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No Surprises Act
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or
service. - If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-MEDICARE (1-800-633-4227).
Insurance & Private Pay Accepted
Not all clinicians accept the same insurances. Please check under their specific bio for the insurances they accept and are considered participating in-network providers. When you call your insurance to verify benefits, you will want to give the provider's individual NPI number which can also be found underneath their bio.
Private Pay Fee Schedule
Please see our private pay fee schedule below. You may also ask your individual therapist if they offer sliding scale fees or scholarship spots. Current Procedural Terminology (CPT) codes are used for efficiency and accuracy in medical billing. The numbers listed below (e.g., 90791) are CPT codes.
90791
$200
This is your initial intake and evaluation session with your therapist, lasting 50–60 minutes. Your clinician will gather your personal and mental health history, discuss what brought you in, and work with you to identify goals for treatment.
90792
$300
This is the initial psychiatric diagnostic evaluation that includes medical services, such as reviewing medical history, ordering lab tests, or prescribing medication - typically lasting 30-60 minutes.
90837
$185
This is an individual psychotherapy session that lasts for
53+ minutes.
90834
$150
This is an individual psychotherapy session that lasts for 38-52 minutes.
90832
$100
This is an individual psychotherapy session that lasts for 16-37 minutes.
90847
$160
This is a family psychotherapy session (conjoint psychotherapy) with the patient present lasting approximately 26-50 minutes.
**This code is often billed when working with couples**
90846
$160
This is a family psychotherapy session without the patient present lasting approximately 26-50 minutes.
90839
$200
This is a crisis session (first 60 minutes).
90840 *add-on code*
$125
This is a crisis psychotherapy add-on; each additional 30 minutes beyond 90839 - Billed in conjunction with 90839 only.
96136
$100
This is for the administration of ADHD testing which includes 15-20 minutes for the QbCheck Test.
96132
$250
This is the professional review and results session following your ADHD testing. Your clinician will spend up to one hour integrating your test results with your personal history, making clinical observations, and providing you (and/or your family) with a clear explanation of findings and next steps - The actual session time will vary.
99213
$175
Medication Management Office Visit - Low Complexity
99214
$220
Medication Management Office Visit - Moderate Complexity
99215
$280
Medication Management Office Visit - High Complexity
90785 *add-on code*
$30
Interactive Complexity Add-on Code - Often used with play therapy techniques and interventions
Cancellation Policy
$100
Due to our therapist's income being completely dependent on client attendance, we have a 48-business hours cancellation policy. This allows your therapist to try to fill that spot with another client that is on their wait list.
- $75 late cancellation fee if an appointment is cancelled with less than 48-business hours notice.
- $100 late cancellation fee if an appointment is cancelled with less than 24-business hours notice.
- No call/no show or more than 15 minutes late will result in a charge of the full session fee.
Current Procedural Terminology (CPT) codes are used for efficiency and accuracy in medical billing.
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