Here you will find our current fees for services, effective January 1, 2023:
We have numerous providers who accept a variety of insurances. If we are not in network, we are happy to provide you with a “Superbill” to submit to your insurance for “Out of Network” claims. See section below for more detailed information on how to file claims yourself.
We cannot make any claims or guarantees regarding reimbursement from insurance companies, as your coverage is a function of the contract between you and your insurance company.
Our therapists have a very limited number of appointment slots reserved for temporarily discounted fees. If you are having financial difficulties and need a fee reduction, please contact our office to discuss possible options.
Medication Assisted Treatment Program (Fess may include ancillary/administrative fees from below): Intake Fee $50.00 1x = $50.00
Medication Dosing Fee $9.25 per dose 1x per day for 365 days = $3376.25
Plastic Bottle Fee (Single Doses) $20.00 per month 1x per month for 12 months = $240.00
Plastic Bottle Fee (Split Doses) $30.00 per month 1x per month for 12 months = $360.00
Glass Bottle Replacement Fee $1.00 per bottle 1x = $1.00
Outpatient Counseling Program (Fees may include ancillary/administrative fees from below): Intake Fee $200.00 1x = $200.00
Clinical Session (Individual/Group/Family) $75.00 per session 1x per week for 51 weeks = $3825.00
Intensive Outpatient Counseling Program (Fees may include ancillary/administrative fees from below): Intake Fee $200.00 1x = $200.00
Clinical Sessions (Individual/Group) $300.00 per week 1x per week for 6 weeks = $1800.00
Ancillary/Administrative Services (Fees only apply if requested by client): Crisis Consultation $100.00 per hour
Copying of Records $1.00 per page
Legal Services $100.00 per hour, minimum 1 hour
Participation at meetings or phone consultations with other professionals for continuity of care (that you have authorized) $50.00 per hour, minimum 1 hour
Report or letter writing to professionals, family members, courts, etc./Record review or treatment summary preparation $20.00 per hour, minimum 1 hour
Returned Check Service Fee $15.00
When changes to our fees occur, we will inform active clients via verbal/written notification, as well as posted notifications in the office, at least 1 month prior to changes. At that time, clients will be given new Good Faith Estimates to demonstrate the estimated costs of treatment based on the new fees.
Your right to a "Good Faith Estimate"
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals, who are not enrolled in a plan or coverage of a Federal health care program or not seeking to file a claim with their plan or coverage, both orally and in writing of their ability, upon request, or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
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 in-network insurance coverage an estimate of the bill for health 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, but also includes psychotherapy/marriage/family therapy.
A Good Faith Estimate should be available in writing at least 1 business day before your initial session whenever possible. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before/at the time when you schedule a 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.
Your rights & protections: "Surprise Bills"
The following may not be applicable to every aspect of our psychotherapy practice, however the below information is Federally required to be posted by all health care practitioners. (OMB Control Number: 0938-1401) When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is "Balance Billing/Surprise Billing?"
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from "Balance Billing" for the following:
Emergency services If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center When you get services from an in-network hospital or ambulatory surgical center, certain providers may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’tbalance bill you and may notask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’tbalance bill you unless you give written consent and give up your protections.
You’re never required to give up your protection from balance billing. You alsoaren’t required to get care out-of-network. You can choose a provider or facilityinyourplan’snetwork.
When "Balance Billing" isn't allowed, you also have the following protections:
You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
Your health plan generally must: Cover emergency services without requiring you to get approval for services in advance (prior authorization).
Cover emergency services by out-of-network providers.
Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
