Good Faith Estimate:
This Good Faith Estimate shows the costs of services that are reasonably expected for your mental healthcare needs based on the information known at the time of estimate. It is not a contract and does not obligate you to engage in therapy at this practice. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if, for example, complications or special circumstances occur, symptoms worsen, or your treatment plan changes. If this happens, federal law allows you to dispute (appeal) the bill. If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
Session cost varies depending on the type of session: initial session (Cost Estimate: $95, Service Code 90832), initial evaluation (Cost Estimate $225, Service Code 90791), brief emotional/behavioral assessment (Cost Estimate: $55, Service Code 96137), treatment planning (Cost Estimate $95, Service Code 90832), and individual therapy sessions (Cost Estimate $175 per session, Service Code 90837). Sometimes patients request additional services, such as a letter about your condition (Cost Estimate $55-$225, depending on if a session is needed to re-evaluate condition/symptoms), an assessment report or written case conceptualization (Cost Estimate $150 per hour of preparation, typically 2-3 hours needed), or records request (Cost Estimate $25).
Payment:
This practice does not bill insurance as self-pay offers greater privacy because your information is not shared with insurance companies, offers greater flexibility in treatment because you and your provider discuss and decide upon your needs and treatment plan instead of insurance staff who do not have training in mental health, removes the requirement for a diagnosis that insurance companies require, and reduces the administrative burden on your provider thereby allowing your provider to spend more time reviewing and tailoring your treatment plan instead of navigating insurance systems. No sliding fees are available.