Pricing and Fees
In-Home Physical Therapy Services
Additional Travel Fee Applies: $20 for travel within Marinette/Menominee, $2/mile for beyond city limits.
Initial Evaluation:
60 minutes spent discussing your reasons for seeking care, perform a thorough exam, and making sure you’re safe to participate in therapy. After, Dr. Lyon will answer questions, explain results, and provide a written report if requested. After agreeing on a plan to move forward, treatment begins within the very same session.
Treatment Sessions/Follow-up Visits:
Treatment can include manual therapy, progressive exercise prescription, soft tissue mobilization, spinal manipulation, trigger point dry needling, gait training, electrical stimulation, static or dynamic balance training, biofeedback, endurance and strength training. These sessions take between 30 and 45 minutes. Your treatment plan is highly individualized and tailored to your needs.
Because Dr. Lyon isn’t bound by productivity standards, we can take as much time as needed to understand your condition and goals, as well as develop a treatment plan that works within your lifestyle and budget.
Do you take insurance? Do I need a referral from my doctor?
Lyon Physical Therapy accepts and is in network with many major insurances companies, including the following:
Blue Cross Blue Shield - Wisconsin
Blue Cross Blue Shield - Michigan
Commonground
Forward Health/Wisconsin BadgerCare+
Humana
Medicare/Medicaid WI and MI
United Healthcare
UMR
Upper Peninsula Health Plan
For out-of-network insurers, we work with patients to keep costs low (see the fee schedule below). If you’re unsure if Lyon Physical Therapy is contracted with your insurance, give us a call or send us an email including an image of your insurance card. Cash-pricing at 75% discount is available for those who do not wish to use their insurance. We list our fee schedule below for those interested in the nitty-gritty of our prices, including how they compare to other local competitors (public records). We will honor self-pay pricing from any other competitor if it beats ours within a 20 mile radius.
Most patients do not need a referral for an initial evaluation with Dr. Lyon because of the awesome direct access laws here in Wisconsin. An easy rule of thumb is that if you wish to use a state-funded health plan, such as Medicare or Medicaid, a referral is required.
To eliminate headaches, ask your physician to fax a referral to:
Lyon Physical Therapy Fax: (844) 360-8998
Private practice healthcare is more expensive though, Right?
Wrong.
Interesting numbers above, we’d say! Here’s how to apply these rates to real life to see how it impacts you and your finances:
If you have insurance, take a look at the “Insurance Allowed” amount for each code. A typical first visit includes an evaluation and two additional treatment codes for an hour long session, like 97110 or 97112. At Lyon PT, that usually adds up to around $120-150 for your first session and $50 to $75 for follow-up sessions. At Bellin Health, that same visit would cost around $280-350, depending on what insurance you have. Data from Aurora on allowed insurance amounts isn’t public, but we suspect it would be similar.
If you don’t have insurance or would rather pursue self-pay treatment, the difference is even more drastic. Lyon PT consistently outperforms both Aurora and Bellin Health in costs by approximately 50%. At Lyon PT, the first visit costs around $150 for self-pay patients with follow-ups costing between $60 and $80, while an evaluation at Bellin costs $240 ($140 follow-up) and the same visit at Aurora will run you $380 ($160 follow-up).
Of course, all of these numbers are estimates, but they’re sure interesting to compare! Note that all of these facts and figures are public data - here’s the link to the resources.
Aurora: https://www.aurorahealthcare.org/patients-visitors/billing-payment/health-care-costs
Bellin: https://bellin.org/patients-visitors/billing-insurance-services
Benefits of pursuing locally owned healthcare can be a great alternative to the big healthcare system for many reasons, especially if it allows for increased convenience in scheduling, better quality of care, improved financial access, or time with provider you and your community trust.
