Insurance Billing

Psychotherapy services can range from two days to a year or more. The length of time you will need for therapy is based on your therapeutic goals, your overall wants and needs, and any psychosocial or financial barriers that may arise.

Communication is key to any healthy relationship. Should a financial hardship occur, you are encouraged to discuss your situation with your therapist at Chesapeake Counseling Center to determine the best resolution regarding your continuity of care and the therapeutic relationship.

If more time is required to meet your goals, your therapist will discuss your options. At that time, we will either create a new Good Faith Estimate, conclude your services, or provide a referral to another provider.

*Maximum does not include late cancellation/no-show fees, crisis sessions, or non-therapeutic charges (e.g., documentation fees, banking fees, and court/litigation fees) or other financial arrangements made on a case-by-case basis. See ‘Practice Policies, Disclosure, and Financial Responsibility’ for complete details regarding this fee schedule.

Description	Price
Charge Backs	$30.00
Non-sufficient funds (NSF)	$30.00
Documentation Fee	$50.00
Cancellation Fee (less than 24 hour notice)	$50.00

Code	Description	Price
90791	Intake Session – Individuals/Couples/Families 50 min	$150.00
90834	Individual Psychotherapy, 45-52 minutes	$125.00
90837	Individual Psychotherapy, 53-60 minutes	$150.00

Code	Description	Price
90791	Intake Session – Individuals/Couples/Families 50 min	$160.00
90834	Individual Psychotherapy, 45-52 minutes	$125.00
90837	Individual Psychotherapy, 53-60 minutes	$150.00
90853	Group Therapy, 75-80 minutes	$50.00

Code	Description	Price
90791	Intake Session – Individuals/Couples/Families 55 minutes	$195.00
90832	Individual Psychotherapy, 30 – 44 minutes	$100.00
90834	Individual Psychotherapy, 45 – 52 minutes	$125.00
90837	Individual Psychotherapy, 53 – 60 minutes	$150.00
90839	Psychotherapy Crisis, 60 minutes	$175.00
90840	Additional Psychotherapy Crisis, 30 minutes	$125.00
90846	Family Psychotherapy, conjoint psychotherapy w/o patient present 50 minutes	$150.00
90847	Family Psychotherapy, conjoint psychotherapy w/ patient present 50 minutes	$150.00
90853	Group Therapy, 75 – 80 minutes	$50.00

The following is a detailed list of expected charges. The estimated costs are valid for 12 months from the date of the Good Faith Estimate.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under this law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. Please read this if this applies to you.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least one (1) business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises