Fees & Access
What visits cost, how insurance works with this practice, and what happens if you need to cancel — stated plainly, before you get in touch. [Add one sentence describing your practice model in your own words (private out-of-network practice, insurance-based practice, consultation-only practice, etc.). Every orange field on this page still needs a real answer before the page is published.]
Session fees
| Service | Length | Fee |
|---|---|---|
| Initial psychiatric evaluation | [Length — private practices commonly list 60, 75, or 90 min. Pick the one you will actually schedule.] | [$___] |
| Follow-up — medication management | [Length — commonly 20, 25, or 30 min] | [$___] |
| [Combined therapy + medication visit — decide whether you offer one before this row exists, then write its label here (e.g. "Follow-up — therapy + medication"). Many private-practice psychiatrists do medication management only and refer therapy out; if that is you, delete this entire row rather than leaving it priced blank.] | [Length — commonly 45 or 50 min] | [$___] |
| [Interventional / neuromodulation consultation — decide whether this row is real before naming it, and write the label here only if it is. Your CV establishes TMS, focused ultrasound, and kTMP as research work, not as clinical services, so nothing about a clinical version of this is assumed. If you do offer one, name it and define exactly what it covers — review of prior treatment trials, candidacy assessment for fMRI-guided TMS, coordination with a stimulation center — and whether it is open to self-referred patients or by clinician referral only. If you do not offer it clinically, delete this entire row.] | [Length — commonly 45 or 60 min for a candidacy or treatment-review visit] | [$___] |
| [Second-opinion consultation — decide whether you take these, then write the label here (e.g. "Second-opinion consultation (incl. written report)"). If you do, say whether it is a one-time diagnostic and treatment review ending in a written report, whether the report goes to the patient or the referring clinician, and whether you accept self-referrals, clinician referrals, or both. If you do not offer second opinions, delete this entire row.] | [Structure — e.g. 2 visits plus a written report] | [$___ — usually quoted as one flat fee for the whole consultation rather than per visit] |
| [Brief phone consultation for prospective patients — decide whether you offer one, then label it here (e.g. "Phone consultation for prospective patients"). If you do, make clear it is a fit-and-availability call, not a clinical appointment. If you do not, delete this entire row AND remove the "Requesting an initial consultation" option from the Contact page dropdown — and if you remove it, also delete its matching `consultation` entry from the reasonLabels map in functions/api/contact.js so the two never disagree.] | [Length — commonly 10–15 min] | [Free, or a stated fee — whichever you choose must match the wording on the Contact page.] |
Fees current as of [Month Year — update this whenever you change the table]. [Out-of-session work — delete this sentence entirely if you do not bill separately for it. If you do, state it as a sentence: what is billable (extended time between visits, detailed reports, letters, forms) and the rate — a per-15-minute rate, an hourly rate prorated, or a flat fee per document. Say explicitly whether disability, FMLA, school, and legal paperwork are covered by that rate or quoted separately; these are the requests that most often cause billing disputes.]
Insurance & reimbursement
[Pick one model and write it here in your own voice. Practices almost always choose one of three: (a) fully out-of-network — no panels, patients pay directly and you provide superbills; (b) in-network — list exactly which plans you accept and note that acceptance can change; (c) cash-pay only, with no superbills issued. A common phrasing for (a): "I am an out-of-network provider and do not participate in insurance panels. That choice keeps visit length, treatment decisions, and confidentiality between you and me rather than an insurance reviewer." Do not publish this page until this paragraph is decided.]
[If you issue superbills, replace this bracket with: "After each visit you'll receive a superbill listing the diagnostic and procedure codes insurers require, which you may submit to your plan for out-of-network reimbursement. Many PPO plans reimburse a portion of out-of-network psychiatric care once the deductible is met." If you bill insurance directly, describe that process instead. If you issue neither, delete this paragraph and the checklist below.]
[Keep this checklist only if patients will actually use out-of-network benefits with you — that is, you are out-of-network or non-participating and issue superbills. If you are in-network, or cash-pay with no superbills, delete this sentence and the whole list below: printed on its own, an out-of-network benefits checklist tells a patient you are out-of-network before you have said so.] If you plan to use out-of-network benefits, these are the questions worth asking your insurer before a first visit:
- Do I have out-of-network mental health benefits?
- What is my out-of-network deductible, and how much of it has been met this year?
- What percentage of the "allowed amount" is reimbursed for CPT codes [List the codes you actually bill. Common in psychiatry: 90792 initial evaluation, 99213/99214 with add-on 90833 for medication management with psychotherapy, 90837 for a 60-minute psychotherapy session. Ask your biller to confirm before publishing — quoting codes you do not bill creates reimbursement disputes.]?
- How do I submit superbills, and is there a deadline after the date of service?
- Is prior authorization required for out-of-network psychiatric care?
Medicare: [State your status plainly — there are only three options and patients need to know which applies: enrolled and billing Medicare; a non-participating provider; or formally opted out of Medicare, in which case beneficiaries may see you only under a written private contract and neither of you may submit claims to Medicare. If you have opted out, this disclosure is legally required — confirm the exact wording with your attorney or billing counsel.]
Where I can see patients: [List every state where you hold an active, unrestricted medical license, and say whether visits in each are in person, by telehealth, or both. Patients generally must be physically located in a state where you are licensed at the time of the appointment — this is the single most common access question, so answer it here. Add license numbers only if your state board requires them in advertising.]
Good Faith Estimate
Under the federal No Surprises Act, patients who are uninsured or who are not using insurance have the right to a written Good Faith Estimate of expected charges before starting care. [Describe how your practice actually issues the estimate — the statute creates the patient's right, but the workflow is yours to build and this page should not promise one you have not set up. Say when it goes out (at scheduling, or a set number of business days before the first visit), how it is delivered (secure portal message, email, paper at intake), and whether you reissue it when the treatment plan changes materially. Delete this sentence if you have not yet decided the process.] If a final bill is at least $400 more than the estimate, you may dispute it. For questions or disputes, visit cms.gov/nosurprises or call 1-800-985-3059.
Payment & cancellation
[State when payment is due, in a sentence. Most private practices use "Payment is due at the time of service"; some bill at the end of each month, and some charge a card on file the evening of the visit. Write the one you will actually enforce, and make sure it matches your intake paperwork.] Accepted methods: [List what you will actually accept — credit/debit, HSA/FSA cards, ACH transfer, check. Say whether a card is kept on file and charged automatically after each visit, since patients need to consent to that in advance.]
Cancellation: [Decide two things and state them: the notice window (24 or 48 business hours are the usual choices) and the charge for late cancellation or no-show (full fee or a stated partial fee). A typical version: "Appointments canceled with less than 48 business hours' notice are charged the full fee. The time is reserved for you, and late notice rarely allows another patient to use it. Exceptions are made for genuine emergencies." Whatever you choose, it must match your intake paperwork.]
Optional
[Concierge or membership tier — delete this whole card if you do not offer one]
[If you offer a membership tier, describe four things: what is included (direct messaging or phone access, same-week appointments, extended visits, coordination with other treating physicians, an annual in-depth review), the monthly or annual fee, what it does NOT replace (per-session fees, emergency care, insurance), and how a patient joins or leaves. If you do not offer one, delete this card entirely rather than leaving it blank.]
Questions about affordability or fit?
Ask — directly and without awkwardness. [If you hold reduced-fee or sliding-scale slots, say how many and how to ask for one. If you do not, delete this sentence rather than implying flexibility you cannot offer.]