Portland Myofascial Release and the No Surprises Act

Under the No Surprises Act of 2022 all health care providers must provide a good faith estimate for services to anyone who is uninsured or self-pays.

Following is a Good Faith Estimate of what you will be asked to pay as an out-of-network, self-pay patient:

2024 Prices

New Patient Evaluation ………………………………………………………… $225

60 minute session ……………………………………………………………….. $150

90 minute session ……………………………………………………………….. $225

120 minute session ……………………………………………………………… $300

**Multi-therapist treatments start at $300

2025 Prices

New Patient Evaluation ………………………………………………………… $247.50

60 minute session ……………………………………………………………….. $165

90 minute session ……………………………………………………………….. $247.50

120 minute session ……………………………………………………………… $330

**Multi-therapist treatments start at $330

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers or call us at (503)446-4226.

* By signing Portland Myofascial Release’s consent and policy form you are acknowledging that you have been provided with a good faith financial estimate of the costs of treatment with any one of our therapists and that you agree to those terms. It is your right to pursue physical therapy services at the facility of your choice. If you have insurance but do not have out-of-network benefits for physical therapy and/or massage therapy services, you may contact your individual health plan provider to find in-network service providers at a different facility.