specifically for people with rheumatoid arthritis and other inflammatory conditions. This program is included in our membership and is available to non-members for a fee.

For most patients, this meets their needs. If you and I feel that one-on-one physical therapy would be helpful, you can access physical therapy services available through your health insurance or I can refer you to a physical therapist in your area.

Dr. Girnita can order labs and imaging studies when needed. Lab and imaging orders are placed only during your visit.

If your labs or imaging reveal something urgent, Dr. Girnita will call you as soon as she reviews the results. Otherwise, she’ll review results in detail with you during your next appointment amd answer all your questions. We generally don’t email results, to avoid possible misunderstandings.

Our membership plan includes common labs at no extra charge plus access to low-cost imaging services. You’re also free to get lab and imaging services through your regular health insurance.


You’ll use your regular insurance for emergency room visits, hospitalizations including surgery, and visits with other specialists. These services are not provided by Rheumatology OnCall.