Good Faith Estimate
A Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill. If you are billed for more than this Good Faith Estimate, you have the right to dispute the bill. You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. To learn more and get a form to start the process, go to www.cms.gov/nosurprises. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises. Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.
It is ethical for us to provide clear and upfront pricing for all of our clients. For this reason, we post our fee schedule for everyone to see.
Cairn Wellness Center, LLC (CWC), Fee Schedule for 2024/2025
The following is a detailed list of your expected charges. The estimated costs are valid for 12 months from the date of the Good Faith Estimate.
Provider Estimates – *Maximum does not include late cancellation/no-show fees, crisis sessions, non-therapeutic charges e.g., documentation fees, banking fees, court/litigation fees, or other financial arrangements based on a case-by-case basis.
Psychotherapy services vary in cost depending upon the provider:
Intake Session – Individual, Couple, or Family 50-55 minutes
Licensed Provider: $175.00; Candidate for Licensure: $125; Graduate Intern: $45.00
Psychotherapy – Individual, Couple, or Family 50-55 minutes
Licensed Provider: $160.00; Candidate for Licensure: $125; Graduate Intern: $45.00
Total yearly investment that includes 2 Intake Sessions, and 50 Psychotherapy sessions (1xweek)
Licensed Provider: $8350.00; Candidate for Licensure: $6500.00; Graduate Intern: $2340.00
PLEASE NOTE THAT YOUR MAXIMUM CAN AND LIKELY WILL BE LOWER BECAUSE IT CAN BE DIFFICULT TO HAVE 52 WEEKS OF SERVICES. Your treatment plan might reduce to biweekly or monthly services, and therefore be less.
These totals above DO NOT account for no-show/late cancellation fees, bank charges, crisis sessions, non-therapeutic charges e.g., documentation fees, banking fees, court/litigation fees, or other financial arrangements based on a case-by-case basis. You are encouraged to carefully read the ‘Practice Policies, Disclosure, and Fee Agreement’ that was in your intake packet for complete details regarding fee schedule.
Length of Services
Psychotherapy services can range from one session to weekly sessions or more. The length of time you will need to be in therapy is based on your therapeutic goals, your overall wants and needs, and any psychosocial/financial barriers that may arise. With this being said, communication is key to any healthy relationship. Should a financial hardship occur, you are encouraged to discuss your situation with your therapist at Cairn Wellness Center to determine the best resolution as it pertains to your continuity of care and the therapeutic relationship. Some sliding scale services may be available but you must apply by providing:
Current Proof of Income: Last year’s Tax return, pay stubs x 4 weeks, unemployment benefit statement, or Social Security 1099 or benefit notice.
Fully completed Application, including family size and all information required.
Should more time be required to meet your therapeutic goals when your current good faith estimate expires (12 months after receiving it), we will discuss your options with you at which time a new Good Faith Estimate will be created, your therapeutic services will end, or you are referred to another provider.