Invest in Your Well-Being
Financial Details
Brookside Anxiety & Mental Health is considered an “out-of-network” practice. Our practice does not submit to insurance, or participate in any health insurance or managed care company plans. However, many insurance companies will offer out-of-network mental health benefits so it is highly advised that you contact your insurance and ask about these benefits. You can absolutely use FSA and HSA cards to pay for services. You can independently submit claims to your insurance to determine reimbursement.
A statement will be provided at the end of each appointment that should include all information necessary to receive reimbursement from your insurance company. You may submit this statement to your insurance company and/or save it for your financial records. If planning to submit to insurance, it is recommended that you contact your insurance company in advance to verify that your benefits include out-of-network coverage. You will then be reimbursed directly by your insurance company based on the terms of your policy.
Brookside Anxiety & Mental Health is not a covered provider for either Medicare or Medicaid. In such circumstances, patients must forego the use of these benefits for our services and will not be eligible to independently file claims.
Benefits of Choosing Out-of-Network Therapy at Brookside Anxiety & Mental Health
While the fee for out of network services may initially be higher, the benefits of out-of-network psychotherapy services include:
The ability to develop an individualized treatment plan with your therapist (e.g., length, intensity, and type of therapy) based on clinical need and evidence-based practice as opposed to regulated protocols imposed by third party payers.
The choice to not involve any third parties in billing or paperwork.
An investment in evidence-based treatment that most often reduces or even eliminates the need for such services over time, often resulting in lower out-of-pocket costs in the long run.
See more information on our No Surprises Act and out-of-network fees.
Brookside Anxiety & Mental Health Therapy Rates and Good Faith Estimate
This Good Faith Estimate explains your therapist’s rate for each service provided. Your therapist will collaborate with you throughout your treatment to determine how many sessions or services you may need to receive the greatest benefit based on your diagnosis(es)/presenting clinical concerns.
Please note that Place of Service (in office vs. telemental health) is not delineated since the charges are identical.
Drs. Smith, Sexton, & Fontaine’s Fees
| Service / CPT Code | Duration / Notes | Fee |
|---|---|---|
| 90791 Initial Diagnostic Evaluation | 90 minutes | $385 |
| 90834 Psychotherapy (45–50 minutes) | 45–50 minutes | $190 |
| 90832 Psychotherapy (20–25 minutes) | 20–25 minutes | $105 |
| 90837 Psychotherapy (60–65 minutes) | 60–65 minutes | $252 |
| 90837 Psychotherapy (85–90 minutes) | 85–90 minutes | $357 |
| 90839 Psychotherapy for a Crisis | Within 48 hours, prorated at $31 per 5 min | Varies |
| 90846 / 90847 Family Psychotherapy | 45–50 minutes | $190 |
| 90846 / 90847 Family Psychotherapy | 60–65 minutes | $252 |
| 90846 / 90847 Family Psychotherapy | 85–90 minutes | $357 |
| 98966–98968 Telephone Assessment & Management | Prorated at $21 per 5 min | Varies |
| 98970–98972 Online / Digital Evaluation & Management | Responding via email/text, prorated at $21 per 5 min | Varies |
| Production of Records | Prorated at $21 per 5 min | Varies |
| Cancellation Fee | Less than 24 hours before session | $50 first time; full session fee thereafter |
| Legal Fees | Preparation, communication, or testimony | $400 per hour |
Dr. Jardine and Ms. Steven’s Fees
| Service / CPT Code | Duration / Notes | Fee |
|---|---|---|
| 90791 Initial Diagnostic Evaluation | 90 minutes | $360 |
| 90832 Psychotherapy (brief) | 20–25 minutes | $95 |
| 90834 Psychotherapy (standard) | 45–50 minutes | $175 |
| 90837 Psychotherapy (long) | 60–65 minutes | $228 |
| 90837 Psychotherapy (extended) | 85–90 minutes | $323 |
| 90839 Psychotherapy for a Crisis | Within 48 hours, prorated at $28 per 5 min | Varies |
| 90846 / 90847 Family Psychotherapy | 45–50 minutes | $175 |
| 90846 / 90847 Family Psychotherapy | 60–65 minutes | $228 |
| 90846 / 90847 Family Psychotherapy | 85–90 minutes | $323 |
| 98966–98968 Telephone Assessment & Management | As needed, prorated at $19 per 5 min | Varies |
| 98970–98972 Online / Digital Evaluation & Management | Email or text, prorated at $19 per 5 min | Varies |
| Cancellation Fee | Less than 24 hours before session | $50 first time; full session fee after |
| Production of Records | As needed, prorated at $19 per 5 min | Varies |
| Legal Fees | Preparation, communication, or testimony | $375 per hour |
Practicum Student Fees
Please note: Practicum student fees may not be reimbursable by insurance.
| Service | Duration / Notes | Fee |
|---|---|---|
| Initial Diagnostic Evaluation | 90 minutes | $160 |
| Psychotherapy | 45–50 minutes | $90 |
| Psychotherapy | 20–25 minutes | $45 |
| Psychotherapy > 60 minutes | Prorated based on time spent | Prorated at $10 per 5-minute increment |
Assessment
Assessment begins with data collection and a 90 min diagnostic interview. At the conclusion of the interview, you will be provided a good faith estimate of final cost of the assessment. You will also be provided additional forms to complete which could include completion by teachers, parents, or partners. Your provider might also need to review records (e.g., grades, previous reports) or speak with others (e.g., teachers, members of care team).
Assessment cost varies greatly depending on the diagnostic questions.
| Service / CPT Code | Duration / Notes | Fee |
|---|---|---|
| 90791 Initial Diagnostic Interview | 90 minutes | $385 |
| 96130 & 96131 Psychological Testing (additional hours) | Per hour | $252/hour |
| 96136 & 96137 Administration & Scoring (additional 30 minutes) | Per 30 minutes | $126/30 min |
| 98968 Phone Contact (21-30 minutes) | Phone contact | $126 |
| 90889 Preparation of Report | Per hour | $252/hour |
| 90887 Consultation | Per hour | $252/hour |
| Feedback Session | 45-50 minutes | $190 |
| Service | Notes | Fee |
|---|---|---|
| Average Assessment Total Cost (Autism Spectrum Disorder) | Estimated total | $2,000-$4,000 |
| Average Assessment Total Cost (ADHD) | Estimated total | $1,500-$3,000 |
| Average Assessment Total Cost (Gifted) | Estimated total | $1,500-$2,000 |
| Average Assessment Total Cost (Learning Disability) | Estimated total | $2,000-$3,000 |
| Average Assessment Total Cost (Differential Diagnosis / Comprehensive Evaluation) | Estimated total | $2,000-$4,000 |