Fees & policies
Transparent fees, no surprises
Seven Rivers Psychiatry is a private-pay practice. You pay a clear, published fee, and in return you get long visits, direct access to your psychiatrist, and clinical decisions made by your doctor rather than an insurance reviewer.
Fee schedule
Visit fees
| Service | Length | Fee |
|---|---|---|
| Pre-intake consultation (every new patient) | 15 minutes | Free |
| Comprehensive psychiatric evaluation | Two 60-minute sessions | $1,200 |
| Extended follow-up (medication + therapy) | 50 minutes | $500 |
| Standard follow-up (medication management) | 25 minutes | $300 |
| Second opinion consultation, with written summary | 90 minutes | $1,200 |
The pre-intake consultation is free and required for every new patient; it protects you from paying for an evaluation at the wrong practice. Payment is collected at the time of the visit by credit card kept securely on file. Brief between-visit portal messages are included; matters requiring clinical judgment are handled in a scheduled visit.
Why private pay
Insurance-based psychiatry reimburses in a way that rewards short visits and large caseloads. That model makes 75-minute evaluations and unhurried follow-ups impossible. Operating outside insurance networks is what allows this practice to keep a small panel, spend real time on each person, and answer to patients rather than to utilization reviewers.
Using your out-of-network benefits
Many PPO plans reimburse a substantial portion of out-of-network psychiatric care. After each visit you receive a superbill, an itemized receipt with the codes your insurer needs. The process:
- Call the member number on your insurance card and ask about "out-of-network outpatient psychiatric benefits," your deductible, and the reimbursement rate.
- Attend your visit and pay the practice fee.
- Download the superbill from the patient portal and submit it to your insurer, usually through their website or app.
- Reimbursement is sent directly to you, typically within a few weeks.
You can also use HSA and FSA funds for visits.
Good Faith Estimate
Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges before you receive care. Because this practice publishes its fees, your costs are predictable, and a written Good Faith Estimate is provided to every new patient before the first visit and upon request at any time. If you are billed at least $400 more than your estimate, you may dispute the bill. For questions or more information, visit www.cms.gov/nosurprises.
Cancellation policy
Your appointment time is reserved for you alone. Appointments cancelled or rescheduled with less than 24 hours' notice are charged the full visit fee. Emergencies are treated like emergencies; talk to your doctor.
Questions about cost?
The FAQ covers reimbursement, HSA use, and medication costs in more detail.
Read the FAQ Book a free consultation