Specialty Physician Consultation – 1 hour examination and assessment with related review and treatment recommendations. Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation of the joints. Rheumatoid arthritis can also cause inflammation of the tissue around the joints, as well as in other organs in the body. Autoimmune diseases are illnesses that occur when the body’s tissues are mistakenly attacked by their own immune system. The total cost includes a one hour consultation with a specialist. Not included are diagnostic studies, consultations with additional specialists and cost of complication management; travel, food and lodging.