How Much Does Pelvic Floor Therapy Cost in Portland, OR?

One of the first questions patients ask us is about cost. It is an important factor when deciding whether to move forward with treatment, and unfortunately, healthcare costs in the United States are rarely straightforward. 

Pelvic floor therapy falls under the umbrella of physical therapy, which means the billing codes are the same as orthopedic PT. The exact out-of-pocket cost, however, depends heavily on your insurance plan, deductible status, and whether you are using insurance or paying cash.

For those paying out of pocket, at Mendwell Health an initial evaluation is typically around $265 and follow-up visits are $215. These numbers can vary between clinics, but they provide a good ballpark for what to expect if you choose cash pay. 

While that may sound like a lot, it is important to weigh these costs against the alternatives, which often include medications, surgeries, or years of untreated symptoms.

Will Insurance Cover Pelvic Floor Physical Therapy?

The good news is that most major insurance companies cover pelvic floor therapy. Because it is billed under general physical therapy codes, insurers treat it the same way they do for a knee, shoulder, or back injury. In many cases, this means patients only owe a copay at each visit. Some plans even cover the full cost once the deductible is met, making therapy free at the point of care.

There are situations where patients must pay the full session cost until their deductible is satisfied, but this is no different from other types of physical therapy. What surprises many people is that, depending on their insurance plan, pelvic floor therapy can actually cost them nothing.

Why Pelvic Floor Therapy Is Not Expensive Compared to Alternatives

When compared to surgical procedures like prolapse repair or cesarean section, pelvic floor therapy is extremely cost effective. It often prevents the need for surgery altogether, saving thousands of dollars in the long run. Even in cases where surgery is necessary, therapy improves recovery and prevents further complications, again lowering long-term healthcare costs.

What About Cash Pay Discounts?

Some patients wonder whether cash pay rates are discounted compared to insurance billing. In healthcare, regulations make it complicated to advertise discounted rates because providers must bill consistently across patients. While you may find some variation between clinics, it is best not to assume that cash automatically means cheaper.

Why Therapy Is an Investment in Long-Term Health

Pelvic floor dysfunction affects essential functions like bladder control, bowel movements, sexual health, and even fertility. Addressing these issues with therapy can transform daily life. Viewed this way, the cost is not just for appointments — it is for restoring quality of life and preventing years of ongoing frustration and medical bills.

Recent Pelvic Floor Therapy Billing Experiences in Portland, OR

• One patient paid nothing out-of-pocket because their insurance covered all sessions once their deductible was met.
• Another chose the cash-pay route at $265 for the evaluation and $215 for follow-ups, appreciating the clarity and value compared to surgical alternatives.