Cash-pay sessions, billed
Physical therapy invoicing software
Physical therapy invoicing software for cash-pay clinics and the self-pay side of insured ones. The initial evaluation, each follow-up visit and an add-on such as dry needling are invoiced at your price, patients pay from a text or a saved card, and insurance work stays in your EMR.
A short tour of the screens this page describes. It is filmed with our demo pest control company, and every trade runs on the same screens.
- From $19/month
- 14-day free trial
- Same-day US support

“We run every customer conversation through Smarfle. Texts, emails and reminders are in one place, our customers love paying with Apple Pay, and when we are busy or closed the text bot answers new leads for us.”
Physical therapy invoice example
An evaluation and the first follow-up for a cash-pay knee patient.
Invoice
PH-1903
Due at the visit
Bill to
Corey Lindstrom
Cash-pay patient
Initial evaluation, 60 min
1
Follow-up session, 45 min
1
Dry needling add-on
1
Example with sample data
Evaluation and visit pricing
The evaluation, a standard follow-up and a longer session each carry a cash price. The therapist marks the visit done, and the invoice carries that price.
Services and pricingAdd-ons during the session
Dry needling, cupping or a brace fitted in the room are added to the session from your list, so the bill reflects exactly what the patient received.
Job managementCard on file for regulars
Patients twice a week can save a card from a secure link, and the front desk charges each session invoice to it without asking again.
PaymentsInsurance stays in the EMR
Smarfle has no claims or superbills. Hybrid clinics bill insured visits from their EMR and use Smarfle for cash-pay patients and wellness services.
InvoicingInside the PT invoicing software
What it does
- Cash prices for each visit typeEvaluation and follow-ups
- In-session add-onsAdded by the therapist
- Saved card for regularsCharged per session
- Wellness membershipsRecurring plans
What it doesn't do
- Insurance claimsThrough your EMR
- Superbills for reimbursementThrough your EMR
- Plan of care documentationThrough your EMR
- Visit packs that count downBill per visit
Physical therapy invoicing pricing
Every plan includes visit invoices, saved cards and memberships, and a five-therapist clinic fits on Starter.
Starter
Small teams adding tools and growth
$99/mo
- Up to 5 users (1 owner + 4 techs)
- Up to 2,000 clients
Most Popular
Professional
Growing service businesses
$199/mo
- Up to 10 users
- Up to 5,000 clients
SMS, email, AI, and voice are billed pay-as-you-go. See every plan and usage rate →
What cash-pay clinics ask about invoices
Can a cash-pay PT clinic invoice with Smarfle?
Does it bill insurance?
Can the desk charge a patient's card on file?
Can I add dry needling to a visit?
Can I sell a wellness membership?
Can visits be billed monthly instead?
Does it keep treatment notes?
Do therapists see the prices?
More physical therapy software
Invoicing for related practices
Try physical therapy invoicing software free
14 days with every feature on your real physical therapy work. No credit card.