Good Faith Estimate
You have the right to request a “good faith estimate” explaining the expected costs of your care.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call tel:(800) 368-1019
Rates
The following rates apply to patients who are not using insurance to pay for their care.
Initial Evaluation
Initial Evaluation $350
Medication Management (Evaluation and Management)
15 minutes $108
30 minutes $150
45 minutes $225
Additional 15 minutes $75
Psychotherapy
Up to 30 minutes $125
Up to 45 minutes $225
Up to 60 minutes $300
Additional Charges
Medication renewals (only applies for more than one call between appointments) $30
Chart Review (outside appointment) $100
FMLA $35
Jury Duty No Charge
Return to Work No Charge
Disability Paperwork*
straightforward $50
moderately complicated $125
very complicated will discuss
Referral letters*
Straightforward $30 (will try to incorporate into session for no extra charge)
Complicated $100
After hours consultation
5-10 minutes $50
11-20 minutes $100
21 to 30 minutes $150
*charges depend on the complexity of the form/letter