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Good Faith Estimate

Patients who are uninsured or who choose not to use insurance have the right to receive a Good Faith Estimate of expected charges for non-emergency care.

Healthcare providers are required to provide cost estimates to patients who are uninsured or who choose not to use insurance. Your total cost of services will depend upon the number of clinical appointments you attend, your individual circumstances, and the type and/or amount of services that are provided to you.

Service Fees

Service Fee
Initial Psychiatric Evaluation (60 min) $300
Initial Psychiatric Evaluation (90 min) $450
Follow-up Appointment (20–30 min) $150
Follow-up Appointment (31–60 min) $300
Prescription outside of appointment $30
Communications (5–15 min) $50–$75
Communications (15–30 min) $150
Documentation (per page) $50
Missed appointment or late cancellation (under 48 hours) Full charge

The final cost of services may be different than this estimate.

Dispute Resolution

If you receive a bill that is substantially different from your Good Faith Estimate, you may dispute the charges. Contact the U.S. Department of Health and Human Services (HHS) within 120 days of receiving the bill. There is a $25 fee to initiate a dispute.

For billing questions or to request an estimate, contact hello@cogniahealth.com.