Cardio Res-Q has two one-time assessment prices. The Comprehensive Assessment is $775 and the Enhanced Assessment is $999. If you choose the Enhanced Assessment, the coronary calcium scan is done at an outside imaging facility and is a separate self-pay study. Patients have reported paying about $100 to $200.
Both assessments are direct-pay, which means they are not billed to insurance. You are welcome to try your HSA or FSA card, but the clinic cannot confirm it will be accepted. Ongoing care after the assessment is optional, and its monthly prices are listed below so you can see the whole picture before you book.
Key takeaways
- The Comprehensive Assessment is $775 and the Enhanced Assessment is $999, each a one-time price.
- With Enhanced, the calcium scan is a separate self-pay study at an outside facility, reported by patients at about $100 to $200.
- Both are direct-pay and not billed to insurance, and insurer reimbursement cannot be promised.
- You may try an HSA or FSA card, but the clinic cannot confirm it will be accepted and does not provide reimbursement forms.
- Ongoing care is optional, at $279 per month for membership and $125 per month for the Specialty Treatment Plan.
Cardio Res-Q prices at a glance
| Item | Price | What it covers |
|---|---|---|
| Comprehensive Assessment | $775, one time | Clinical evaluation with Dr. Varano, advanced labs, the Cleveland Heart cardiac panel, a lifestyle and risk evaluation, and a personalized heart protection plan |
| Enhanced Assessment | $999, one time | Everything in the Comprehensive Assessment, plus a CIMT ultrasound and a coronary artery calcium (CAC) score |
| CAC scan fee (Enhanced only) | About $100 to $200, as reported by patients | A separate self-pay study at an outside imaging facility, ordered by your provider |
| YoungerMeMD membership (optional) | $279 per month | Ongoing clinical access after your assessment |
| Cardio Res-Q Specialty Treatment Plan (optional) | $125 per month | Ongoing cardiovascular management |
So the realistic total for the Enhanced route is usually about $1,099 to $1,199 once the outside scan is counted. The Comprehensive route has no imaging fee because it has no imaging.
What the $775 Comprehensive Assessment includes
The Comprehensive Assessment is the laboratory and clinical baseline. It includes:
- Dr. Varano's clinical evaluation.
- Advanced labs: ApoB, Lp(a), hs-CRP, homocysteine, insulin, glucose and A1c.
- The Cleveland Heart cardiac panel. It reports Lp(a), ApoB, hs-CRP, oxidized LDL and small dense LDL, plus other proprietary markers. Your provider walks you through the results at your assessment.
- A lifestyle and risk evaluation covering family history, blood pressure patterns, weight, sleep, stress, nutrition, exercise and sexual function.
- A personalized heart protection plan.
Lp(a) is measured once, as an inherited baseline. US guidance published in 2026 advises measuring Lp(a) once in every adult.1 You will need to fast for 10 to 12 hours before the blood draw.
What the $999 Enhanced Assessment adds
The Enhanced Assessment includes everything above and adds two imaging studies.
CIMT ultrasound. This is a painless ultrasound of the carotid arteries in the neck. You should know its limits before you pay for it. The 2013 ACC/AHA risk guideline does not recommend routine CIMT measurement to predict a first heart attack or stroke.2 Carotid plaque seen on ultrasound predicts risk better than wall thickness alone.
Coronary artery calcium score. This is a quick, low-dose CT scan of the heart with no injections and no contrast dye. A calcium scan exposes you to about 1 to 1.5 mSv of radiation.3 Your provider orders it, and you find and schedule a local imaging center yourself. The scan fee, which patients have reported at about $100 to $200, is separate from the $999.
One more honest point. In 2018 the US Preventive Services Task Force found the evidence insufficient to judge the benefits and harms of adding a calcium score or hs-CRP to standard risk assessment in adults without symptoms.4 These tests can still be useful for the right person, and your provider can tell you whether you are that person.
Insurance, HSA and FSA
Cardio Res-Q is direct-pay. The clinic's stated reason is that this allows comprehensive, time-intensive care without insurance limitations. In practice it means you pay the clinic directly and the clinic does not bill your insurer for the assessment.
You are welcome to try your HSA or FSA card. The clinic has no data on whether these cards are accepted, so it cannot confirm that yours will work. Rules also differ between plans, so ask your plan administrator. We cannot give tax advice.
We cannot promise that your insurer will reimburse any part of the cost. The clinic does not handle insurance reimbursement forms and does not provide a superbill. For payment methods, refunds and rescheduling, ask our team before you book.
Ongoing care is optional
The assessment is complete and standalone. You receive a full review of your lab and imaging findings, an explanation of your risk profile and a personalized plan, whether or not you continue with the clinic.
If you do want ongoing care, there are two optional monthly programs. YoungerMeMD membership is $279 per month and includes unlimited messaging with your medical team and 3 to 4 visits per year, in person or, for patients in Pennsylvania, by telehealth. The Cardio Res-Q Specialty Treatment Plan is $125 per month for ongoing cardiovascular management. Ask our team whether the Specialty Treatment Plan requires membership, and whether either has a minimum term.
Many patients take their results back to their own cardiologist or primary care doctor instead. The clinic is happy to share results with them.
Next step: how to book
You can pay for and book either assessment online: the Comprehensive Assessment ($775) or the Enhanced Assessment ($999). The full program details are on the Cardio Res-Q program page.
If you have a billing question first, contact our team. Cardio Res-Q is not emergency care. If you have chest pain, shortness of breath or other symptoms of a heart attack, call 911.
Are You a Candidate for Cardio Res-Q?
Three quick questions about the risk factors we screen for. Your answers stay between you and the clinic.
Frequently asked questions
Is Cardio Res-Q covered by insurance?
No. Both assessments are direct-pay and are not billed to insurance. We cannot promise reimbursement from your insurer. The clinic does not handle insurance reimbursement forms.
Can I pay with my HSA or FSA?
You are welcome to try. The clinic has no data on whether HSA or FSA cards are accepted, so it cannot confirm yours will work. It does not provide reimbursement forms. This is not tax advice.
Is the calcium scan included in the $999?
The order for the scan is part of the Enhanced Assessment, but the scan itself is done at an outside imaging facility and is a separate self-pay study. Patients have reported paying about $100 to $200. The clinic does not keep a list of imaging centers, so you find a local one and ask it for its current price.
Do I have to join the membership after my assessment?
No. The assessment is complete and standalone. Membership at $279 per month and the Specialty Treatment Plan at $125 per month are optional.
Are there any other fees?
The prices the clinic publishes are the $775 and $999 assessment fees and the outside calcium scan fee for the Enhanced Assessment. If further testing is suggested after your results, ask our team for the cost before you agree to it.
Related reading
This article is for general education and is not medical advice. Decisions about testing and medication should be made with your clinician. If you have chest pain or other symptoms of a heart attack, call 911.
