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Cash-Based Physical Therapy · El Paso, TX

PT Without Insurance
Restrictions — Finally

No prior authorization. No referral. No co-pay surprises. Just one-on-one doctoral-level care — billed transparently, resolved faster.

HSA Cards Accepted
FSA Cards Accepted
Superbill for Reimbursement
No Referral Needed
Same-Week Appointments
Book Your Evaluation — $150 See the Cost Comparison →

The Honest Math

Is cash-based PT actually more expensive?

Most people assume insurance-based PT is cheaper. When you run the real numbers — including visit count, co-pays, and deductibles — the math tells a different story.

Solas PT
Cash-Based · One-on-One · 60 Min
Per session$150
Typical sessions to resolve4–6 sessions
Therapist contact per visit60 min — full session
Prior authorization neededNone
Deductible riskNone
HSA / FSA acceptedYes
Typical total cost $600–$900
Based on 4–6 sessions at $150. Package pricing reduces cost further.
✦ Better value
Typical Insurance PT Clinic
Insurance-Based · Shared Time · 30–45 Min
Co-pay per visit$30–$60
Typical sessions to resolve12–18 sessions
Therapist contact per visit5–15 min
Prior authorization neededOften yes
Deductible risk$500–$3,000+
HSA / FSA acceptedVaries
Typical total cost $360–$1,080+
Co-pays only. Does not include deductible, which applies first and can add hundreds to thousands more.

How to Pay

Payment options at Solas PT

We accept multiple payment methods to make cash-based care as accessible as possible — including pre-tax health account dollars.

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HSA Card

Health Savings Accounts are funded with pre-tax dollars, making your effective PT cost 20–35% lower depending on your tax bracket. Physical therapy is a fully qualified HSA medical expense under IRS guidelines. Swipe your HSA card at checkout — same as any debit card.

Pre-tax dollars = real savings. A $150 session effectively costs $100–$120 using your HSA.
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FSA Card

Flexible Spending Accounts work the same way — pre-tax dollars loaded by your employer that must be used within the plan year. If you have FSA funds sitting unused, PT is one of the best ways to spend them. Don't let your FSA dollars expire unspent.

FSA funds expire at year end. Book now if you have unspent FSA dollars — PT qualifies.
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Superbill (Out-of-Network Reimbursement)

If your health insurance plan includes out-of-network benefits, you may be reimbursed for a portion of your Solas PT sessions. After each visit, request a superbill — a detailed receipt with diagnosis codes and procedure codes — and submit it to your insurance directly for out-of-network reimbursement.

Call your insurer and ask: "What are my out-of-network PT benefits?" before your first visit.

Why It Works

Why cash-based patients resolve faster

The fundamental problem with insurance-based PT is not the therapist — it's the business model. When a clinic needs to see 3–5 patients per hour to stay profitable under insurance reimbursement rates, it becomes structurally impossible to deliver intensive one-on-one care.

The result: shorter sessions, more delegation to aides, and more visits to achieve the same outcome. A condition that would resolve in 5 intensive sessions at Solas PT may take 15 visits at an insurance clinic — with 14 of those visits providing only 10 minutes of actual therapist contact.

Cash-based PT removes that constraint. Every session at Solas PT is fully hands-on — manual therapy, dry needling, and a personalized exercise program — with a doctoral-level therapist who knows your case, your body, and your goals intimately because they've been your only provider from day one.

Solas PT
4–6
typical sessions to resolve
Insurance PT
12–18
typical sessions to resolve
Solas PT
60
min therapist contact per visit
Insurance PT
5–15
min therapist contact per visit
Solas PT · Same-Week
2–3
days to first appointment
Insurance PT
3–6
week waitlist common

Out-of-Network Reimbursement

How to use your superbill to get reimbursed

If your plan has out-of-network benefits, you may recover a significant portion of your PT cost. Here's exactly how.

1
Call your insurance before your first visit
Ask: "What are my out-of-network physical therapy benefits?" Get your out-of-network deductible amount and reimbursement percentage in writing or via a reference number from the call.
2
Request a superbill after each session
After your visit at Solas PT, request a superbill. It will include your provider's NPI number, diagnosis codes (ICD-10), procedure codes (CPT), date of service, and the fee charged.
3
Submit to your insurance carrier
Log into your insurance member portal or mail the superbill with a completed claim form to your insurer. Most carriers process out-of-network claims within 30–45 days.
4
Receive your reimbursement check
If your out-of-network deductible is met, your insurer sends a reimbursement check directly to you — typically 50–80% of the allowed amount depending on your plan.

Not all plans have out-of-network benefits — HMO plans typically do not. PPO and some POS plans usually do. The key question to ask your insurer is whether you have "out-of-network physical therapy benefits" and what your out-of-network deductible is.

Even if reimbursement is partial, combining it with HSA/FSA payment can make cash-based PT highly cost-effective compared to staying in-network with a clinic that delivers lower-quality care.

What a superbill contains
Provider NPIRequired for claims
Diagnosis codesICD-10 (your condition)
Procedure codesCPT (services rendered)
Date of serviceEach visit
Fee chargedFull session cost

Transparent Pricing

What PT costs at Solas PT in El Paso

No hidden fees. No insurance surprises. What you see is what you pay.

Initial Evaluation
60-minute one-on-one assessment with Dr. Cisneros. Full hands-on evaluation, dry needling when indicated, and a personalized treatment plan. Same-day treatment begins.
$150
60 min · One-on-one · Dr. Cisneros, DPT
Follow-Up Treatment Session
60-minute hands-on treatment session. Manual therapy, dry needling as indicated, and exercise program update. For patients continuing care after their evaluation. A 45-minute session is also available for $95.
$120
60 min · One-on-one · Dr. Cisneros, DPT
Focused Dry Needling Consultation
Brief focused exam plus targeted dry needling for a specific muscle issue or trigger point — up to 2 body parts. Ideal when you know exactly what needs treatment.
$100
30 min · Targeted relief · No full eval needed

HSA and FSA cards accepted · Superbill provided for out-of-network reimbursement on request

From Patients in El Paso

⭐ 5.0 · 19 Google Reviews

★★★★★

"After two hip surgeries I wasn't sure what my future looked like physically. Today I'm pain-free, back to squatting, and actively involved in bodybuilding. That level of recovery speaks volumes."

— Reshard P. · Google Review
★★★★★

"Andrew did a thorough assessment and explained my issues in a way I could understand. I felt the work immediately — within a couple of days I was back to full function with my training."

— Josh S. · Google Review
★★★★★

"Every session brings noticeable relief. Andrew truly takes the time to understand what your body needs. His approach is both effective and personalized — Solas PT is absolutely worth it."

— Katharina P. · Google Review

Common Questions

Cash-based PT in El Paso — answered

Solas Physical Therapy is a top-rated choice for physical therapy in El Paso, with a 5.0-star rating across 19 Google reviews. Every session is one-on-one with Dr. Andrew Cisneros, PT, DPT, MS — a Doctor of Physical Therapy with 12+ years of experience — for the full 60 minutes, with no aides and no double-booking. As a cash-based, direct-access clinic on N Mesa St, Solas PT can usually see new patients the same week, with no referral or insurance approval needed.
No. Solas PT is a cash-based physical therapy clinic in El Paso, so you don't need insurance to be seen. You pay a flat, transparent rate — the initial evaluation is $150 for a full 60-minute one-on-one session — and HSA and FSA cards are accepted. A superbill is provided so patients with out-of-network benefits can seek reimbursement, and because Texas allows direct access, no physician referral is required.
For most patients, yes — and often significantly so. Cash-based PT at Solas PT delivers 60-minute one-on-one sessions with a doctoral-level therapist who personally performs all treatment. Most patients resolve in 4–6 sessions. Insurance-based patients commonly need 12–18 visits for the same result. When you factor in co-pays, deductibles, and the difference in visit count, the total out-of-pocket cost is often comparable or less at Solas PT — with dramatically better care.
Yes. Physical therapy is a fully qualified medical expense under IRS guidelines. Solas PT accepts HSA and FSA cards directly. Using pre-tax health account dollars reduces your effective cost by 20–35% depending on your tax bracket — making a $150 session effectively $100–$120 out of pocket.
If your plan includes out-of-network benefits (common with PPO plans), yes. Solas PT provides a superbill after each session — a detailed receipt with your diagnosis codes, procedure codes, and provider NPI — that you submit directly to your insurance for out-of-network reimbursement. Reimbursement rates typically range from 50–80% of the allowed amount after your out-of-network deductible is met. Call your insurer before your first visit and ask about your out-of-network PT benefits.
No. Texas is a direct access state — you can see Dr. Cisneros at Solas PT without a physician's referral. Book online or call (915) 318-7381 and be seen this week.
Initial evaluation: $150 (60 min). Treatment sessions: $120 (60 min) or $95 (45 min). Re-evaluation: $125. Standalone dry needling: $75; focused dry-needling consult: $100 (30 min). Session packages: 4 for $475, 7 for $810, 10 for $1,125 — the per-session rate drops as the package grows. All prices are flat-rate with no hidden fees. HSA and FSA cards accepted. Superbill available on request for out-of-network reimbursement.
Because every session is fully hands-on with a doctoral-level therapist. Insurance-based clinics see 3–5 patients per hour and delegate most care to aides — limiting actual therapist contact to 5–15 minutes per visit. At Solas PT, every 60-minute session includes manual therapy, dry needling when indicated, and a personalized exercise program updated as you progress. More therapist contact per session means faster recovery and fewer sessions needed overall.

Same-Week Appointments · El Paso, TX

Ready to get better faster — without the insurance runaround?

Book your evaluation today. HSA and FSA accepted. Superbill provided for out-of-network reimbursement. No referral needed.

Book Your Evaluation — $150 Why Solas PT →
Solas Physical Therapy
6633 N Mesa St, Suite 508B · El Paso, TX 79912
(915) 318-7381 · info@solaspt.com · solaspt.com
⭐ 5.0 · 19 Google Reviews · HSA/FSA Accepted · No Referral Needed · Direct Access Texas