Physical Therapy Cost Analysis
Beyond Exercise vs. In-network Providers
We don’t bill directly to insurance for our services because we want to be able to offer motivated people an opportunity to receive health care services that are cost effective, high quality, and produce the outcomes you expect. You don’t pay a co-pay to receive our services. You don’t pay an inflated rate that goes towards a deductible. You just pay for what you get. Simple as that. Because you are paying out of pocket, we ensure that you get your money’s worth. If you aren’t satisfied with your visit, the next one will be on us.
summary of Beyond Exercise’s rates for physical therapy services
$145 flat rate for up to 60-minutes of treatment time
No co-pay
Simple transaction—credit card, check, cash, *HSA/FSA card
*check with your insurance provider to use this type of payment
summary of INsurance-based provider rates who BiLL insurance for OUTpatient physical services
Keep in mind that these rates do not include your co-pay.
Also keep in mind that you are responsible in paying for all or the majority of this rate out of your own pocket until you meet your deductible, depending on your particular insurance coverage.
Physical therapy providers that accept insurance will typically bill for a single evaluation charge, and for their follow-up treatments they will bill in 15 minute increments. We have listed some rates that have been taken from each individual providers Patient Price Sheet (see links for details)—
Initial Evaluation: $415 (Mercy Hospital network), $341 (TriHealth), $288 (Christ Hospital network)
Follow-up Treatment (This cost is per 15 minutes of treatment):
$140 (Mercy), $125 (TriHealth), $144 (Christ), $55 (Oxford Physical Therapy Center). We repeat, these rates are charged PER 15 MINUTES OF TREATMENT!! Therefore, an hour of treatment (without any discount) could cost between $500 - $560, and until you meet your deductible you may have to pay a good portion of it.
References:
Mercy: https://www.mercy.com/pay-a-bill/estimate-your-cost
TriHealth: Patient Price Sheet
Christ Hospital: https://www.thechristhospital.com/Documents/Patient%20and%20Visitor%20Resources/Patient%20Billing%20Documents%202017/Price%20Disclosure%2001.01.2021.pdf
Oxford Physical Therapy Centers: insurance comparison
Learn more about deductibles here:
https://www.forbes.com/advisor/health-insurance/deductible-vs-out-of-pocket-maximum/
How do our rates compare to other out-of-network PT practices?
We are consistently at the lower end of the rate spectrum when it comes to charging for 50-60 minute physical therapy sessions. Most non-insurance based clinics in the area charge $160-$250 per session.
Sample Insurance Bill For Physical Therapy
This bill was provided to us by a patient who ended up opting to work with us instead of the hospital-network physical therapy group to which she was referred. She was unhappy that the PT did not spend any quality time with her, and it ended up costing a similar amount, even after the insurance adjustment.
The $70 charge for “vasopneumatic device therapy” was for an ice pack applied onto her knee. Her exercises involved basic table exercises in which the patient was left alone to do them on her own while the treating PT documented on her computer.