Legal · No Surprises Act

Good Faith Estimate

You have the right to receive a Good Faith Estimate explaining the expected cost of your care.

Your Right to a Good Faith Estimate

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

What This Means for You

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
  • You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

Standard Fees at Compassionate Courage PLLC

Initial Intake Session

CPT 90791 · 60 minutes

$250 (self-pay)

Individual Psychotherapy

CPT 90837 · 53–60 minutes

$200 (self-pay)

Phone Consultation

· 15 minutes

Free

If you have insurance, your actual cost will depend on your specific plan, deductible, and copay. I am happy to check your benefits when we begin working together.

If Your Bill Is Higher Than Expected

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For information about your rights or how to start a dispute, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Questions?

If you have any questions about this notice or about the fees for your care, please reach out directly.

“Hi, I'm Connie. If you're not sure where to start, this is a good place.”

Request a consultation Free 15-min phone call · within the next 1 to 2 business days