Clear pricing. No surprises.
Every fee is published here. You'll never have to call to find out what something costs.
Psychiatric services
Visit fees
Rates effective at opening. These are the fees we intend to open with. Anyone on the waitlist will be told in writing before any change takes effect.
Initial Psychiatric Evaluation (child/adolescent — incl. parent interview)
75–90 minutes. Full developmental and psychiatric history, parent interview, diagnostic assessment, and a treatment plan built together.
Initial Psychiatric Evaluation (adult)
60–75 minutes. Full history, diagnostic assessment, and a treatment plan built together.
Extended Follow-Up
40–45 minutes. For complex adjustments, layered diagnoses, or longer conversations.
Standard Follow-Up
25–30 minutes. Routine medication management, monitoring, and adjustment.
ADHD Evaluation & Report
One price, everything included. No add-ons, no separate charge for the appointment where we tell you what we found.
ADHD Evaluation & Report
For people new to the practice. Two appointments: the initial evaluation, then a separate results appointment where we go through what we found. Also includes rating scales from home and school or work with their scoring, collateral contact, differential review, and the written report.
ADHD Evaluation & Report — established patients
The same evaluation for patients already in our care. Two appointments: the assessment visit and a separate results appointment. It costs less because we already have your history.
What this fee covers, in full: every appointment in the evaluation, the rating scales and their scoring, collateral contact with your school or workplace, the written report, and the results visit. Nothing is billed on top of it. If we conclude that ADHD is not what's going on, you still receive the full report and our reasoning — the answer is the product, not the diagnosis. If you begin with a standard initial evaluation and later decide to complete the full ADHD evaluation, the established-patient rate applies.
Autism evaluation
For adults looking for an answer, and for families waiting on a diagnostic center.
Adult Autism Evaluation & Report
A full developmental and psychiatric history, validated self-report measures including camouflaging, collateral from someone who knew you growing up if you want it, and careful work on what else could explain the picture. ADHD, anxiety, trauma and autism overlap heavily, and often occur together rather than instead of each other. You get a written report with the reasoning, not just a conclusion.
For children and teenagers
Autism is part of the differential in every initial evaluation, at no additional charge.
If you are waiting for a diagnostic evaluation. Michigan centers often have waits of a year or more. That does not always have to delay treatment. Blue Cross allows ABA to begin before the evaluation is finished if the ABA provider can document an established concern and a scheduled or waitlisted appointment. We provide that documentation. We cannot promise approval, because the request comes from the ABA provider and the decision is your insurer’s.
Meanwhile we treat the anxiety, sleep and attention problems that usually make daily life hardest. A diagnostic center does not.
One thing to know. The multidisciplinary evaluation some insurers require to authorize ABA for children is not something we offer yet. We are building toward it. If that is what you need now, tell us and we will point you to the right pathway rather than sending you in a circle.
Other charges
| Item | Fee |
|---|---|
| Letters and forms — short letters and routine paperwork based on care already provided. This is not a diagnostic report. Documentation supporting a 504 plan, an IEP, university disability services, or an employer ADA request requires the full evaluation — we cannot write it without the assessment behind it. | $95 |
| Late cancellation — less than 48 hours' notice | Full visit fee |
| Missed appointment — no notice | Full visit fee |
| Records request — copy of your chart | No charge |
| Prior authorization submitted on your behalf | No charge |
The codes on your superbill
Most practices make you call and ask. We'd rather just publish them, so you can check your coverage before you ever book.
| Visit | Codes commonly used |
|---|---|
| Initial Psychiatric Evaluation — child/adolescent, 75–90 min | 90792 |
| Initial Psychiatric Evaluation — adult, 60–75 min | 90792 |
| Standard Follow-Up — 25–30 min | 99214 (± 90833 when therapy is part of the visit) |
| Extended Follow-Up — 40–45 min | 99215 (± 90836) |
| ADHD Evaluation & Report | 90792 + 96127 (per rating scale) |
An honest caveat. These are the codes we use most often, not a promise. The code that appears on your receipt reflects the actual length and complexity of the visit you had, and we're required to bill it that way. Your superbill also carries a diagnosis code — ask us any time and we'll tell you exactly what it is and what it means.
If you have Michigan Medicaid or Medicare. Different rules apply, and we will never bill you the difference between our fee and what those programs allow. Tell us on the free call and we'll explain in plain language what you would and wouldn't owe — including when the honest answer is that another practice is the better choice for you.
Why we don't bill insurance
- Appointment length is set by what you need, not by what a billing code pays for.
- No prior authorizations, no denials, no third party deciding what's medically necessary.
- Your diagnosis stays between us, rather than in an insurer's permanent file.
- Shorter waits — we're not managing a panel sized for insurance economics.
What we do offer
- ·Superbills on request, so you can claim out-of-network reimbursement.
- ·HSA and FSA cards accepted.
- ·Payment plans available for assessment packages.
- ·A Good Faith Estimate in writing before you commit.
How out-of-network reimbursement works
- You pay us directly at the time of your visit.
- We give you a superbill — an itemized receipt with the diagnosis and procedure codes your insurer needs.
- You submit it to your insurance company, usually through their app or website.
- If your plan has out-of-network mental health benefits, they reimburse you directly.
What to ask your insurer
Call the member services number on the back of your card and read them these five questions. It takes about ten minutes and it's the single most useful thing you can do before your first visit.
- Do I have out-of-network outpatient mental health benefits?
- What is my out-of-network deductible, and how much of it have I met this year?
- Once the deductible is met, what percentage do you reimburse, and is it based on my provider's fee or on your allowed amount?
- Is there a limit on visits per year, and do any visits require prior authorization?
- How do I submit a superbill, and how long does reimbursement usually take?
Write down the name of the person you spoke with and a reference number. If they ask for procedure codes, ours are published on this page. Reimbursement depends entirely on your specific plan — we can't promise an amount, and we won't pretend to.
Your right to a Good Faith Estimate
Under the federal No Surprises Act, you have the right to receive a written estimate of the total expected cost of your care before you receive it. We provide one on request, with no obligation.
Payment questions
Common questions about cost.
Do you offer a sliding scale?
No. We keep our fees published and consistent for everyone rather than negotiating case by case. We do offer payment plans for assessment packages, and we'll always tell you the full expected cost before you commit.
Can I use my HSA or FSA?
Yes. Psychiatric evaluation, medication management, and diagnostic assessment are qualifying medical expenses. We accept HSA and FSA cards directly.
What if my insurance has no out-of-network benefits?
Then the fees above are what you'd pay. That's a real consideration, and for some families it means a different practice is the better choice — we'd rather tell you that on the free call than after your first bill.
When is payment due?
At the time of service. We keep a card on file through our secure payment processor and charge it after each visit.
What's your cancellation policy?
We ask for 48 hours' notice. Cancellations inside that window and missed appointments are charged the full visit fee, because that time was held for you and can rarely be filled.
Will you ever take insurance?
It's under consideration. If that changes, we'll announce it here and to everyone on our waitlist first.
Not sure where to start?
A free 20-minute call can help you work out what you need and what it would cost. No charge, no obligation.