Services & Pricing

Preventive cardiology with
the depth it deserves.

From active cardiac management to long-term prevention — virtual across New York State now, and in-person at Midtown East beginning Fall 2026. Same cardiologist, either way.

Hybrid: virtual + in-person Transparent pricing Same-week availability Superbill provided Cash-pay

Hypertension is among the most common and most treatable cardiovascular conditions — and among the most consequential when it goes unmanaged.

What this includes

Comprehensive blood pressure evaluation and staging
Medication initiation, optimization, and adjustment
Home monitoring protocol and log review
Advanced assessment for secondary causes when indicated
Lifestyle and dietary guidance (DASH, sodium, exercise)
Target organ assessment — cardiac, renal, vascular

Most hypertension management can be handled entirely virtually. Home blood pressure monitoring is reviewed between visits with direct physician messaging.

Standard cholesterol panels miss a significant portion of cardiovascular risk. Dr. Nyange goes beyond LDL — incorporating ApoB, Lp(a), inflammatory markers, and metabolic context to build a complete lipid risk picture.

What this includes

Full lipid panel with advanced markers — ApoB, Lp(a), hs-CRP
ASCVD risk calculation and 10-year risk assessment
Statin and non-statin therapy management
Lifestyle and dietary optimization
Residual risk assessment and treatment strategy

Lp(a) is a genetically determined lipid marker that is not reduced by statins. Testing once is recommended for all adults — and informs lifelong risk management.

Palpitations are one of the most common reasons patients seek cardiac care — and one of the most varied in terms of underlying cause. Dr. Nyange evaluates palpitations comprehensively, from benign ectopic beats to clinically significant arrhythmias requiring management.

What this includes

Detailed symptom history and cardiac review
EKG interpretation (in-person, or review of tracings sent digitally)
Wearable ECG review — Apple Watch, KardiaMobile
Ambulatory monitoring coordination (Holter, Zio patch)
Echocardiogram if structural cause suspected
AFib management including rate/rhythm control strategy
Anticoagulation management when indicated

Heart failure requires close, longitudinal oversight — medication titration, volume management, and regular reassessment. Dr. Nyange provides ongoing heart failure management with the continuity that this condition demands.

What this includes

Guideline-directed medical therapy (GDMT) initiation and optimization
Fluid and volume management guidance
Daily weight and symptom monitoring protocols
Echocardiographic follow-up coordination
Device therapy coordination (ICD, CRT) when indicated
Hospitalization prevention through proactive monitoring

Heart failure management through ElinMed works best as a membership arrangement, given the need for consistent oversight, direct access, and proactive medication adjustment.

ElinMed is built around prevention as its primary mode of practice — not as a secondary consideration. Most cardiac events are preceded by years of detectable, manageable risk. The goal is to identify that risk early, understand it precisely, and act on it before it causes harm.

What this includes

Comprehensive cardiovascular risk assessment
Advanced biomarker panel — ApoB, Lp(a), hs-CRP, metabolic markers
Family history review and genetic risk assessment
Coronary artery calcium (CAC) scoring coordination
Advanced coronary CT imaging when clinically indicated
Lifestyle prescription — diet, exercise, sleep, stress
10-year ASCVD risk calculation and reduction roadmap

Standard cardiology relies on stress tests and calcium scoring to assess coronary artery disease — tools that only detect blockage once it is already advanced. ElinMed incorporates advanced coronary CT analysis with AI-assisted plaque characterization to identify and characterize plaque years before it causes a clinical event.

Where a standard stress test only detects obstruction, coronary CT analysis reads the composition of plaque itself — stable versus vulnerable, calcified versus soft. This is the difference between reacting to disease and preventing it.

What this includes

Coordination of coronary CT angiography (CCTA) at a participating imaging center
AI-assisted plaque analysis — volume, composition, vulnerability
Vessel-level analysis across all major coronary arteries
Year-over-year progression tracking with repeat scans
Results reviewed directly with Dr. Nyange in a dedicated follow-up visit

Coronary imaging is included in the Founding Membership initiation and is available to all patients when clinically indicated. As heard discussed on Peter Attia, Huberman Lab, and Rhonda Patrick's platforms.

Cardiovascular disease is the leading cause of death in women — and the most underdiagnosed. Women's cardiac symptoms are frequently atypical, and the research is clear that they are more often attributed to anxiety or dismissed without adequate investigation. ElinMed brings focused attentiveness and clinical expertise to women's cardiovascular care.

What this includes

Sex-specific risk assessment — including hormonal status, pregnancy history
Evaluation of atypical symptoms including fatigue, jaw pain, back pain, dyspnea
Hypertensive disorders of pregnancy and preeclampsia history assessment
Peripartum cardiomyopathy evaluation and follow-up
SCAD (spontaneous coronary artery dissection) risk and management
Menopause-related cardiovascular risk management

If you have been told your symptoms are "just anxiety" or have had cardiac concerns dismissed, Dr. Nyange will give them the rigorous evaluation they warrant.

Before proceeding with a significant cardiac diagnosis, procedure, or treatment plan, a second opinion from an independent expert is a reasonable and often advisable step. Dr. Nyange provides thorough, written second opinions on cardiac diagnoses, test results, medications, and surgical recommendations.

What this includes

Complete review of outside records, imaging, and test results
60-minute virtual consultation to discuss findings and questions
Written summary of Dr. Nyange's assessment and recommendations
Alternative options and clinical context
Coordination with your existing care team if appropriate

Digital tracings — ECGs from Apple Watch, KardiaMobile, or traditional 12-lead EKGs — can be submitted directly to Dr. Nyange for expert interpretation. Holter monitor and patch monitor reports can also be reviewed as part of ongoing care or as a standalone consultation.

What this includes

12-lead EKG interpretation with written report
Apple Watch ECG and KardiaMobile tracing review
Holter monitor / Zio patch report interpretation
Clinical correlation and recommendations
Communication of findings with actionable next steps

Surgeons and anesthesiologists routinely request cardiac clearance before elective procedures. ElinMed provides comprehensive preoperative cardiovascular evaluations — currently via virtual consultation, with physical exam and on-site EKG available when in-person care opens Fall 2026. A formal clearance letter is provided for your surgical team.

What this includes

Review of surgical plan and anesthetic risk factors
Comprehensive cardiac history and risk stratification
Review of prior cardiac testing and imaging
Physical exam and 12-lead EKG — in-person (Fall 2026) or coordinated locally
Perioperative risk assessment per ACC/AHA guidelines
Formal written clearance letter for surgical team
Medication management guidance (anticoagulants, beta-blockers)

Same-week appointments are typically available for preoperative clearance. Please book as early as possible to allow time for any additional testing your surgeon may require.

Fees

Transparent, straightforward pricing.

Cash-pay only. Every fee stated in advance — no surprise bills. Superbills provided for PPO reimbursement.

Brief Check-In

$100

15 min · Virtual

Simple lab reviews
Medication adjustments
Brief follow-up questions

Most Common

Virtual Follow-Up

$295

30 min · Virtual

Symptom & history review
Medication adjustments
Lab & imaging review
Care plan updates

New Patient Consultation

$400

60 min · Virtual

Comprehensive evaluation
Personalized care plan
Prescription management

Second Opinion

$600

Full review · Virtual

Complete records review
Consultation & written summary
Alternative options

Superbills provided for potential PPO reimbursement · Labs & imaging billed separately · View membership options → · View diagnostic testing fees →

Questions

Common Questions

Do you accept insurance?

ElinMed is a cash-pay practice and does not bill insurance directly. A detailed superbill is provided after each visit for potential out-of-network reimbursement through your PPO insurer. Labs and imaging can be ordered through your insurance separately.

Can I be seen virtually, or do I have to come in person?

ElinMed currently sees patients virtually across New York State. Most cardiology care — new patient evaluations, follow-ups, lab reviews, medication management — can be handled entirely virtually. In-person visits at Midtown East open Fall 2026 for patients who need or prefer a physical examination.

How are labs and imaging handled?

Dr. Nyange sends lab orders electronically to your preferred lab (Quest, LabCorp, or a facility near you). These can be submitted through your insurance or paid self-pay. Imaging referrals are coordinated to centers near you. All results are reviewed directly with Dr. Nyange.

What if I need a test that requires being in person?

For tests requiring in-person equipment (EKG, echocardiogram, stress test), Dr. Nyange will coordinate a referral to an appropriate facility near you until in-person care opens at Midtown East in Fall 2026. Results are reviewed by Dr. Nyange as your cardiologist of record.

How quickly can I get an appointment?

Same-week availability for virtual consultations. Book directly through the scheduling tool on the homepage. There are no months-long waitlists.

Protect your cardiac trajectory.

Schedule your clinical roadmap evaluation directly through the scheduling panel, or explore Dr. Nyange's complete training background.

Book a Virtual Visit About Dr. Nyange

Same-week availability · Virtual now · In-person Midtown East — Fall 2026

Preventive cardiology with
the depth it deserves.

Hypertension Management

What this includes

Cholesterol & Lipid Management

What this includes

Palpitations & Arrhythmia

What this includes

Heart Failure Care

What this includes