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The amount below is only an estimate; it isn’t an offer or contract for services. This estimate shows the full estimated costs of the items or services listed. It doesn’t include any information about what your health plan may cover for out-of-network providers. This means that the final cost of services may be different than this estimate. You and your psychiatrist will determine the frequency of appointments together based on your needs. This may vary depending on whether you receive services for medication management, therapy, or both. We are concerned that there will be an element of “sticker shock.” Seeing the total cost of a year’s work of treatment can be alarming, but there is no guarantee that you will be in treatment for a full year. Please keep in mind that this estimate does NOT account for any potential out-of-network reimbursement from your insurance carrier.

Please be aware of the following maximum out-of-pocket scenarios:

Medication management with brief psychotherapy: typically requires an initial 45 minutes to 1 hour appointment ($450), plus on average monthly up to 20 minute follow-up appointments at $225 each. This could lead to a total of $3150 over a 12 month period of time.

You should also be aware that, since we charge for “other professional services” (described in the new patient contract), this may add additional out-of-pocket costs. While it is impossible to predict the exact amount of professional services a patient may need outside of their appointments.

The totals below are OVERESTIMATIONS for the vast majority of patients, but we want you to be aware of the possible out-of-pocket maximum costs over 12 months should you require that amount of care:

Medication management with brief psychotherapy: $3150

It is based on once-monthly appointments for a year, you may attend appointments less frequently than this and your cost would be less, you may attend appointments more frequently than this and your cost would be more.

The estimated costs are valid for 12 months from the date of the Good Faith Estimate.

The following are our fees for services, you estimate is being based on the fact that you are scheduled to see a Psychiatrist (M.D.), Psychiatric PA or Psychiatric Nurse Practitioner.