In this solo coaching video, Kelly Alhooie addresses pelvic health therapists and other cash‑based clinicians, delivering a step‑by‑step guide on how to price their services without apologizing. She insists on a hard floor of $200 per session and breaks down the necessary cost structure (provider compensation, rent, taxes) to illustrate why lower rates are unsustainable. Kelly emphasizes the critical role of clear, confident messaging to attract cash‑paying clients in any market, and she provides a framework for raising prices after proving demand, handling existing client packages, and setting firm expectations for client commitment. She contrasts cash clients with insurance‑driven patients, arguing that cash payers are more invested and lead to better outcomes and less clinician burnout. Throughout, she stresses owning one’s specialized value, avoiding guilt, and maintaining confidence. The video concludes with a direct call‑to‑action, offering her phone number for personalized help.
Chapters
Let's talk about pricing your cash-based practice, specifically pelvic health therapists, on how to actually— what to charge and how not to apologize. So here's the biggest thing, guys. Number one, you cannot charge below $200, period. Okay, a session, and I'm pricing it per session. Just so you can do easy— we can do easy math here. Okay, um, so whether or not you do packages, not do packages, either way, if you do a package, you cannot be under— if when you break it down, $200 a session, period. The math just doesn't math because what happens is if you have a therapist on board or yourself, you should be paying 25 to 30% of that goes to the provider. 10% goes to your actual rent. 30%, 30 to 40%, depending on what tax bracket you're in, goes to taxes. Okay. So the math has to math. And sorry, if the math is not mathing, you're going to go out of business. So you have to make sure, especially when you're starting, trying to raise prices, like whatever you're trying to do, That the math— mass, and it doesn't matter the area. I can't tell you how many times I come on, well, I'm in a small town, or I'm in a heavy military town, so they're going to use their insurance, or I'm in a heavy Medicare town, so they're going to want to use their insurance. That may be true that you're in that town. However, people will pay cash. I've seen it in the smallest towns of Texas and the smallest towns of Washington State and the largest cities of New York City. Okay, people will pay when you know how to message things so that people are like, oh, I need what she has. They then will say, I need that. Okay, they will not say they need that if you don't know how to message and market. And then you'll be like, oh, I knew I was right. Like, I knew that, um, I knew that these people weren't gonna pay. And it's like, because your messaging sucks. Well, if your messaging sucks, that's why they're not going to pay. So you've got to make sure that you know how to create messaging so then you actually get paid what your price is. A lot of us though don't know messaging. And then we're also scared to say, I am worth $200 an hour, like I am worth that. Which kind of sounds crazy when I say it out loud because we're worth way more than that. I think there's only like 700 of us pelvic floor therapists. I want to say like across the U.S. The last time I looked could have changed by now, but like I mean that's like the most minute niche ever. Our prices should be extremely high because we're the only people that can do it. So like, think about that. And you went to school for it, and you went into— for me, I went into $230,000 in debt, and that wasn't even with anything pelvic. That was just orthopedic, neuro, all the things I don't use. I mean, I still use orthopedic, but you know, like, that's insane. That wasn't all my yoga certifications, my Pilates certifications that cost me like $7,000, my All that extra stuff. So if we have knowledge and expertise that most people don't have, do you think our value goes up or do you think it goes down? It goes freaking up. Okay? When you have a select skill set, it goes freaking up. And then compound that with people having major problems. When they have pain with sex, that is a massive problem because if they don't solve it, a divorce is going to cost them hundreds of thousands of dollars. So do they want to pay $3K or do they want to pay like $200,000 to $300,000 to get a divorce? Which one? When they have leakage, do they want to pay $3K to feel more confident And their clothes and be able to run around with their kids and not limit their life? Or do you— they want to pay an infinite amount of pain, frustration, not being able to live their life, not feeling confident? I can't tell you what is so amazing to see— a confident freaking woman. When a woman is confident, she is un-freaking-stoppable. She's unstoppable. When a woman is not confident, she will question everything. And people will question everything around her. So to gain confidence, it's like an infinite amount. I can't even put a money price tag on that. I mean, that's invaluable. When you have confidence as a woman, you'll make better decisions, you'll show up for people, you'll feel better, you'll be inspired, you're going to have energy. Like, I can't tell you the infinite amount of giving when you have confidence. What is that worth to someone? Is it worth three K? Hell freaking yeah! Hell yeah! So be very, very mindful of that. Okay? Um, don't apologize and don't think, oh my God, I'm taking their money. You're only taking their money if you do not believe. And what you are actually doing. That's called a con artist. Yes. So if you do not believe that you can actually get them an outcome and you're saying that you're going to get them an outcome, that is a con artist. I 100% believe that I could help patients with any condition, and I 100% believe that I can change people's lives and make them hundreds of thousands of dollars. You know why? Because I've done it. Over and over and over and over and over again. And most of you guys, even if you haven't started your business, started your business, or, you know, 3 years in on your business, you guys have seen so many patients already. Even if you're a new grad, you had to do clinicals. You've already seen so many freaking patients. So why are you not using that and saying, yeah, damn, in those 3 months that I was there, I actually did get this result. Wow. Good job to me, you know. And it's the same thing when you work for yourself, guys. It's the same thing when you're thinking about raising your prices. Like, it's not really that hard. It's not hard to raise your prices, and it's not hard to charge what you're worth, but it's you proving it to yourself. So a lot of times my clients, what they have to do is they have to start out— so when they first start out, their price is like the lowest it is, because this is— you got to prove to yourself that people are going to pay it, right? And some of you guys, that's okay. You may have to do that. You start there. Okay, I'm gonna charge $200. Okay, great. After you get about 6 people paying that, I need you to raise your prices because clearly it is something that people pay for. And you just proved to yourself, oh yeah, someone is gonna actually want their problem solved. Great. Now we send out an email. We're gonna raise our prices. We're gonna keep our prices the same for the people That committed first. That's it. And they can pre-buy, they can pre-buy their full plan of care, or they pay the new price. That's it. No one should get mad because the new price is the new price. But we gave an opportunity to the old people because they are committed to actually commit, and we won't raise their price before this certain date. And that's what happens. No one goes bye-bye. No one gets upset. A lot of times you're going to hear from your clients, yeah, I agree, you should raise your prices. You are really good. When you hear that too, you should have been like, damn, I should have raised my prices years ago. But that's what they'll say, and that means you're doing a good job. So good freaking job, okay? But you've got to make sure that you Don't apologize for what you're charging. You have to realize we have such a unique skill set. We pay a shit ton of money for it. And that I am not taking anyone's money because I'm providing a result. And yes, there is active participation in a service-based business that they have to participate. And so if you feel uncertain, unsure about that, then you set expectations up front. Meaning this: Okay, patient, it's three K. It's going to take us three months. All I need from you is I need a commitment out of you that you will be here once a week, or at least do teletherapy with me once a week so that we can make sure that we stay on path. Conversely, in my Pelvis Biz programs, I say, "Okay, I need you to be on one call with me a month that's six hours long. That this is where I need need you. I need you to ask questions. I need you to ask me questions every single week." Like, I set that expectation clear so that way both parties— because I know I'm always going to uphold my part, and everyone thinks, well, you're going to be the problem. Well, no, it's, it's honestly, it's not me. It's, are you going to stay committed? And same thing for the patient. Are they going to stay committed? And that's who you want to work with, someone that's massively committed, because that's when they get the results. Right? And when you get them to get the results, that's only going to bring you more confidence. And then you're going to be like, damn, I can actually charge more because I'm getting these results. Well, part of those results is because the patient actually stayed committed, which is why I like cash-paying clients, because they are more invested in their care versus the insurance people are like, I'm just here because my doctor sent me. And you're like, okay, great. Like you don't even care. Or I'm just here to work out. Like a lot of times that's what's happening now in the insurance companies or practices is they're just here to like to work out. That's what I hear all the time now. And they want to keep coming because they don't want to pay for a personal trainer. And so they're treating rehab like personal training. Are you guys? Is there an actual outcome there? No. So that's going to lead you to burn out and you like hate your job. So don't do that either, right? So please just charge what you're worth. Like, that's the moral of the story today. Please, because you're worth it. You have a very specialized skill, okay? And don't apologize about it. Just charge it and say, this is what it is because I'm going to get you the result. And be confident that you're going to get them that result. And if you're struggling with this, guys, please text me, say help. I'll help you. Like, we have so many videos on this. I've trained— I have so much staff training on this. 703-783-2388. Text me, say help, and let's jump on the phone and see where the heck, you know, you're stuck, and let's see how to get you unstuck.
