Good Faith Estimate
This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate.
If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 368-1019. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/ nosurprises or call (800) 368-1019. Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.
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Primary Service:
Private Pay Rate
Individual Therapy Rate Per Appointment: $180 per session (private pay)
Couples Therapy Rate Per Appointment: $200 per session (private pay)
Group Therapy Rate Per Appointment: $40 - 60 per session (private pay - price depends on specific group offered)
Insurance Rate
Individual Therapy Rate Per Appointment: Co-pay based on specific insurance plan
Couples Therapy Rate Per Appointment: Co-pay based on specific insurance plan
Group Therapy Rate Per Appointment: Co-pay based on specific insurance plan
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​Rate Per Appointment for Individual Therapy Private Pay:
$180 per session Price per frequency of therapy services:
1x per month = $180
2x per month = $350
Weekly = $720
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Rate Per Appointment for Couples Therapy Private Pay:
$200 per session Price per frequency of therapy services:
1x per month = $200
2x per month = $400
Weekly = $800
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Rate Per Appointment for Individual Therapy (Insurance):
Co-Pay price per session Price per frequency of therapy services:
1x per month = 1 * co-pay price
2x per month = 2 * co-pay price
Weekly = 4 * co-pay price
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*Please note the prices listed are estimates and do not take into consideration cancellations, no-show/late cancellation fees, additional sessions as requested/needed, holidays, etc.