Billing

In Network

Auto injury claims, Aetna, Blue cross / Blue Shield (non-HMO plans), First Choice / Kaiser Permanente PPO, HMA, Labor & Industries, Lifewise Assurance Company, Lifewise Healthplan of Washington, Premera EPO and PPO. Regence PPO, Boeing, FEP, UMP and Group Administrators, and Cigna

Out of Network

• Any HMO plan (can be seen as self/private pay only)
• United Healthcare / UMR (non-HMO plans)
• Veterans Affairs (requires referral and authorization prior to being seen out of VA)
• WPS/ Tricare for Life (requires referral and authorization prior to being seen out of VA)
• UPT OON Write-Up for Patient

Unable to Accept

• Medicare

*** We do not have a relationship with Medicare as a participating or as a non-participating provider. In order to remain in compliance, we are not able to accept cash for Medicare covered services provided to patients enrolled with Medicare. **

• Medicaid
• Apple Health

Billing Questions directed to our Front Desk at (206) 588-0855

You may notice that you will not find any other providers posting their rates openly. We do this for a very specific reason. Health care in the US is expensive and a medical provider’s time is valuable. If you can not afford PT services then please do not find yourself indebted to Union PT after service has been provided. We work very hard to make our treatment of your condition as cost effective as possible. If you compare the cost of your treatment to the consequences of not addressing your physical limitations in a proactive and holistic manner you will see there is no comparison. Paying for PT now will save you money on pain medication, surgery, possible days of work lost, and or the unmeasurable cost of disability. Your recovery is our number one priority.

Rates Explained

Your insurance company is billed $76.50 dollars for every 8-22 minutes of PT services during a standard appointment. This makes the cost billed to your insurance provider roughly $306.00 dollars for each followup visit. We are reimbursed a percentage of this cost based on a “negotiated” rate that insurance providers set in our contracts with them. The rate is driven by an unregulated, set percentage of reimbursement in the contract that we have no power to negotiate. As small independent providers we have little choice but to accept the rate that the insurance company sets. In order to cover our costs we are forced to drive up our base rates. This is one of the major reasons why the cost of health care in the US is so inflated and our charges may seem rather high. In reality we offer some of the lowest rates in Seattle. If you look into it you’ll also notice that none of our competitors posts their rates online.

Because we are contracted with insurance companies we can not legally charge different rates for people who are not covered by insurance. To offset the cost inflation driven by insurance providers we can legally offer a 35% discount for a patient paying cash at the time of service.

For an initial evaluation the cost is $209.00 plus any additional treatment codes that are billed for that visit. If there is a significant change in your condition we may also charge for a re-evaluation code which is $100.00. Additional charges are based on 15 minute treatment codes which are all priced at $76.50.

These are very likely the same rates you would be charged in any practice for less time with a licensed physical therapist as we provide true one on one care without lesser trained care extenders or aids.

Payment Plan Form

Payments can be sent to:
2214 N 56th Street
Seattle, WA 98103