• Fees are based on visit length, regardless of which services are included in the visit:

  70-minute Initial Intake Visit: $500

  50-minute Follow-Up Visit: $400

  25-minute Follow-Up Visit: $300

Please note that additional charges may be incurred for related services that may be required in individual cases. If you have any questions or concerns regarding potential needs or charges outside of visits, please don’t hesitate to ask.

• This practice is out-of-network with insurers and does not bill insurance companies directly. If you’d like to request reimbursement from your insurance company, it’s your responsibility to verify that your plan covers "out-of-network" services. You are responsible for understanding your benefits, including any responsibilities you may have for deductibles.

• A monthly summary of charges (aka a “superbill”) can be provided to you, with all required information for you to submit a request for partial reimbursement for out-of-network care from your insurance company, if your insurance offers this. 

• The amount an insurance company will reimburse for out-of-network care varies. In checking with your insurance carrier, it may help to know the most common billing codes associated with patient visits at this practice:

  • 70-minute Initial Intake: 99203 or 99204 (depending on complexity) plus 90833 or 90836

  • 50-minute Follow-Up: 99213 or 99214 (depending on complexity) plus 90833 or 90836. In some cases, 90834 or 90837 may be the only codes billed, if services provided are exclusively psychotherapy.

  • 25-minute Follow-Up: 99213 or 99214 (depending on complexity) plus 90833.

Notice of Right to a Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your health 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 their expected charges for health care items and services before those items or services are provided. You have the right to receive a Good Faith Estimate for the total expected cost of your non-emergency healthcare services when scheduling an appointment or upon request. If you schedule an appointment at least 3 business days in advance, we will provide you with a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule an appointment at least 10 business days in advance, we will provide you with a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask us for a Good Faith Estimate before you schedule an appointment, which we will provide to you within 3 business days of your request. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.