Message Board>
Login  |  Register

Cash based

RonPT
17 posts
Jul 27, 2009
8:08 AM
Are people willing to pay $45/visit nowadays? I wonder if this would work in our current economy? At least for people without insurance. I just met an acupuncturist who charge $20/visit with a $750/month lease. Of course, it helps that her husband is a cardiologist.
I was thinking about charging $100 first visit. Then, $45/visit for visits after eval using TMR.
Of course, the challenge is finding a lease for about $350-$450/month, and in my area, it's not impossible.
I currently contract with home health agencies and my fees are between $65-90/visit depending on the agency. But I travel and see at least 6 people/day. Don't know if I should just keep up with what I'm doing or start a cash based practice with TMR. I also have a Medicare provider number which I'm not really using at the moment. Don't know how to bill yet. So, I'd like to start treating pain with the TMR concept cash based.
Would this work?
bjones
12 posts
Jul 27, 2009
10:11 AM
It would work best if you are already known in your area for your PT expertise. A past mentor of mine charges $70.00 per visit and stays busy. A massage therapist I know charges 80 for a "long visit"(approx 60 min) and 45 for a "short visit" (approx 30 min). He is booked solid...but he has been doing what he does and doing it well for over 20 yrs.

If you aren't known as an "expert" in your area there are several books out to help you to try and "brand" yourself.

Trixie
6 posts
Jul 27, 2009
10:43 PM
I think you have a great idea! Ron. Maybe you may want to give the patients info though on how long you will see them, like maybe from 4-8 visits depending on the case, so they know that they will get their money's worth or something. Massage therapist always charge more somewhere from a dollar a minute to the one bjones mentioned but they are doing hands on all the time. For PTs your 45$ per treatment may even just be 20 or 30 minutes depending how fast the patient gets rid of his pain.
RonPT
18 posts
Jul 28, 2009
7:03 AM
Yea, my idea is 4 visits or less. If I can't help them, or they don't see any improvements, then they don't have to come back for PT. And with TMR, I know I'll get the results within the first visit.
The usual question is, "how long do you see me for?"
I tell the patient, "as soon as I get rid of your pain and set you up to do this on your own."
So, I really don't go with hourly or half hour time based therapy. If I can get it done in 10 minutes, that's all it takes. So, I'd rather become results based practice.
I did ask about 30 people already about the time it takes to finish therapy and the cost for that time. They said, they don't care how fast, as long as they get better.
When I learned this, that's how I came up with $45/visit after eval. If I see 4 patients in an hour, 45 x 4= $180/hour. Not bad in an hour's work.
If it takes longer, I wouldn't mind. As I've stated already, I'd rather go with the results.

Last Edited on 28-Jul-2009 7:05 AM

Trixie
7 posts
Jul 29, 2009
1:32 AM
chiros charge 40-45$ per session over here and they would spend under a minute to crack your back and neck for that price, I have nothing against chiros (used to go to them too , really, for the feel good thing this was prior to TMR) but PTs go for the root cause where chiros are still in actuality going for the sign/symptom (their subluxation pitch) that is why you have the maintenance program for them....they dont discharge....we do and one PT is saying that is not so good for us marketing wise which in some way has a point....because PTs can do so much more and help in so many ways (especially prevention). We can say I can see you for this much but later on you can keep them coming back for other problems or goals they may have and keep them interested in your practice you are building so even if you are not hooking them to be on a maintenance program you are wanting them to see you as a first choice with any musculoskeletal concerns they will have in the future. TMR is perfect for the very proactive patient but most will return to seek your expertise in the area and would sometimes reach road blocks or dead ends when self treating. Good luck in your venture
RonPT
19 posts
Jul 29, 2009
1:59 PM
Yea, Chiros do maintenance stuff. I don't plan on doing so. I just want the patients to come to me and have a "taste" of my expertise so I can be the go to guy for musculoskeletal pain.
So, basically, I'm just trying to get a niche in the pain market with less cost for treatment.
Thanks to all who responded.
bjones
21 posts
Jan 13, 2010
11:55 AM
RonPT...just wondering how things have been working out for you in this arena...
Tom Dalonzo-Baker
141 posts
Jan 17, 2010
7:18 AM
If I had to be a cash based business with TMR, I would make it a classroom setting and charge $40 or so per class. The first visit I would probably do 1 on 1 for about an hour and charge anywhere from $70-100. I would let them see some results and then let them know we are about training them and providing them a skill for life. It will take 6-9 classes to do this. I would have a beginner class, intermediate, and then an advance. I would have upwards to 10 people per class.

Once I get all my ducks in a row for seminars and at my clinic I hope to run a pilot of such a program.

Tom

RonPT
23 posts
Jan 21, 2010
7:43 PM
bjones,
I've been getting patients gradually. I just started advertising in the local newspaper and magazine. Usually, they'd ask me the cost/treatment. I don't tell them over the phone. I usually do an eval first, then, report of findings-discussing things I've found, then, I lay down the fees. I never had a refusal, so far.