The Affordable Care Act has truly changed health care, but a lot of it is not for the better. While many premiums are lower most all of us have experienced higher deductibles and co-pays. This is why many patients are choosing to self-pay. At Ohio Valley Chiropractic the cost of a basic spinal adjustment or manipulation for an established patient is $40.00. If you are not established as a patient a new patient visit cost is $65.00. We accept cash, checks, Visa, MasterCard and most Health benefit cards offered by employers.