
Rash Decisions Dermatology
Quick Facts
| Practice Type | Hybrid |
| Location | Dallas, Preston Center, Beaumont |
| Doctors | Sharon Marchand MD, Dermatology |
| Year Founded | 2023 |
| Telehealth Type | Telemedicine visits |
| Telehealth Available | Yes |
About
At Rash Decisions Dermatology, Dr. Sharon Marchand delivers the full scope of medical and surgical dermatology from her Preston Center office in Dallas. She founded the practice on a direct-care model, removing insurance contracts entirely to focus on the patient-physician relationship. Pricing stays transparent, and every patient receives a Good Faith Estimate before their appointment.
Dr. Marchand covers more than 3,000 dermatologic diagnoses, from acne and alopecia to skin cancer and autoimmune skin disorders. The practice keeps its daily patient volume roughly half that of a typical dermatology office. That allows unhurried visits and individualized care. Rash Decisions charges no membership fees. Patients pay per visit from a published fee schedule, and the practice accepts FSA and HSA cards. Dr. Marchand also provides superbills for patients who want to seek reimbursement from their own insurers. Telemedicine appointments serve patients who need prompt evaluations for acne, medication progress, or worrisome new growths. The practice also maintains a Beaumont, TX location that Dr. Marchand visits one week each month.
Details
Address
8222 Douglas, Suite #890, Dallas, TX 75225
Phone
(214) 216-2057Website
Visit websiteMembership Details
Direct-care model with no membership fees. New Patient 1 Problem: $200; New Patient 2 Problems: $300; Established Patient 1 Problem: $150; Established Patient 2 Problems: $200; Skin Cancer Screening: $250; Skin Cancer Screening + 1 Problem: $350; Shave Biopsy: $150; Punch Biopsy: $150; Accutane Follow Up: $125; Acne Injections: $150; Missed Accutane iPLEDGE Re-activation Fee: $75; Kenalog Injections (non-Acne): $175 first three, $50 each additional; Liquid Nitrogen 1-10 lesions: $150, 11-20: $200, 21-30: $250; Skin Tag/Seborrheic Keratosis Removal starting at $200 (10 lesions), solitary $65; Punch Excision: $320; Simple Excision: $550; Intermediate Excision: $780; Complex Excision: $920; Malignant Lesion Destruction: $325; KOH: $50; Scabies Prep: $85; Cantharone 1-10 lesions: $200, 11-20 lesions: $350; Incise & Drain Simple: $225, Complex: $325; Complex Documentation: $75; Culture: $50
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Frequently Asked Questions
No. Rash Decisions Dermatology operates as a direct-care practice and holds no contracts with insurance companies or Medicare. Patients pay directly from a published fee schedule. The practice provides superbills so patients can submit claims to their own insurance for potential reimbursement.
A new patient visit for one medical problem costs $200. Addressing two problems at a single visit costs $300. Established patient visits start at $150 for one concern and $200 for two. Procedure fees are separate and listed on the practice's published pricing menu.
No. Rash Decisions charges no membership fees. Patients pay per visit based on a transparent fee schedule. The practice provides a Good Faith Estimate before every appointment so patients know their costs in advance.
Yes. Rash Decisions accepts FSA and HSA cards for payment. The practice also provides superbills for patients who want to seek reimbursement through their personal insurance plans.
Yes. Medication approval does not depend on who prescribed it. The Rash Decisions team will help patients find the best price for their medications, whether that means using insurance or a transparent pricing tool like GoodRx.
Yes. Dr. Marchand offers telemedicine appointments for appropriate concerns. Virtual visits work especially well for acne follow-ups, checking progress on a medication, and evaluating worrisome new growths. When better magnification, lighting, or an in-person procedure is necessary, the practice works with patients to schedule an exam.
No. Because Rash Decisions does not involve insurance requirements, patients book directly without a referral. You can call or text the Dallas office to request an appointment.
No. The practice focuses exclusively on general medical and surgical dermatology. Dr. Marchand does not perform cosmetic procedures, though she will help patients build a simple skincare regimen to support their skin health.
The Dallas office sits on the 8th floor of the One Preston Center building at 8222 Douglas, Suite 890, Dallas, TX 75225. Parking is accessible from the front entrance and the rear garage, and it is free of charge.
Yes. Dr. Marchand visits her Beaumont office at 4345 Phelan Blvd, Suite 103, one week each month. Patients in the Beaumont area can call or text the main Dallas number to book during those visits.
Practice last updated August 17, 2026





