Understand your costs.
Know your options.

SELF-PAY FEE SCHEDULE

Fees, without the guesswork.

These are Steadwell's self-pay rates for care paid directly by the patient. If you are using insurance, your responsibility is determined by your plan and claim processing, rather than this self-pay schedule.

Psychiatric evaluations & medication follow-ups

Psychotherapy

The practice will confirm the appropriate visit type, length, availability, and total charge before scheduling, including how fees apply if psychotherapy and medication care are planned together. This fee schedule is not a personalized Good Faith Estimate. Pharmacy charges, laboratory services, and other outside providers' charges are separate unless specifically included in your written estimate.

Using insurance?

Keeping insurance information current is the patient's responsibility. Tell the practice promptly about changes in your plan, member information, coverage dates, or other insurance. Provide updated insurance documents through the patient portal or another secure method.

Before scheduling, contact your insurance company to confirm your eligibility and benefits for outpatient mental health treatment by a psychiatric-mental health nurse practitioner (PMHNP). Ask about the specific provider and practice, in-network or out-of-network status, deductibles, copayments, coinsurance, referrals, prior authorization, and any visit or telehealth limits.

The office may run a courtesy eligibility check and share what the response says about your coverage and benefits. Any information quoted by the office or billing team is an estimate based on the information available, not a guarantee of coverage, network status, payment, or final patient responsibility. Your particular health plan's terms and claim processing govern the final determination, including in-network and out-of-network benefits. Eligibility checks, referrals, and authorizations do not guarantee payment.

We will discuss permitted patient charges and payment arrangements. Government program restrictions and payer contracts apply. See our billing policy and financial hardship information.

YOUR RIGHTS UNDER THE NO SURPRISES ACT

You have the right to receive a Good Faith Estimate.

If you are uninsured or are not using insurance to pay for care, you generally have the right to a written estimate of expected charges when you request one or schedule services at least 3 business days ahead.

The estimate describes expected items, services, and charges based on what is known about your planned care. You can ask before deciding to schedule. Receiving an estimate does not require you to receive care here.

When you should receive it

For an appointment scheduled fewer than 3 business days ahead, the federal advance-estimate requirement generally does not apply. You may still ask the office about expected charges.

Keep a copy of your estimate

An estimate is not a bill or a guarantee that the final charge will be identical. Unanticipated care may affect charges. Keep your written estimate so you can compare it with your bill, and ask questions if planned services change.

If the bill is substantially higher

If a provider or facility bills you at least $400 more than that provider's or facility's Good Faith Estimate, you may qualify for the federal patient-provider dispute resolution process. A dispute generally must be started within 120 calendar days of the date on the initial bill. Contacting the practice about a concern does not extend the federal filing deadline.

For eligibility details, current process information, or complaints about a missing estimate, visit the CMS medical bill rights website or call the No Surprises Help Desk at 1-800-985-3059.