---
title: Good Faith Estimate
date: 2024-03-29T18:31:59Z
modified: 2024-04-02T13:55:21Z
permalink: "https://drsarahallen.com/good-faith-estimate/"
type: page
status: publish
excerpt: ""
wpid: 187922
author: Dr. Sarah Allen
---

# Dr.Sarah Allen**Good Faith Estimate**



                               

## What is the No Surprises Act?

The Federal No Surprises Act aims to increase price transparency and reduce the likelihood that clients receive a “surprise” medical bill by requiring that providers inform clients of an expected charge for a service before the service is provided.

Starting January 1, 2022, behavioral health care providers are required by law to give uninsured and self-pay clients a good faith estimate of costs for services when the client requests an estimate.

Dr. Sarah Allen always discusses pricing with new clients prior to scheduling their first appointments and will continue to do so. However, if you would like a formal Good Faith Estimate (GFE), please know that you can ask for one and that the law requires that this GFE will become part of your medical record.

[LEARN MORE](https://www.cms.gov/nosurprises)









## Good Faith Estimate

You are entitled at any time to request a Good Faith Estimate (GFE) for any procedure. Here are a few things to help you navigate this request:

- Only those who are paying for services out of pocket AND are not planning to submit to insurance are eligible at this time to request a GFE.
- You may request a GFE prior to the first session, between sessions or at any time during your care.
- Your GFE will have a diagnosis attached. If you have not yet been seen by Dr. Sarah Allen when you make your request, a provisional diagnosis will be determined.
- You may request that the GFE be delivered to you in written or electronic form.
- When requesting the GFE, please ask Dr. Sarah Allen directly via email <drsarahallen@drsarahallen.com>.
- Your GFE will become part of your medical record.







## Fees

Below please find the out-of-pocket fees and procedure codes.

**MOST COMMON PROCEDURE CODES AND PRICES**

Please review them and let us know if you have any questions at all regarding any part of the following codes.

### **90834: INDIVIDUAL** PSYCHOTHERAPY**, 45 MINUTES**

This is a 45 minute individual counseling session.

**Cost: $165**



### 90837: INDIVIDUAL PSYCHOTHERAPY, 55 MINUTES

This is a 55 minute individual counseling session.

**Cost: $200**



### 90791: INTAKE DIAGNOSTIC SESSION, 55 MINUTES

This is the first session of counseling. It is meant to be a diagnostic interview where background information is compiled, rapport begins to be established, and a diagnosis can begin to be formulated.

**Cost: $200**



### **90847: FAMILY** COUNSELING **WITH CLIENT PRESENT 45 MINUTES**

This is a family counseling session. It is used when the subject of the session is a relationship within the family, such as couples counseling or traditional family therapy. Two or more people must be present in counseling during this session.

**Cost: $165**







## Other Fees

### **Missed Appointment Fee**

The fee for a missed appointment is **$165.**



### **Late Cancellation Fees**

Less than 24 hours bur before 8am the day of appointment is **$50**

After 8am the day of appointment is full fee **$165**



### **Court- or Legal-Related Charges**

**$500** per hour for any services that Dr. Sarah Allen is asked to perform that are in service of legal proceedings.





[Book An Appointment](https://drsarahallen.com/contact/)



If you are thinking about getting counseling and you’d like to talk to someone about the things that are troubling you, I am happy to help.