Pricing, insurance, and answers before your first visit.
Straightforward information about self-pay pricing, Blue Cross Blue Shield, VA Community Care, online booking, and what to expect from chiropractic care at Mountain Movement.
Choose the option that works for you.
You can use self-pay pricing or eligible insurance benefits. We keep the next step clear so you can spend less time sorting through paperwork and more time getting back to what you want to do.
Self-pay
Straightforward cash-pay options are available for chiropractic visits, physicals, and other appointment types.
- Current prices are shown before you select an appointment.
- Book online without calling the office first.
- Choose the service and time that fit your schedule.
Blue Cross Blue Shield
Mountain Movement Chiropractic is in network with Blue Cross Blue Shield and can bill covered services to BCBS.
- Your cost depends on your specific plan benefits.
- Copays, deductibles, coinsurance, and visit limits may apply.
- Contact BCBS when you need a detailed benefit estimate.
VA Community Care
Mountain Movement expects to be in network with VA Community Care beginning in mid-August 2026.
- VA approval is required before community care is provided.
- Your referral and authorization must include chiropractic care.
- Please call the office before booking with VA benefits.
Insurance coverage is plan-specific. Being in network does not guarantee that every service is covered or that no patient responsibility will apply. For the most accurate estimate, review your plan benefits or contact the number on your insurance card.
A clear process from booking to follow-up.
Chiropractic care should not feel complicated. Here is how a typical visit at our Spearfish office works.
Find an appointmentBook online
Choose your appointment type, review the current price, and select an available time through Jane.
Talk through what is going on
Your first visit includes a detailed history and conversation about your symptoms, movement, goals, and the activities that matter to you.
Complete a movement-focused exam
Dr. Hansen checks how the area moves and looks for the mechanical issues that may be contributing to pain, stiffness, or recurring limitations.
Start care when appropriate
If the exam shows that chiropractic care is appropriate and no red flags are present, most patients can receive treatment at the first visit.
Leave with a plan
You will understand what Dr. Hansen found, what comes next, and what you can do between visits to support your progress.
Know what to expect before you come in.
Still unsure which appointment to choose? Call or text the office at (605) 418-5994.
How much does chiropractic care cost?
Current cash prices are listed directly on the Mountain Movement online booking page. You can review the price for each appointment type before choosing a time.
Do you take insurance?
Yes. Mountain Movement Chiropractic is in network with Blue Cross Blue Shield. VA Community Care participation is expected to begin in mid-August 2026.
Insurance benefits vary by plan. Your portion may include a copay, deductible, coinsurance, non-covered services, or visit limitations.
How does VA Community Care work?
VA patients need an approved referral and authorization before receiving non-emergency care through a community provider. Your authorization defines the provider, services, number of visits, and approved time period.
Please call Mountain Movement before scheduling with VA benefits so the office can confirm that the network status and authorization are ready.
Can I book my appointment online?
Yes. Online booking is usually the fastest way to review availability, current prices, and appointment types.
What if I do not see a time that works?
Call or text the office at (605) 418-5994. Same-day appointments are often available, and the office will do its best to find a time that fits.
Do you accept walk-ins?
Mountain Movement does not offer walk-in visits. The schedule can vary throughout the day, so booking ahead ensures Dr. Hansen is in the office and ready for your appointment.
How long is the first appointment?
Most first visits take about 20 to 30 minutes. This includes your health history, a movement-focused exam, treatment when appropriate, and a plan based on your needs and goals.
Will I be adjusted at the first visit?
Usually, yes. If the history and exam show that chiropractic care is appropriate and no red flags are found, most patients can receive treatment during their first appointment.
How long are follow-up visits?
A typical follow-up visit takes about 10 to 14 minutes. Visits may include a quick movement check, chiropractic adjustments, soft-tissue treatment, and simple home exercises based on what you need that day.
How many visits will I need?
There is no one-size-fits-all number. Recommendations depend on whether the problem is new or long-standing, what the exam shows, how your body responds, and what you want to return to doing.
Care is generally organized around relief, rebuilding function, and sustaining progress. Learn more about the Mountain Movement Approach.
Do I need a referral?
Most patients can book directly without a referral. VA Community Care is different and requires VA approval, a referral, and authorization before covered community care begins.
What should I wear?
Wear comfortable clothing that lets you move easily. Workout clothes or casual clothing are both good choices.
What conditions do you help with?
Mountain Movement commonly helps patients with back pain, neck pain, headaches, sports injuries, joint pain, stiffness, and movement restrictions. Patients also come in for wellness, recovery, and performance-focused care.
Do you provide exercises to do at home?
Yes. When appropriate, Dr. Hansen provides practical home exercises based on your condition, movement, and goals. These are designed to reinforce progress between visits without giving you an overwhelming routine.
Existing patients can also use the Mountain Movement Exercise Portal.
What payment methods do you accept?
Mountain Movement accepts major credit cards and checks. Contact the office before your appointment when you have a question about payment, insurance billing, or the appointment type you should choose.
Not sure which appointment to choose?
Call or text the office. We will help point you toward the right booking option without making the process more complicated than it needs to be.
Find a time, review the price, and book online.
Schedule chiropractic care with Dr. Zach Hansen at Mountain Movement Chiropractic in Spearfish, South Dakota.