Fees And Payment Options

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Many patients are concerned about cost of care and want to know specifics of how much their visits will cost.  We cannot guess as to the extent of your personal situation and treatment needs and so we can’t quote you an exact amount for your visit.  We can give you some estimates so you can best gauge your budget.  An evaluation is required for all new patients to meet the standard of care required for physicians AND because you deserve it.  When you take your car in for an issue, even your mechanic does a diagnostic scan before starting the repair!  Dr. Herrst will always recommend only the treatment you need for the improvement of your specific complaint and will not make recommendations based on what your insurance policy may or may not cover.  Updated pricing effective September 1, 2022 as below:

NEW PATIENT VISIT (1 hour)
$150
This visit includes a complete medical history, full physical
examination, chiropractic adjustment, stretching and exercise instruction, home care instructions and brief homeopathic remedy consultation.

ROUTINE OFFICE VISIT (30 min)
$60
This visit includes a chiropractic adjustment of the spine and may include a chiropractic adjustment of the extremities, strengthening/rehab exercise,
massage or other ancillary services, all bundled into one visit fee.

EXTENDED OFFICE VISIT (60 min)
$100
Office visit as described above that encompasses more care
needs and hands on treatment.

NEW ARVIGO® TECHNIQUE VISIT (1.5 hours)
$150
This visit includes a specific medical history, castor oil pack application, one-hour Arvigo® technique massage and self-care massage instruction.

RETURN ARVIGO® TECHNIQUE VISIT (1 hour)
$100
Brief check-in + one hour Arvigo® technique massage.

Payment of your services is expected at the time of your visit. We accept credit or debit cards from Visa, Master Card, and Discover, as well as Cash. Personal checks may be accepted on a case-by-case basis.

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 should you desire to submit it for out-of-network reimbursement. Please check with your insurance carrier as to their procedure for reimbursement; some carriers may require a separate claim form.

Dr. Herrst does not participate with commercial health plans at this time to keep costs low for her patients and to provide the most appropriate care needed.  Keep in mind that your co-pay or co-insurance may actually be MORE than the routine visit fee. For example, many patients have $60 co-pays. Most of these patients only receive spinal adjustments, which has a lower fee than their co-pay.  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.  If a payment plan is needed for you to be able to get the care you need, this can be discussed 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.  It is the policy of this office never to turn any patient away from care due to financial circumstances. We offer many options to assist you with your financial responsibility and will explain each of these to you in detail.


You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under current Michigan and federal law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.


Thank you for considering care with our office.  It is our honor to serve Grand Ledge and the mid-Michigan area with compassionate, primary care chiropractic services.

Use Your Insurance

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