Fees & Payment Options
Private Pay
We accept major credit cards (Visa, Mastercard, Discover), cash or check for private pay and co-payments. Payment for services is due at the time of service. You will receive a Good Faith Estimate of primary and supplemental services as part of your intake paperwork, which you should review prior to your first appointment. The Good Faith Estimate is not a contract and does not obligate the client to obtain services at this practice. Note, there may be additional services recommended as part of the course of care that are not reflected in the estimate. Actual charges may differ from the estimate. We will provide a receipt for all services, which you may submit to your insurance carrier for reimbursement.
The client/representative may initiate a dispute resolution process if the actual billed charges are substantially in excess of the Good Faith estimate. Any dispute of charges should be submitted to the U.S. Department of Health and Human Services (HHS) in writing. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 1-800-985-3059.
Insurance
We are currently in-network with Blue Cross Blue Shield PPO and Blue Choice plans (we are not in-network with HMO plans at this time). Before initiating treatment, we will assist you in verifying your benefits coverage for therapy and assessments. You may have deductibles to meet, co-payments or co-insurance, or limitations or restrictions on the number of sessions covered or the types of services provided, which may affect your expected financial contribution during treatment. It is strongly recommended that you contact your insurance company to verify your network benefits prior to scheduling your initial appointment.
Some BCBS insurance plans may outsource behavioral health benefits to a third party payor. In addition, some plans require pre-authorization for psychological and neuropsychological assessment services, and others may not cover certain types of assessment codes or diagnostic codes. Be sure to contact the Member Services number on your insurance card to confirm that your coverage includes behavioral health benefits and/or psychological testing services. Also, we can only submit claims to your Blue Cross Blue Shield PPO or Blue Choice insurance if it is your primary insurance coverage.
Your co-payment (for insurance clients) or session fee (for self pay clients) is due at the time of service. Any billable services not covered by insurance will be charged to your credit card on file.
Fees
Brief Phone or Electronic Contact (< 10 minutes): No Charge
Extended Phone or Electronic Contact (>10 minutes) : $140 per hour (prorated)
Therapy Appointment: $175 to $195 per 55 minute session
Initial Intakes (first two sessions): $250 per 55 minute session
Doctoral Interns: $175 Intake, $125 per 50 minute session
Behavior Observation, Site Visit, or School Consultation: $195 per hour plus travel time
Assessments / Testing Services: Written estimate of costs provided after initial intakes
Documentation Preparation for Third Party (school, employer, etc.): Starting at $50
Legal Consultations, Depositions or Court Appearances: $250 per hour, plus travel time
Form Completion (disability, leave for work, etc.): $10 per page
Treatment Records: $25 for first 25 pages, $0.50 per page after
Fee for NSF (bounced) check: $35 plus the charge for service
Late cancellation (<24 hours) or no show fee: Charged at full session rate
Disputed charge fee: $25 for each disputed charge
Claim reprocessing fee: $30 for each claim
Unpaid balance >30 days: $50 per month added to account
Collections Fee on Unpaid Balances: 50% of balance
