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E805 | Cash-Based PT Pricing Strategy To Maximize Value & Profit

Apr 10, 2025
cash based physical therapy, danny matta, physical therapy biz, ptbiz, cash based, physical therapy, how to start a physical therapy clinic, hybrid physical therapy, physical therapy website

The Price Psychology Blueprint: How to Structure Your Offers to Win in a Cash-Based Clinic

If you’ve ever rented a movie for $3.99 and noticed that buying it was only $4.99… you’ve experienced price psychology in action. And chances are, like Doc Danny and his family, you clicked “Buy.”

That $1 difference might seem small, but it taps into something big: how our brains perceive value—and how small shifts in pricing can drive huge changes in behavior.

In this post, we’ll break down how price psychology applies to cash-based physical therapy, and how to structure your services to increase commitment, improve outcomes, and grow your revenue—all without feeling pushy.


Price Isn’t Just a Number—It’s a Message

When people look at your pricing sheet, they’re not just comparing dollars—they’re making judgments about value, results, and commitment. That’s why your single-visit rate matters just as much as your packages—not because everyone will choose it, but because it sets the stage.

Let’s say your single visit is $279. That becomes the anchor.

Then you offer:

  • 10 visits for $2,200 ($220/visit)

  • 20 visits for $4,000 ($200/visit)

Suddenly, that 10-pack looks like a steal—$590 in savings over paying visit-by-visit.

The goal? Make the right decision feel obvious.


Why Visit-by-Visit Is the Worst Option (for You and Them)

Clinicians often say, “We’ll take it one visit at a time.”

But here’s what happens:

  • Most patients drop off around visit 3

  • That’s right when pain goes away

  • But pain relief ≠ long-term recovery

When patients don’t commit to a plan of care, they miss out on the real transformation—and so do you.

Instead, structured plans allow you to guide the process, stick to the program, and actually deliver the outcome they came for.


How Package Pricing Helps Everyone Win

When someone commits to 10 visits upfront:

  • ✅ They’re more likely to show up

  • ✅ They get better results

  • ✅ You have more consistent cash flow

  • ✅ You don’t have to “resell” every visit

Plus, your sales process becomes smoother. You’re not trying to upsell later—you’re giving them the best value right from the jump.

And if your pricing is laid out clearly, with a high enough single-visit anchor, patients will naturally gravitate toward the package that makes the most sense.


Your Numbers Need to Match Your Business

Don’t copy someone else’s pricing sheet blindly.

You need to factor in:

  • Overhead

  • Team pay

  • Your local market

  • Desired profit margin

Then reverse-engineer your pricing so it makes sense for your business and your patients. If you're not sure how much you need to make per session to be sustainable—that’s the first number you need to know.


Take a Lesson from Zoolander (Yes, Really)

When Danny’s family had the option to rent Zoolander for $3.99 or buy it for $4.99… they bought it. Why? Because they might watch it again.

That tiny price bump was enough to nudge them into a longer-term commitment.

Your pricing structure should do the same—gently nudge your patients toward the option that serves them best.


The Bottom Line

Price psychology isn’t manipulation—it’s design.
It’s about making the smart choice feel like the obvious choice.

If your clinic’s pricing structure doesn’t clearly guide patients to the most effective plan of care, it’s time for a refresh.


Action Steps:

  • 📄 Review your current pricing sheet.

  • 🎯 Is your anchor price high enough to make your packages look like a deal?

  • 📈 Does your pricing incentivize commitment and reward patients for doing what’s best?

If not, tweak it. Test it. Make it better. Your patients (and your business) will thank you.


Want help crafting a pricing structure that works?
✅ Take our free 5-Day Challenge at physicaltherapybiz.com
✅ Book a free strategy call with a PT Biz advisor
✅ Download the book and start mapping your plan today

And hey—if Zoolander taught us anything, it’s that there’s more to life than being really, really, ridiculously good-looking.
There’s also price psychology. Use it wisely.

Do you enjoy the podcast?  If so, leave us a 5-star review on iTunes and tell a friend to do the same!

Ready to elevate your practice? Book a call at the link below with one of our expert consultants today and start your journey to delivering unparalleled physical therapy.

Book Your Discovery Call Here

Podcast Transcript

Danny: Look, when I was treating full-time, I can count on one hand how many times I ate lunch and didn't catch up on documentation during that time. Well, we wanna help you get your lunch back, and we're gonna do that with an AI tool that we created called Claire. Now Claire is a documentation AI scribe that we built and specifically trained to be able to document physical therapy notes very accurately, very quickly, and.

Be able to function in the background while you are focusing on the human being the patient in front of you. This is one of the best ways to take away mundane activities that none of us like to do, and free your time up to focus on the people in front of you, as well as free up time for you to do other things in life that you want to do.

Way more than write your notes. So if you wanna try this for free, you can head to meet claire.ai. That's meet M-E-E-T-C-L-A-I-R e.ai. Get signed up for 10 free notes that you can test this out. See how it works, see how much time it's gonna save you and get your lunch back. Hey, are you a physical therapist looking to leverage your skillset in a way that helps you create time and financial freedom for yourself and your family?

If so, you're in the right spot. My name's Danny Matta, and over the last 15 years, I've done pretty much everything you can in the profession. I've been a staff, ut I've been an active duty military officer, physical therapist. I've started my own cash practice. I've sold that cash practice. And today my company, physical Therapy Biz has helped over a thousand clinicians start, grow, and scale their own cash practices.

So if this sounds like something you want to do, listen up 'cause I'm here to help you. Hey Dam Matta here, founder of PT Biz, and today we're gonna talk about price psychology and how you can use it to your advantage when you're setting up your pricing structure in your practice. So I wanna tell you a little story about something that we did this weekend.

So my family, uh, they decided that we were going to vote on a movie to watch, and the movie that won was Zoolander. So for, for those of you that haven't seen the Zoolander. Pause this. Go watch it now. Fantastic. Uh, but it's basically a kind of a silly comedy movie about a male model that, um, anyway, we won't get into all the details.

I wanna ruin it for you, but it's, it's, it's a funny movie. Uh, Ben Stiller's in it, and Owen Wilson. So that movie went out. And we don't, uh, we couldn't find it on a streaming service. Um, whichever one it was on, we didn't have it. So we go to, uh, apple or Amazon, whichever one you know you're gonna rent a movie from.

And here are our options. We can rent it for like, uh, 24 hours. Um, watch it as many times as you want for $3 and 99 cents. Or you can buy it and you can store it on your account. For $4 and 99 cents. So what do you think we did? We now own Zoolander. If we watch it more than once it in the duration of time that uh, we have an account, then we're ahead.

Right. And I thought to myself, how many people own movies that they only really wanna watch one time? Because there's a $1 difference between what it costs to buy it versus rent it. And we actually own like a dozen movies that we probably would lump into this category. Just because of the price psychology of the dollar difference between buying it and renting it and.

I assume Apple and Amazon, they make a ton of money off of the $1 difference, that it probably doesn't cost us them any difference in terms of actually, uh, being able to fulfill on someone to be able to watch that movie, but they make a $1 difference because most people probably buy it first. Rent the movie now.

When we look at price psychology, price psychology is an interesting thing. How can you take the same price psychology and apply it to your practice? And what we've found over the last decade or so is that you can use price psychology, um, you know, principles to be applied to how we set up visits and, uh, individual visits, first packages of visits within the clinics that we work with.

And what we found is. You really want to try to establish the best, um, pricing for the, the service that you want people to use or, or, let's put it this way, the service that you're going to get the best results with most frequently with your clientele. Okay, so this may be different for everybody. I. For a lot of the clinics we work with, they are working with, you know, kind of, uh, acute on chronic issues or if not chronic issues, and in, in many cases helping people with more health, wellness, performance related, uh, goals as they get them out of a injured state or a pain state.

Now, if you are working with primarily. Postoperative patients. Let's say you're doing a lot of ACL, uh, you know, return to, to sport or full sort of recovery, uh, ACL work, you may have a different setup and probably do have a very different setup than somebody who's working with, let's call it, you know, runners.

Maybe what they're doing is their, uh, plans of care are gonna be shorter. Your plan of care is gonna be much longer, right? So the duration of time, the number of sessions, whatever you pick, is gonna be different based on your niche. So I'm gonna walk you through a typical example we see with a clinic that's working with more, let's call it like, uh, active adults.

Uh, this could be runners, CrossFitters. This could be people that are doing triathlons. Could people just want to be really active in play tennis with their friends, uh, you know, for a long period of time. Whatever it is, they're gonna fit into this sort of active adult stage. Um, and a lot of these people have multiple issues, uh, oftentimes, uh, acute on, uh, very chronic, you know, uh, settings where they're showing up with their shoulder hurts, but it's been kind of on and off for a long time and, uh, they've been kind of neglecting it and there's a host of other problems that they're dealing with.

So this isn't something we're gonna see somebody like one or two times and, and they're going to be good to go. Alright, so in this situation. Let's look at the single visit. So many of these clinics are gonna have a single visit rate somewhere in the range of like two 50 to 300 for a single visit rate.

So let's just put this at 2 79. So let's say that their single visit rate is $279. So if you have somebody that comes in and they say, yeah, I just kind of wanna work with you, one visit at a time, cool. We have that. This is what it costs, uh, per visit, and we know. Historically, the drop off rate for somebody that's just doing single sessions usually is gonna be around visit three, you know, somewhere between visit two and four, let's call it.

But, but really visit three if they make it to that, that, that's usually where they drop off because symptomatically, uh, their pain is gone. Right. Now the pain is gone. I think the problem is solved. Um, but we know that it's not because that's not how, uh, we know we rebuild after injuries. It takes a lot of effort outside of just pain resolving.

And, uh, when we have somebody move to a plan of care, we get the opportunity to make sure we take them through a full plan of care and get the outcome that they really want. And the compliance on our end is basically a hundred percent because they're committing to solving that problem upfront. So single visit rates are there for things that are.

Less acute or more acute, so less complex, uh, you know, more, you know, simple injuries, but the plans of care are what most people are more appropriate for, and you're gonna get a lot better compliance from it. They're gonna get a lot better long-term outcomes. They're sticking to it. So there's a reason why we really like to have those in the sales process, but you want a relatively high single visit rate so that you can anchor your pricing of your packages or your plans of care.

Okay? So let's say that the single visit rate is 2 79, and then let's say they have two package options. Let's say they have a 10 and a 20. Let's say that 10 is $2,200, or it brings it down to $220 per session. And let's say that the. Uh, 20 visit package is $4,000, and it brings the per session price down to $200.

Now, if we look at visibly, let's say you have a handout that, that you see with this. You have 2 79 for a single. Basically it averages out to two 20 for a 10 visit, and then it's $200 if you wanna do 20. So there's a big gap between a single and a 10 visit package and a very, uh, much, much more small gap between a 10 and a 20.

And the reason that. A lot of clinics will set up a plan of care, uh, structure. This way is because for most people, 10 visits spaced out over, let's call it three months in most cases, is a great duration of time to be able to help somebody that has a, you know, acute on chronic. Issue, really get to the root cause of that and, and resolve those problems, uh, long term.

And for them to understand how to take care of themself long term, gives us a lot of time to work with them, with our hands through to, to really program effectively for what they need, as well as educate them on the things they need to do in order to take care of themself long term. So what do the other two, uh, types of visits do?

So you have a single visit that has a much higher price point and you have a a 20, which is twice as many visits. With only a reduction of, uh, $20 per session versus if you look at 2 79 down to two 20, you're talking about a $59 difference. Or if they buy 10 visits, almost $600 difference. In actual price if they were to pay for it all along.

So it doesn't really make a lot of sense if, if you know that they need to work with you longer for more visits and they have a more complex problem to solve, it doesn't really make sense for them to do single visits because they're gonna be able to save a lot more money if they commit to a plan of care.

And for you, what you get is consistency of visit volume. You get somebody who's not gonna drop off after symptomatic changes occur and the pressure is off you to now you're able to build out the entire plan of care and really get them the outcome they want. It's also far better for the business. If we look at, would you rather have somebody drop off at visit three and not actually get that long-term outcome they're looking for?

Because that also decreases the likelihood they're gonna send somebody your way. That decreases the likelihood that they're gonna be a raving fan because they have this. Fantastic outcome that is not transient. Um, and it's better for the business because you're increasing your, uh, upfront revenue per patient, right?

So let's say somebody comes in for three visits at 2 79, that's just under a thousand dollars. And if somebody comes in and they commit to a, a plan of care that's 10 visits, that's gonna more than double that front end value, which allows you to do a lot of things. Reinvest in marketing, pay your team better, you know, have more predictability and have fewer new patients that lead to more revenue in the business.

It puts us in a much better position, but the anchor and the structure of how we do this is important. And there's, there is psychology behind it. And if you look at, I. What these big businesses are doing with something as simple as rent versus buy a movie, like you can really kind of see it everywhere.

And what you want to do is think about what outcome do I want people to do for their best interest? In our example, me buying Zoolander versus renting and is not necessarily in my best interest. It just made sense. If I watch it twice, which we probably will, my son thought it was fantastic. But in this situation, if we know us, getting them to commit is gonna get a better outcome for them.

It's better for the business. It's easier on our staff, uh, to be able to actually plan all their entire plan of care out. It's a win-win. So we want to incentivize that. We want to structure the plan of care to drive people to the decision that is best for our clinic and best for them. And like I said, every clinic is gonna be different because let's say you have a ACL, you know, a specialist clinic.

You're taking people through six to nine months of rehab, well now you're going to actually structure that far differently than what you would in this example, which is more similar to a lot of the clinics you work with that work with active adults. So I hope that helps. Take a look at your price sheet.

Take a look at how you're actually laying things out. Are you incentivizing people? Like, does it make sense if you look at it, that this is the best value here? Like it should be very, very obvious to you. It should be very obvious to your consumers. It should be something that's part of your sales process.

That's pretty easy to say. Like, yeah, you could come in, uh, for a single visit at a time if you would like to do that. This is not a simple problem, like we're gonna be working on this for a few months to truly get the outcome that you want to get back to the things that you've told me that you want to do, and to have a long-term change PO in the pos in a positive direction for the health that you're looking for and the activities you're looking to get back to.

If we're gonna see this this many times, it really makes sense for you to do this. It's the best price for you. It allows us to focus on your plan of care and fully build that out and hold each other accountable to make sure that we stick through this to the end, because it's gonna require a lot of, uh, work on your part.

So this is something you have to build in and it has to make sense visibly, and it has to make sense for the numbers of your clinic as well, right? Because you need to understand how much you need to be making per session based on the overhead, based on what you're gonna pay your staff, based on your area.

All these. Factors like these are things that we see that change dramatically in different, in different areas, right? So this is an example of sort of the average that we see across the board. So I hope this helps Take a look at your pricing sheet. Take a look at the price psychology of what we're talking about.

That should dramatically improve your conversion percentage in your plans of care, which allows you to really get the outcomes we want for people. It's a win-win for everybody. So make sure you're baking this in, take a look at it. And as always, thank you so much for listening. And watching. I'll catch you in the next one.

Hey, peach Entrepreneurs. We have big, exciting news, a new program that we just came out with. That is our PT Bz part-time to full-time, five day challenge over the course of five days. We get you crystal clear on exactly how much money you need to replace by getting you ultra clear on how much you're actually spending.

We get you crystal clear on the number of people you're getting to see, and the average visit rate you're going to need to have in order to replace your income to be able to go full time. We go through three different strategies that you can take to go from part-time to full-time, and you can pick the one that's the best for you based on your current situation.

Then we share with you the sales and marketing systems that we use within our mastermind that you need to have as well. If you wanna go full-time in your own practice. And then finally, we help you create a one page business plan's, right? Not these 15 day business plans. You wanna take the Small business association, a one day business plan that's gonna help you get very clear on exactly what you need to do.

And when you're gonna do it to take action. If you're interested and signing up for this challenge, it's totally free. Head to physical therapy biz.com/challenge. Get signed up there. Please enjoy. We put a lot of energy into this. It's totally free. It's something I think is gonna help you tremendously, as long as you're willing to do the work.

If you're doing, doing the work you're getting. Information put down and getting yourself ready to take action in a very organized way. You will have success, which is what we want. So head to physical therapy biz.com/challenge and get signed up today.