Fees and Payment Options

We provide limited laboratory services to our patients & customers.  No doctor’s order or prescription is necessary.  Simply phone ahead and schedule a time to have your blood drawn.  Results are returned to us within 1-4 business days for pick up or to be mailed to your home address.

To reserve your initial (New Patient) appointment we require a $100 deposit.  The $100 will be put toward the cost of your services for this first appointment.  Dr. Hoch can only consult with one patient at a time, therefore, these appointments are highly sought after.  Should you not keep this appointment the deposit will be forfeited as a missed appointment fee.

Payment of your Chiropractic services is expected at the time of service. We accept credit or debit cards from Visa, Master Card, and Discover, as well as, Cash. Personal checks are not accepted.  You will be provided with a superbill which will have all the details necessary to obtain reimbursement from your insurance company for the services rendered.  All you’ll need to do is address an envelope and mail the superbill to your insurance carrier.

A typical first visit to our office, which does not include treatment, but your consultation & examination will be $110.  If x-rays are required, the typical fee for the x-rays from Radiology Regional Center averages $60 per set (spinal region). Typical follow-up treatment visits for your condition cost approximately $75-95 during the relief phase of care, and $50 during the corrective and wellness phases of care.

If a payment plan is needed for you to be able to get the care you need, this can be discussed with our staff on your second visit.  All payment plans are considered on a case by case basis and customized to meet the needs of your care plan.

*Keep in mind that your co-pay may actually be MORE than my office visit fee.  For example, I have many patients who have $60 co-pays.  Most of these patients only receive spinal adjustments for which the fee is $50.  In these cases, it is more cost effective for them to pay cash for their services no matter where they decide to get their chiropractic care.

special notice for medicare patients

New Patient Exam    $80 – $170

heightAn Evaluation Is Necessary for all new patients to the practice.
We often get calls from new patients who have never been seen or treated by me who simply want to be adjusted and do not want to allow me to review their health history or perform even the most basic physical examination.  I won’t do it.

Firstly, it doesn’t meet the standard of care of physicians and I am a physician.  Secondly, how am I to determine what is the best course of care or type of adjustment to render if I don’t first find out what is wrong and evaluate the situation?  If you are new to me as a patient, whether you have had chiropractic care in the past or not, you should expect me to review your medical and health history and perform at least a focused examination before receiving any treatment or treatment recommendations of any kind.  You should expect this of any Nurse Practitioner, PA or Physician you see.  Even your mechanic runs a diagnostic on your car to make sure they are fixing the right thing…why would you expect anything less from your doctor?

For New Patients to the practice an exam can range from 80 – 170 depending on the complexity of your problem(s).  An exam is necessary for every new patient.  It allows the doctor to determine the cause of your problem(s), discover any underlying conditions, and determine the best treatment approach for your care plan.  Our most commonly billed fee for a new patient exam is $110.


 $60 – 200

In many cases, x-rays are an important part of your exam.  They help the doctor detect diseases of the bones and joints, show subluxation and structural distortion patterns and are extremely helpful with the specific diagnosis of your condition and can help predict how long a care plan should be for your condition.  Dr. Hoch sends her patients who require x-rays to Radiology Regional.  Radiology Regional has multiple locations in the Fort Myers area and they offer quick service and low fees to their customers. Visit http://radiologyregional.com/radiologyregional/ to find one near you.

Adjustments     $50 – 75

adjustments 4An Adjustment to any area of the spine is $50.  An adjustment to any of the extremities (hand, foot, knee, hip, shoulder, jaw) is $50.

Most people need their entire spine adjusted and not just one segment.  However, if only one segment is what needs to be adjusted, then that is what Dr. Hoch will provide.

Physiotherapies    Starting at $25 eachphysiotheraphy2

Adjunctive therapies such as cold laser treatments, therapeutic ultra Sound, electric muscle stimulation, kinetic activities, therapeutic exercises, specific muscle stretching, myofascial release, trigger point therapy,  are used to break up muscle spasm and reduce pain and inflammation, and increase circulation to injured tissues.  These types of therapies are often part of an acute phase of care when triage is necessary to get you back to your everyday life.  These therapies are billed separately and total cost is based on time or number of areas treated.

Acupuncture   & Dry Needling      $75 – $150 (based on time)

Acupunture 1Acupuncture is an effective form of health care that has evolved into a complete and holistic medical system. It can improve overall function and well being; and is a safe, painless, and effective way to treat a wide variety of medical problems. Acupuncture is performed by inserting needles into specific acu-points on your body to activate your body’s Qi and promote natural healing by enhancing recuperative power, immunity and physical and emotional health.  Most treatments take between 20-30 minutes and costs $75.

Medical Massage Therapy      $50 – $150 (based on time and range)

Medical Massage Therapy

Nutritional Counseling / Functional Medicine         $75 – $175 (based on time)

FunctionalMedicine2During a nutritional consultation, we will go over goals, objectives, and reasons for wanting to discuss your diet. We will review your medical history, including medications or supplements you’re currently taking. Then, I’ll take time to dive into your lifestyle in order to get a sense of stress and energy levels, sleep patterns, exercise, and gastrointestinal function. After discussing eating and cooking habits, and trouble spots like skipping meals, we will develop some initial pointers to help you start eating better, You will leave with a simple plan that you will be asked to follow for a period of time (usually 1 week) and then return to the office in order to review, change or add to your plan. Our goal is always to get you to better health safely and in the fastest time frame possible.

Metabolic Weight Loss       $785.00

beforeandafterThis is our most sought after weight loss program.

Our Metabolic Weight Loss program includes your initial visit and evaluation, your weight loss kit, labs, and all follow-up appointments over a 2 month period.  The total program cost is $785.00.

Established patients who have already completed a 60-day program with Dr. Hoch (within the past 90 days), can purchase their second 60-day program at a discounted fee of $610.00.

Ketogenic Diet Plans using Keto//OS

 In-Office 30-Day Program (repeatable) – $515++

On this program, individuals will meet with Dr. Hoch for a consultation. During this initial consultation, you will discuss your health history and weight loss goals and any medical issues you may have that may need to be addressed. Then follow-up consultations are scheduled every week (4 total) which includes: weight, measurements, bio-impedance/body composition testing, food lists and diet guidelines and a brief consultation and review of food diary.

This program costs $515 + Cost of any Laboratory tests + Ketones and any additional supplements needed to customize your program and help you with your health and weight loss.

Custom Weight Loss Plan

Are you a vegetarian or someone who needs a custom weight loss plan? No problem! Simply call our office and schedule an appointment for a Nutritional Consultation. Dr. Hoch will meet with you and together you can determine the best approach to help you lose weight and feel great!