Most people who call a specialist for the first time have already rehearsed the conversation in their head. They know the question they want to ask. They are often not sure whether to ask it.
The question is: what does this cost?
It is the right question, and it deserves a straight answer. This post is that answer.
The Practice Is Cash-Pay. Here Is Why.
Fix Back and Neck Pain does not bill insurance directly. That is a deliberate structural decision, and understanding why it was made tells you something about how care is delivered here.
When a practice accepts insurance, its workflow gets shaped by what insurance will authorize, how many visits a plan will cover, and how quickly sessions can be turned around to meet volume requirements. That structure pushes against one-on-one care. It creates hand-offs to assistants, abbreviated sessions, and programs built around what is billable rather than what the client needs.
The assessment-first approach we use here, where we measure what is actually wrong before building a program, depends on not having an authorization clock running in the background. It depends on Trent being present for the full session, every session. That is not compatible with insurance-volume economics. So the practice opted out.
This is not a cost-cutting move. It is a clinical decision. The care model requires it.
What Things Cost
The pricing is published openly on our published pricing page and is not negotiable by volume or urgency. Here is what each service costs.
Initial Consultation (60 min): $225
This is the first in-person visit. It is a clinical conversation and examination, not a sales appointment. Trent reviews your history, assesses your presentation, and tells you honestly whether what this practice does is likely to help you. If it is not, he will tell you that and point you in a better direction.
Complex Initial Consultation (90 min): $325
For presentations that require more time: longer histories, multiple concurrent issues, complex imaging, or cases involving post-surgical rehabilitation. The booking process will help you determine which applies.
MedX Strength Test: $125
Objective isometric strength testing on the MedX equipment at multiple angles through the range of motion. This is a measurement, not a treatment session. It produces the baseline data that determines the starting point of a strengthening program.
MedX Strengthening Session: $95
Individual sessions on the MedX Lumbar Extension Machine or MedX Cervical Extension Machine. The progression of a strengthening program is built from the objective data the strength test produces.
Clinical Membership: $75/month
Clients who move into ongoing care can join Clinical Membership at $75 per month.
How Clients Pay
No referral is required. No prior authorization is required. You do not need to clear anything with your primary care physician or your insurer before booking the initial consultation, though coordinating with existing providers is common and often useful.
Out of pocket. Many clients pay directly. The pricing is what it is, stated plainly, with no unexpected additions.
HSA or FSA. Many clients pay using a Health Savings Account or Flexible Spending Account. Care at this practice may qualify as an eligible expense under these accounts, but eligibility depends on your specific plan. Confirm with your plan administrator before paying this way. The practice will not advise you on your plan's tax rules.
Superbills for out-of-network reimbursement. The practice provides itemized superbills on request. A superbill is a detailed receipt with the diagnostic and procedure codes an insurer needs to process an out-of-network claim. You submit it to your insurer. Whether your plan reimburses anything, and how much, is between you and your insurer. Some plans offer meaningful partial reimbursement for out-of-network care. Some offer nothing. We cannot predict your outcome, and we do not represent a superbill as a guarantee of any reimbursement.
The point is this: the billing relationship is between you and your insurer, not between your insurer and this practice. That distinction keeps care decisions clinical rather than administrative.
Recovery isn't a mystery.
It's a process. Let's start yours with a thorough assessment and an honest conversation about what's possible.
Call 425-758-4619
What You Are Actually Buying
The Initial Consultation is not a screening call. It is a paid clinical visit. The distinction matters because it means Trent is fully prepared for it, fully present during it, and giving you an honest assessment of what he sees.
The line on the practice website reads: "You are not buying access to a clinic. You are joining a practice." That is what the cost reflects. Not a slot in a scheduling system. Not thirty minutes with a tech and five minutes with the provider. One practitioner, present for the entire session, accountable for the whole program.
The practice turns away clients who are not the right fit. Not every presentation is appropriate for what is done here, and Trent will tell you directly if yours is not. That directness is part of what the initial consultation costs cover. You leave knowing whether this is the right path, not wondering.
Before You Commit to Anything
If you are not ready to book but want to understand whether what this practice does is appropriate for your situation, the Before You Call page walks through the most common questions honestly. No form to fill out. No upsell. Just a clear explanation of who this practice is and is not right for.
Five Signs Your Back Pain Needs More Than Rest and Stretching is also worth reading if you are trying to decide whether your situation calls for a more structured clinical approach.
The first conversation is the easiest part. Call 425-758-4619 or send your details through the website. If what we do is a good fit for what you are dealing with, we will tell you. If it is not, we will tell you that too.
Trent Shuford, LMT, Cert. MedX Tech.
