Chiropractic Services
Insurance Billing:
Currently, NRDC is contracted to bill for:
- Motor Vehicle Accidents (MVA - all)
- Medicare
- Regence Blue Cross/Blue Shield
- Pacific Source
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Out-of-Pocket (ie. "cash rate"):
Chiropractic visit = $65
Chiropractic visit (Medicare) = $45
Chiropractic visit (Student) = $25
Please keep in mind, when billing directly to your insurance company, NRDC is bound by contract agreements that vary with each insurance company. We do our best to follow these contract agreements in our billing practices and estimated costs, but the final and ultimate decision on your "out-of-pocket" cost for treatment is dictated by your insurance company. Sometimes, based on deductible and co-pay amounts, as well as contract agreements that require NRDC to bill for each individual portion of treatment, a patient's total cost for treatment may exceed our "flat-rate / out-of-pocket" fee schedule. It is your responsibility to verify your individual coverage directly with your insurance company to have a clear understanding of your costs for care.
Commonly used CPT Codes for insurance billing include:
99202: New Patient Exam (required by insurance)
98941: Chiropractic Manipulation
97140: Manual Therapy
97012: Mechanical Traction
These CPT Codes can be helpful when contacting your insurance company regarding your individual coverage to help you estimate costs. Please feel free to contact us if you have any questions.
Chiropractic Care
What is Chiropractic Care?
Spinal Manipulation for Pain Relief and Better Movement
Chiropractic spinal manipulation is a safe, effective, and proven way to relieve musculoskeletal pain—without surgery or medication. At North River Chiropractic, we provide gentle, precise adjustments and hands-on care designed to improve spinal mobility, reduce pain, and support your body’s natural ability to heal.
Our goal is simple: help you move better, feel better, and return to the activities you enjoy.
Conditions We Treat with Chiropractic Manipulation
Spinal manipulation is effective for many conditions involving the spine and nervous system, including:
Back Pain
Relief for acute or chronic lower back pain caused by injury, muscle strain, or poor posture.
Herniated & Bulging Discs
Disc conditions that place pressure on nerves and cause pain, numbness, or tingling that may travel into the arms or legs.
Neck Pain
Stiffness, soreness, and tension-related headaches linked to cervical spine issues.
Degenerative Disc Disease
Age-related or arthritic changes in the spine that lead to pain and reduced mobility.
Spinal Nerve Irritation
Pinched or irritated nerves that can cause discomfort, weakness, or radiating pain.
Posterior Facet Syndrome
Inflammation and restricted movement in the small joints of the spine.
How Chiropractic Manipulation Works
Spinal manipulation involves the skilled application of controlled force to specific joints of the spine. This treatment is designed to:
Relieve Pain
Adjustments stimulate joint and nerve receptors that help reduce pain signals and promote the release of natural pain‑relieving chemicals.
Reduce Muscle Tension
By improving joint movement, manipulation helps ease muscle tightness and spasms that limit mobility.
Improve Range of Motion
Restoring proper joint function allows for smoother, more comfortable movement.
Support Natural Healing
Proper spinal alignment improves nerve communication and circulation, helping your body heal more efficiently.
Manual vs. Instrument‑Assisted Adjustments
We offer both hands‑on and instrument‑assisted techniques to ensure your care is comfortable and effective.
Manual Adjustments
Hands‑on techniques using precise movements and controlled force to restore motion to restricted joints. This traditional approach provides direct feedback and is highly effective for many patients.
Instrument‑Assisted Adjustments
Specialized instruments deliver gentle, targeted force to specific areas of the spine. This option is ideal for patients who prefer a lighter touch or need more controlled adjustments.
Your chiropractor will recommend the approach that best fits your condition, comfort level, and treatment goals.
What Research Shows
Extensive research supports the effectiveness and safety of chiropractic manipulation:
Effective Pain Relief
Spinal manipulation is highly effective for neck and low back pain and may provide faster relief than medication or physical therapy alone.
Disc Injury Care
Clinical evidence supports chiropractic care as a safe and effective option for many herniated disc and nerve‑related conditions when properly applied.
Arthritis Support
Research indicates spinal manipulation can reduce pain and improve function in individuals with spinal osteoarthritis.
Excellent Safety Record
Chiropractic manipulation has an outstanding safety profile, with serious complications being extremely rare compared to other physical medicine treatments.
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What to Expect During Your Chiropractic Visit
Your first visit includes a thorough evaluation of your spine, posture, and movement. We’ll discuss your symptoms, medical history, and goals to create a personalized treatment plan.
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During your adjustment, you’ll be positioned comfortably while your chiropractor applies gentle, controlled movements to specific areas of the spine. You may hear a popping or cracking sound—this is simply the release of gas within the joint and is completely normal.
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Many patients notice improvement after their first visit, though lasting results often come from a series of treatments. Your chiropractor will clearly explain what to expect and how many visits may be recommended for your condition.