Manual Medicine Rehab & Research

An Evidence-Based Functional Medicine & Anti-Inflammatory Health Clinic

Proudly Serving Clovis & Portales, NM

 

Confronting the Cause of Inflammation and Pain with Targeted Anti-Inflammatory Care

Treatment that is Family Friendly

What a Self-Pay Model does to Help You, the Patient

The following table helps us show you at a high-level what the general differences are between using a self-pay clinic, and going to a facility and using your insurance. This will help you with some of the questions you may have that are herder to get answered.

Provider type

Typical cash price you’d pay for an equivalent bundle

Discounted price (if offered)

Why the number is so high elsewhere

Your Self-Pay Specialty Clinic (MMR&R)

$790 Comprehensive bundle (exams + tests + labs + free follow-up + first manual adjustment)

15% off the initial exam (excluding labs) for ages ≥ 55, military, & first responders ≈$705

Transparent fees, no facility fees, direct payment removes the need for insurance billing and residual fees being passed to the patient

Major hospital outpatient clinic

≈ $1,500 – $1,800 (doctor $150-$600 (Debt.org, Mira Health) + 18 functional tests ~$450 (Mira Health) + lab panel $385 (GoodRx) + facility fee $600 (Houston Chronicle)

None

Hospitals add “facility fees” and charge list-price for every line item inflating the cost of care to recuperate their initial costs from insurance (especially Medicare/Medicaid), leaving patients or taxpayers with an inflated residual bill

Average urgent-care center

Base visit $280 (Mira Health) + limited labs if any (a-la-cart); matching your full test set would push total to ≈ $500-$700 + wait time

Occasional coupons ($25-$50 off)

Short visits; a-la-carte pricing for each extra test

Standalone ER / free-standing ED

$2,700 – $3,000 visit charge alone (Mira Health, BetterCare) + labs often >$3,200

None

Emergency facility fees + 24/7 cost structure, even for non-emergencies due to similar hospital model for billing and recuperation of fees

Traditional doctor’s office (15-min visit)

$150 – $600 visit (Mira Health) + separate referrals for labs/tests (another $300-$500)

Copay only if insured, but true price hidden until the end of the billing period

Short appointment plus multiple bills over several weeks

The next table is helps us show you at a high-level what the general differences are between using a self-pay clinic and going to a facility and using your Medicare/Medicaid insurances. We just want you to have a good idea of whats heppening to help with questions you may have.

Provider / payer path

Typical cash price you must pay (no insurance)

Medicare Part B patient cost †

Medicaid patient cost ‡

Why the numbers differ

Your self-pay clinic

Comprehensive $790 (exams + tests + comprehensive wellness and functional labs + follow-up + first manual adjustment) With 15 % community discount → ≈$705

N/A (clinic does not bill Medicare)

N/A

Direct pay, no facility fees, no third-party markup

Major hospital outpatient clinic

$1,500 – $1,800

First $240 annual deductible (2024) -Then ≈ 20 % coinsurance on allowed amount ≈ $150 – $300 out of pocket§

Usually $0–$10 copay; but state may deny several tests as “not covered” or “not medically necessary”

Facility fees + line-item charges elevate gross price; coverage rules still leave many services uncovered

Typical urgent-care center

$500 – $700 (if every test added à-la-carte)

Part B deductible + 20 % of allowed charge; common labs often 100 % covered  ≈ $60 – $120 OOP

$0–$10 copay; limited on-site testing

Short visits; may need outside referrals for many of your 18 tests elongating treatment and testing times

Standalone ER / free-standing ED

$3,200 + (visit fee + lab bundle)

Part B deductible + 20 %: $400+ OOP (and facility may bill Part A)

Copay usually $0, but state must approve “true emergency”; non-emergent visits can be denied, leaving patient liable for the full charge

24/7 overhead drives very high “facility” charges

Traditional doctor’s office (15-min visit)

$150 – $600 visit + outside labs $300 – $500

After deductible: 20 % of allowed visit (≈ $30–$120) Most basic labs $0

$0–$5 copay; advanced or functional labs rarely covered

Multiple appointments & bills; labs are often sent to third parties

 

Notes:

Medicare Part B (2024): annual deductible $240, then 20 % coinsurance on allowed amount. Many routine clinical labs are paid 100 %; functional or preventive tests may be denied. Supplemental plans may cover part or all coinsurance.
Medicaid: copays vary by state (often $0); states can (and often do) refuse payment for “non-covered” services such as advanced functional testing, gait/balance scans, or extended rehab time.
§ Example: Medicare-allowed amount for a 60-min new-patient visit (99205) ≈ $230; 20 % coinsurance ≈ $46. Add facility coinsurance for hospital-based billing plus lab coinsurance/deductible to reach $150-$300 typical OOP.

We are a Self-Pay Clinic

At this time, we are not accepting insurance in order to give you, the patient, the best outcome and relief possible. We understand that this may be difficult for some to manage, but we assure you that you will find more value in the care we can provide you through these methods. We are more than happy to provide payment options to help with the initial exam, feel free to contact us for more information.

 

Current Pricing as of July 9, 2025 is as follows:

There are currently 2 pay options for the initial exam that patients may choose from:

 

1. The first option is that ALL patients have the option to pay the initial exam fee bundle price upfront and receive a discount

 

New Patient Initial Physical Examinations (approximately 100 minutes) 

$570 for exam + $220 for Labs = $790 Bundle [ages 24+] 
$350 for exam + $184 for Labs = $534 Bundle [age 19-23]
$350 for exam + $147 for Labs = $497 Bundle [age 14-18]
$300 for exam + $147 for Labs = $447 Bundle [ages 2-13] 
$100 for exam + Labs as needed ($80) = $100 (or $180 Bundle) [ages 0-2] (All patients pay this fee upfront with no monthly option

 

OR

 

2. All patients may choose an initial exam Monthly Option

 

Regular Pricing for the Initial Exam Monthly Option:

 
Initial Exam 
Age Range
Current Bundle
Month 1 (installment)
Month 2 (installment)
Month 3 (installment)
Total over 3 months
24+
$790
$350
$220
$220
$790
19–23
$534
$234
$150
$150
$534
14–18
$497
$197
$150
$150
$497
2–13
$427
$187
$120
$120
$427
0–2
$100–180
Pay fully first visit
-
-
$100–$180

 

Once a payment method for the initial exam is chosen, you will then be assigned to a recommended subscription category to ensure your ailments are fully addressed, your nutrition is fully monitored and treated, and to ensure the treatment plan has time to establish itself in your body and deliver the changes and improvements to your health that you are seeking. 

 

As found on our services page, our initial exam includes testing and evaluations that help us better understand the full state of your health and condition. We look for the root cause of the issue and these tests allow us to do that the best way possible. However, some of the modalities used in treatment and examination may not be covered by insurance. So, to save you money and time we pass savings from not dealing with insurance on to you through the current payment model.

 

Then ADD +

 

Patient Regimen Subscription Price

To help facilitate the first 3 months of patient care an introductory subscription price will be given to ALL patients before the subscription period of the patient clinical level begins in the 4th month of treatment. 

***Please understand that since the treatments and modalities are non-invasive and natural (but very effective) more time may be needed for your body to improve and progress through the treatment regimens prescribed. Note that choosing this option agrees to staying with the clinic for at least 3 months while your treatment regimen is established.***

 

Per provider recommendation based on the initial exam findings and results, one of the following subscription tiers will be recommended and selected by default:

Subscription Tier
Monthly Cost
What’s Included?
Ideal for...
Monthly Maintenance & Exam/Intro Rate
$139/mo
1 visit/mo (manual & nutrition)
Upkeep, evaluations, aches
Basic Wellness
$179/mo
2-3 visits/mo (manual & nutrition), Monthly Health Review
Mild conditions, maintenance, minor issues
Core Care (Most Popular)
$269/mo
4 visits/mo (manual & nutrition), + 1 modality (laser or physical/neuro rehab), Monthly Health Review
Moderate chronic pain/issues, ongoing chronic conditions
Advanced Recovery
$369/mo
5 visits/mo, all modalities (manual, laser, decompression, neuro rehab, UTS) up to 6 visits/mo
Severe chronic pain, acute injury, complex or subacute care patients
Additional Visits (General)
$45
1 visit for examinations, evals, aches, additional treatment from current visit schedule
One more visit to ensure protocol/regimen for the month is complete
Additional Visits (Students/Kids)
$35
1 visit for examinations, evals, aches, additional treatment from current visit schedule
One more visit to ensure protocol/regimen for the month is complete

 

Then ADD +

Initial Supplementation and nutraceutical regimen costs 

Beginning at the follow-up visit, if the patient decides to move forward with treatment, the nutraceuticals and supplementations are not included in the above plans and are separate from membership and initial exam costs. The regimen will be decided based on exam findings and disclosed to the patient at follow up.

 

Payment Examples for the above options

 

Pay in Full Option for Adults

Item
Month 1
Month 2
Month 3
Month 4+
Initial Exam Installments
$790
$0
$0
$0
Subscription
(Core Care Example/
Advanced Recovery Example)
$139 (introductory rate)
$139
$139
$269/$369 (regular rate)
Monthly Total
$929
$139
$139
$269/$369
Nutraceuticals/Supplementations
Initial regimen TBD based on findings
Continue initial regimen
Continue initial regimen
Reevaluation of progress

 

 

Initial Exam Monthly Plan for Adults

Item
Month 1
Month 2
Month 3
Month 4+
Initial Exam Installments
$350
$220
$220
$0
Membership (Core Care/Advanced Recovery example)
$139 (introductory rate)
$139
$139
$269/$369 (regular rate)
Monthly Total
$489
$359
$359
$269/$369
Nutraceuticals/Supplementations
Initial regimen TBD based on findings
Continue initial regimen
Continue initial regimen
Reevaluation of progress

 

 

 

***All services will have gross receipt tax added to them*** 

 

*** Seniors 55+, first responders (Fire, EMS, and Law Enforcement), and military (Active Duty [and the immediate family of Active-Duty Members, with valid dependent ID], Reserve, and Veterans) receive a discount on the initial clinical physical exam, treatments, packages, and a separate discount on the purchase of nutraceuticals and supplements***  

 

***Only 1 discount/promotion will be honored at a time*** 

(please check for pricing updates as this can change)

 

***If you are accepted as a patient, further pricing will be communicated regarding patient plans and packages***