Good Faith Estimate

Your Right to Understand Therapy Costs

Under the No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges for mental health services. We're committed to transparent pricing so you can make informed decisions about your care.

Effective January 1, 2022

Understanding Your Good Faith Estimate

What This Document Means

The Good Faith Estimate provides expected costs for therapy services at KMH Counseling. This helps you:

  • Understand potential expenses
  • Plan your mental health investment
  • Avoid surprise bills
  • Make informed decisions

This is an estimate, not a contract for services

Service Codes & Costs

Initial Diagnostic Evaluation

CPT Code:90791
Duration:90 minutes
Estimated Cost:$250
Frequency:One time

Individual Psychotherapy (Standard)

CPT Code:90834
Duration:55 minutes
Estimated Cost:$185
Frequency:As determined by treatment plan

Individual Psychotherapy (Extended)

CPT Code:90837
Duration:60+ minutes
Estimated Cost:$220
Frequency:As needed

EMDR Therapy Session

CPT Code:90834 or 90837
Duration:55 minutes
Estimated Cost:$185-280
Frequency:As determined by treatment plan

Typical Treatment Scenarios

Short-Term Therapy

12

sessions

Initial evaluation:$250
11 weekly sessions:$2,035
Total Estimate:$2,285

Moderate-Term Therapy

24

sessions

Initial evaluation:$250
23 sessions:$4,255
Total Estimate:$4,505

Long-Term Therapy

52

sessions

Initial evaluation:$250
51 sessions:$9,435
Total Estimate:$9,685

These are estimates only. Your actual needs may vary.

If You Have Insurance Coverage

In-Network Insurance

(BCBS PPO, Aetna, Cigna)

Your cost will typically be:

  • Copay: $20-40 per session
  • Or coinsurance: 10-20% of allowed amount
  • After deductible is met

Out-of-Network Insurance

Your cost will typically be:

  • Full fee paid upfront: $185-250
  • Reimbursement: 50-80% of fee
  • After out-of-network deductible

Contact your insurance for specific coverage details

What May Change Your Estimate

Treatment Duration

  • Severity of symptoms
  • Treatment goals
  • Progress rate
  • Life circumstances
  • Personal preference

Session Frequency

  • Weekly vs. biweekly
  • Maintenance sessions
  • Crisis periods
  • Schedule flexibility

Service Type

  • Standard therapy
  • EMDR processing
  • Extended sessions
  • Crisis intervention

Understanding Financial Expectations

Payment Due

  • At time of service
  • Before session begins

Accepted Payment:

  • • Credit/debit cards
  • • HSA/FSA cards
  • • Cash or check

Cancellation Policy

  • 24-hour notice required
  • No charge with proper notice
  • Full fee for no-shows

Your Rights & Protections

Under the No Surprises Act

You Have the Right To:

  • Receive this estimate before services
  • Be notified of changes exceeding $400
  • Dispute bills that exceed estimate
  • Choose different providers
  • Ask questions about costs

If Your Bill Exceeds Estimate by $400+:

  • You can dispute the charges
  • Contact: 1-800-985-3059
  • Visit: cms.gov/nosurprises

Questions About Costs?

We're here to help you understand your investment in mental health care.

Common Questions:

"What if I need more sessions than estimated?"

We'll discuss ongoing costs and adjust the estimate as your treatment progresses.

"Can I reduce costs?"

Options include: using insurance, HSA/FSA.

Contact Information:

KMH Counseling

1820 W. Webster Ave, Suite 400
Chicago, IL 60614

📞 (312) 869-2081

✉️ katherine@kmhcounseling.com

This estimate does not obligate you to continue treatment