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)320/390/285/290

Medication Management (MM) only (99212/99213/99214/99215)

If you receive therapy/counseling over 15 minutes, in addition to MM, the fee for this service is added to the MM fee. Below are the three types of services fees that can be added on to the MM service fee above. To calculate your total add the fee in this line (MM Fee) + the therapy/counseling fee below. Example: 99214 ($110)+90833 ($105)= Total $215.

110/152/225/305
Therapy/counseling 16-37 min (MM Fee + 90833)$105
Therapy/counseling 38-52 min (MM Fee + 90836)$175
Therapy/counseling 60+ min (MM Fee + 90838)$230
Crisis face to face (60 minutes) 90839$280
Crisis add-on for additional time spent 90840$135
Family Therapy (with or without pt present) 90846/7$215/225
Individual without MM 90832 (30 min)$150
Individual Therapy without MM (50 min) 90834$150
Individual Therapy without MM (60+ min) 90837$220
Group Therapy- per unit specified by course description$100
Late cancellation for an appointment$75
No show for an appointment$125