Dr. Rachel Herron is a Fee-for-Service Provider. This means that you pay for your visit at the time you receive it.

Treatment Rates:

• Initial Evaluation (60 Minutes): $250

• Follow-up Visit (60 Minutes): $200

Dr. Herron has chosen to be *out-of-network (OON) with most major insurance companies. This includes: Regence, Blue Cross Blue Shield, Aetna, United Health Care, Labor & Industries (L&I), Tricare, Medicaid etc.

Why did Dr. Herron choose to become an out-of-network provider? She wants to offer you individualized treatment that is best for you, not treatment dictated by your insurance company. Being Out-of-Network allows her to offer patients holistic trauma informed care, that isn’t rushed in a short appointment. Instead of the common Physical Therapy appointment model in which appointments are 30-40 minutes, or even double booked with another patient, appointments with Dr. Herron are actually 60 minutes one-on-one.

Many insurance plans have OON benefits. Depending on your insurance plan, deductible and specific benefits, seeing an OON Physical Therapist may actually save you money. Cedar Physical Therapy can provide you a superbill upon request, to submit to your insurance company for reimbursement. Reimbursement amount depends on your particular insurance plan and its OON benefits.

*If you have Medicare as a Primary or Secondary, please reference the Medicare tab below.

Unlike other health insurance companies, The Center for Medicare Services (CMS) does not allow Physical Therapists to be “In-Network” or “Out-of-Network”. Instead, CMS gives Physical Therapists three options. According to CMS Physical Therapists can:

1. Apply to be a Participating Medicare Provider

2. Apply to be a Non-Participating Medicare Provider

3. Have no relationship with medicare. Physical Therapists who have no relationship with Medicare are legally restricted in treating Medicare patients for services that are normally covered by Medicare.

Dr. Rachel Herron has chosen to become a Non-Participating Medicare provider, because it is important to her to keep serving Medicare Beneficiary Patients. This means that if you have Medicare as a Primary or Secondary, and you choose to schedule with Dr. Rachel Herron at Cedar Physical Therapy, you will pay for services at the time of your appointment, but at a reduced rate.

Estimated Medicare Patient Treatment Rates at Cedar Physical Therapy (based on the CMS Fee Schedule) are approximately:

• Initial Evaluation: $200

• Follow-up Visits: $150-180

Following your visit, Dr. Rachel Herron will submit your Physical Therapy claim to Medicare on your behalf, so that Medicare may reimburse you. Please note, we cannot guarantee what Medicare will reimburse you. Reimbursement rates depend on your individual insurance plan benefits.

• Initial Treatment/Follow-up Visits (*60 Minutes): $125

  *Longer and shorter appointments may be available upon request. Email info@cedarphysicaltherapy.com to request a longer or shorter appointment.