At $60 per hour mean cost for individual outpatient therapy the total cost for this patient would be $540 for outpatient therapy. Total costs for various services are summed together to get a total estimate of service costs for the individual.t $60 per hour mean cost for individual outpatient therapy the total cost for this patient would be $540 for outpatient therapy. Total costs for various services are summed together to get a total estimate of service costs for the individual.
Cause of Hangnails. The main cause of hangnails relates to the dryness of the cuticles. The cuticle is the area of skin surrounding the nail. When this area becomes dry, the cuticles depart partially from the nail region and become troublesome.
A bacterial infection can cause thickening, and this can arise due to some trauma to the nail. Possible Causes of Crumbling & Dry Toenails. Our toenails contain something called keratin. A toenail fungus will feed on keratin, which is what makes our nails dry and crumbling when we have an untreated fungus.