6800 Fleetwood Rd., Suite 110

McLean, VA 22101

Phone Number:

(703) 372-2646


©2019 by East-West Rheumatology 

Which insurances do you accept?

Because Dr. Zarbalian started East-West Rheumatology to deliver personalized, time-intensive care, he decided that administrative burdens imposed by insurance would be a hindrance to this model of care. Other rheumatology offices do not offer a multi-faceted approach in part because the doctor only has 10 minutes to spend with you. Dr. Z's clinic does not operate with such time restrictions and therefore we do not operate with strategies limited to medications. We offer direct primary care membership and cash-based visits at reasonable rates.

We do participate with Medicare but we are otherwise OUT OF NETWORK with all other commercial insurance companies.  ​Note that acupuncture is often not covered by insurance (i.e., even if I were an “in-network” provider, acupuncture may not be a covered service under your plan). 


I have membership and self-pay rates that are competitive with other providers in the Washington DC area. If you have out-of-network benefits, I can provide you with a bill to submit to your insurance company for reimbursement. Please let me know if the cost of a visit is prohibitive and bring your W2 form.

What are your rates for visits? 

  • Telemedicine visits: (NEW)  

    • Consultation regarding coronavirus prevention, testing, or triaging symptoms: $35

    • 20 minute visit (for urgent care OR follow-up patients) : $75

    • 40 minute visit (for new or complex follow-up):  $125

  • Telemedicine visit is covered for medicare patients (patient must pay 20% co-insurance if no secondary).

A la carte rheumatology and internal medicine:

  • 1st rheumatology/internal medicine visit, $250

    • One-hour visit includes holistic evaluation from Eastern and Western perspectives

    • Diagnostic testing include bloodwork if indicated

    • Limited time offer: One acupuncture treatment included either at the time of visit (time permitting) or at a future time

    • Therapeutic options as varied as dietary change (individualized approach based on Eastern traditions ) and Eastern herbs/western mediations will be discussed. 

    • Portal email access to discuss lab results, medication problems etc

  • Comprehensive follow-up rheumatology visit​, $150

    • Discussion of progress​ with lifestyle modification, medication therapy, laboratory study review

    • Includes one acupuncture/cupping session concurrent with the visit or at a future time

  • Basic Rheumatology follow-up visit​​ (20 minutes or less), $100​​​​

A la carte acupuncture (rates for non-members):

  • $150 for 1st acupuncture session (1 hour)

  • $100 for one follow-up acupuncture session (1 hour)

    • $450 for package of 5 follow-up acupuncture sessions

    • $250 for package of 5 auricular acupuncture (ear acupuncture) sessions 

  • $125 for 1st cupping + gua sha session (Includes initial consultation followed by 30 minutes of cupping + gua sha).

  • $450 for package of 5 follow-up cupping/gua sha sessions 

Member rates (for Direct Primary Care members) :

(1 session of acupuncture/cupping/gua sha included for every 3 months of membership)

1st acupuncture session : included with membership

$250 for package of 5 follow-up acupuncture sessions

1st cupping + gua sha session : included with membership

$250 for package of 5 follow-up cupping/gua sha sessions

What is direct primary care?

The direct primary care model is a growing model of care that acknowledges that the care we provide should not be dictated by an insurance company. The most appropriate medical care for an individual should be based on the trusting relationship that a physician and patient/family can build in combination with the best available evidence.

Because we spend less time dealing with the rules of insurers and more time with you, our patients can expect prompter appointments, more time for visits, and addressing your health in a way that is right for you rather than for your insurer.

Services included with membership and cost can be found here.