About Steady State Health
Steady State Health is a virtual practice run by Josie Cowburn, a nurse practitioner who treats perimenopause, menopause, ADHD and metabolic health as one problem rather than three. Care runs by video for patients in Oregon and Washington, with labs drawn at a local site and a written plan sent a few days after the review visit. Patients can either use insurance for individual visits or buy one of the cash-pay programs, which bundle an advanced hormone and metabolic panel with the visits that interpret it. Hormone therapy is prescribed and adjusted over time, and ADHD evaluation and medication management sit alongside it because she treats the two as connected. She founded the practice after her own perimenopause symptoms were dismissed and her ADHD went undiagnosed for years, and she says she had to piece together her hypermobile Ehlers-Danlos syndrome herself. Anyone who needs a physical exam is referred out to a local primary care provider.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Weight medication
- Mental health meds
- Supplements & lifestyle
- Lab testing
Particular focus
- Weight & metabolism
Cost and insurance
Insurance
Aetna
Blue Cross Blue Shield
Cigna
UnitedHealthcare
Moda Health
Doesn’t accept Medicare or Medicaid
Can’t see patients on Medicare, even paying out of pocket.
Self-pay
- Initial appointment, cash pay rate
- $200
- Follow-up appointment, cash pay rate
- $100 per visit
- Steady Start evaluation, labs included
- $499
- Steady Momentum, twelve weeks
- $2,350
- Monthly membership after Steady Momentum
- $199 per month
- Precision Health advanced testing program
- $2,495
- Comprehensive lab panel add-on
- $429
- Enhanced Support add-on for insurance-based care
- $99 per month
- Free consultation
Kaiser, Providence and PacificSource Community Plan are named as not accepted, and the cash-pay programs cannot be submitted to insurance for reimbursement.
Verified October 2026. Coverage depends on your plan — confirm with your insurer before your visit.
Qualifications
DNP