Dr.Sarah AllenGood 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.

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.


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


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

Other Fees

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