Fee Schedule

Charges are based on length, complexity, and type of service provided. The attached fee schedule is a guide to most common potential charges, but note that exact fees cannot be determined until after service is provided. For more complete list please ask your provider.

**Please note that insurance does not always pay for all services. Please check with your insurance, your provider or our billing department if you have additional questions.

 
 ServiceFee
New Patient Evaluation: (99204/99205/90791/90792)300/380/285/290
Medication Management (MM) only (99212-215)110/140/190/275
MM/Therapy-16-37 min (fee for 99212-215 +90833)$105
MM/Therapy-38-52 min) (fee for 99212-215 +90836)$175
MM/Therapy- 60+ (fee for 88912-215 +90838)$205
Crisis face to face (60 minutes) 90839$275
Crisis add-on for additional time spent 90840$115
Family Therapy (with or without pt present) 90846/7$200
Individual/Family Therapy without MM (30 min)$115
Individual Therapy without MM (50 min) 90834$150
Individual Therapy without MM (60+ min) 90837$220
Group Therapy- per unit specified by course description 
Telephone consultation 
5-10 minutes$75
11-20 minutes$125
21-30 minutes$150
Late payment Fee$10
Late cancellation for appointment$75
No show for appointment visit$125
No show for appointment visit$125
Written documentation (per 10 minute increments)$45