Under the federal No Surprises Act, healthcare providers generally must give uninsured and self-pay individuals a Good Faith Estimate of reasonably expected charges for scheduled healthcare services.
You may be eligible for a Good Faith Estimate if:
- You do not have health insurance; or
- You have health insurance but do not plan to submit a claim or use your insurance benefits for the services.
The self-pay fee for an individual 60-minute psychotherapy session is $140.
The total expected cost of treatment depends on the number and frequency of sessions. For illustration:
- One session: $140
- Four sessions: $560
- Eight sessions: $1,120
- Twelve sessions: $1,680
- Twenty sessions: $2,800
- Fifty-two weekly sessions: $7,280
These examples are not a recommendation or guarantee regarding the number of sessions you will receive. The frequency and duration of psychotherapy are determined collaboratively and may change based on your clinical needs, preferences, progress, availability, and decisions about continuing treatment.
Receiving your individual estimate
Eligible uninsured or self-pay clients will receive a separate written Good Faith Estimate after scheduling or upon request. The estimate will identify the reasonably expected services and charges based on the information known when the estimate is prepared.
The estimate is not a contract and does not require you to receive services from this practice.
A Good Faith Estimate may not include services that are not reasonably anticipated when the estimate is prepared. If your needs or treatment plan change, you may receive an updated estimate.
To request a Good Faith Estimate, contact:
Timing
When applicable, a Good Faith Estimate generally will be provided:
- Within one business day after scheduling when services are scheduled at least three business days in advance.
- Within three business days after scheduling when services are scheduled at least ten business days in advance.
- Within three business days after an uninsured or self-pay individual requests an estimate.
If your bill is substantially higher than the estimate
If a bill from a provider is at least $400 more than that provider’s Good Faith Estimate, you may be eligible to use the federal patient-provider dispute-resolution process.
You generally must begin the dispute process within 120 calendar days of receiving the initial bill.
For information, visit CMS Medical Bill Rights. You may also call the federal No Surprises Help Desk at 1-800-985-3059.
Keep a copy of your Good Faith Estimate and your bills. Questions about an estimate or bill may also be directed to the practice before starting a dispute.