Taking care of your mental health, one piece at a time.

Good Faith Estimate

Psychotherapy Services:

SERVICE w/ CPT CodeFEESELF PAY FEE 
Psychiatric Diagnostic Evaluation – 90791$350$225 
Individual Therapy (60; 53+ min) – 90837$250$145
Individual Therapy (45; 38-52 min) – 90834$200$120
Individual Therapy (30; 16-37 min) – 90832$150$80
Couples Therapy – 90837$275 $175 
Group Psychotherapy – 90853$100$45
Family Therapy w/ pt – 90847 $275$175
Crisis (30-74 minutes) – 90839$275$200
Crisis (every additional 30+ min; after 75 min) – 90840$175$100 
No Show/Late Cancel Fee $40
Late Cancellation – Explained$20
Court Related Fees$500/hour 2 hour minimum 

Medication Management Services:

SERVICE w/ CPT CodeFEESELF PAY FEE 
New patient evaluation 60 min – 99205$450$300 
New patient evaluation 45 min – 99204$350$250
New patient evaluation 30 min – 99203$275$200
New patient evaluation 15 min – 99202$200$100
Established patient visit 40 min – 99215$350 $275 
Established patient visit 30 min – 99214$250$175
Established patient visit 20 min – 99213$200$125
Established patient visit 10 min – 99212$150$75
Psychotherapy + E/M 60 min – 90838$450$300 
Psychotherapy + E/M 45 min – 90836$350$225
Psychotherapy + E/M 30 min – 90833$250$150
No Show/Late Cancel Fee $40
Late Cancellation – Explained$20
Court Related Fees$600/hour 2 hour minimum 

Notice: Your Right to a Good Faith Estimate (GFE)
As an uninsured or self-pay client, you have the right to a Good Faith Estimate (GFE) for your mental health care under the No Surprises Act. This document will detail expected costs for therapy sessions, diagnoses, and other services, helping you understand potential expenses before treatment begins. You can request a GFE from us before scheduling or at any time. This estimate is not a contract; additional, unexpected services might be added. If your final bill is substantially higher (by $400 or more), you have the right to dispute it. More information from CMS on your rights (CMS.gov).”