Rates / Fee Schedule | Painfree Physical Therapy

The following rates for a typical 1-hour session are effective 01/01/2022. Rates will be higher for longer sessions.

Self-pay

We will collect the full session fee at the time of service and provide a significant discount for paying at time of service.

- - - Initial session: $140 (Billed amount of $250 minus $110 self-pay discount)
    - Follow up sessions: $120 (Billed amount of $220 minus $100 self-pay discount)

***MULTIPLE SESSION DISCOUNT*** In addition to a deduction for paying at time of service, we also discount every 6th session by an additional 50% ($60), thus you will only pay $60 for every 6th session! This additional discount lowers the average effective rate over 6 follow-up sessions to only $110.

Medicare

We are currently a participating provider with Medicare, therefore we bill our usual rates and accept the Medicare fee schedule and terms. This means that patients are only responsible for the Medicare allowed amount, not the billed amount. Medicare pays 80% of the allowed amount, and the Medicare beneficiary (patient) is responsible for the remaining 20%. If you have a secondary insurance policy, most if not all of the remaining 20% is usually covered by that policy depending on your specific plan.

Out-Of-Network Insurance (Including Medicare Advantage / Replacement Plans)

We are happy to bill your insurance company to take full advantage of your out-of-network insurance benefits. As we are only in network with Medicare, this would apply to all other insurance companies including all Medicare Advantage or Replacement plans. We will collect the full session fee at the time of service, submit the claim to your insurance company, and then refund you whatever amount your insurance company pays us for the claim up to the amount you paid. We strongly recommend that you contact your insurance company prior to having a session to make certain of your out-of-network physical therapy benefits. Once we have established reliable reimbursement from your insurance company and we can anticipate the reimbursement amount with confidence, we will only collect the anticipated balance for each session rather than the full session fee.