FEE SCHEDULE
|
Description |
CPT
Code |
Medicare Par. Amt. |
40%
Mark-Up Charge |
Suggested Charge |
|
Initial Visit (Intake) |
90801 |
$131.21 |
$191.67 |
$190.00 |
|
20-30 Min. with Client |
90804 |
$55.21 |
$81.59 |
$80.00 |
|
45-50 Min. with Client |
90806 |
$78.75 |
$119.38 |
$120.00 |
| 75-80
Min. with Client |
90808 |
$116.45 |
$177.06 |
$180.00 |
| 20-30
Min. with Client - Play Therapy - Non-Verbal |
90810 |
$58.68 |
$87.09 |
$90.00 |
| 45-50
Min. with Client - Play Therapy - Non-Verbal |
90812 |
$85.37 |
$128.77 |
$130.00 |
| 75-80
Min. with Client - Play Therapy - Non-Verbal |
90814 |
$122.45 |
$186.00 |
$190.00 |
| Family Therapy
w/o Client Present - Per Hr. |
90846 |
$76.75 |
$116.49 |
$120.00 |
|
Family Therapy with Client
Present - Per Hr. |
90847 |
$95.37 |
$142.91 |
$150.00 |
| Group Therapy
(Multi-Family) - Per Hr. |
90853 |
$26.95 |
$40.12 |
$40.00 |
| Psychological
Testing & Assessment - Per Hr. |
96101 |
$75.61 |
$128.80 |
$130.00 |
|
Prep. of Report, Status,
Progress, History Per Hr., 1 Hr. Min. (Not Legal) |
90889 |
|
|
$50.00 |
| |
|
|
|
|
***Based Off of Medicare Par
Schedule and 40% Mark-up 2007 Fee Schedule
*Any Account Over 60 Days Old
Will Be Billed to Client (18% APR Interest May Be Charged)
|
Description |
Suggested Charge |
|
Batterers Intervention Intake & Testing |
$175.00 |
|
Batterers Intervention Group |
$40.00 |
|
Anger Management Intake |
$175.00 |
|
Anger Management Group |
$40.00 |
|
Anger Management If Seen Individually - 1 Hour Session |
$70.00 |
| |
|
|
Description |
Suggested Charge |
|
Professional Discount Courtesy
w/o Insurance • Based on 45-50 Minute Sessions Income Amount
Must Be Verified (Minimum Charge for up to 45-50 Min.) |
|
Family Income $20,000 or less |
$60.00 |
|
Family Income $35,000 or less |
$75.00 |
|
Family Income $35,000 or more |
$90.00 |
| |
|
EFFECTIVE DATE 7/1/2009
*FEE SCHEDULE SUBJECT TO CHANGE
WITHOUT PRIOR NOTICE BY MANAGEMENT
Contact us
today to make your appointment!
