With the cost of deductibles, coinsurances, and copays skyrocketing, patients are more responsible for a greater portion of their healthcare bill. In the Lehigh Valley, the average cost of a physical therapy evaluation at a hospital based outpatient office or facility is over $700. OPTS charges around $130 for the same service. The average insurance allowed amount, that is the amount that the insurance will pay a provider, is 50-60% of the billed amount.
Let's look at the math: with a $2500 deductible, your first visit with OPTS will cost $65 vs $350 at an outpatient hospital facility. If your deductible is met and you are responsible for only the coinsurance of 20% it is $13 at OPTS vs $70 at the outpatient hospital facility. A commonly used therapeutic exercise code for 15 minutes is billed at $45 at OPTS vs about $200 in the outpatient hospital facility; again the insurance reimbursement is approximately $23 at OPTS vs $100 for the exact same service code in an outpatient hospital facility.
In Pennsylvania you have the right to choose your physical therapy provider even though your physician may recommend their employers facility based preferred provider.
It's more important than ever to choose your physical therapy provider very carefully. Be aware of what your out-of-pocket costs may be. Be aware of the credentials of the person providing your physical therapy care. At OPTS, you will receive all one-on-one care from a direct access licensed doctor of physical therapy with over three decades of experience.
You're worth it.