WE ACCEPT:
Rates & Insurance
Whole Child Collective, Lake Oswego, Oregon
What are your Rates?
We are not in network with any insurance plans and we do not bill insurance directly. Our commitment to provide the highest quality of individualized, custom care to you and your child/teen is possible as we are not contracted with managed care. Insurance companies require a diagnosis that may not always fit your child or teen’s current presentation. We have compiled a list of questions on our website to help you learn more about your benefits and coverage. You may need to know if a Preauthorization is required.
We are a private pay practice, and we can provide you with a Statement of Services referred to as a ‘superbill’ to submit to your insurance for possible reimbursement based on your plan. This superbill contains information your insurance company needs to process your claim (i.e., dates/hours of service; CPT codes; diagnostic codes; the EIN number or tax ID#; state license and national provider numbers).
Our therapy and counseling rates range from $295-$315 per session. Our psychological assessment and testing services are billed at $260 per 60 minutes.
*Obtaining an evaluation for your child or teen can significantly enhance their well-being! Results and recommendations may help your child/teen thrive across all areas of life. Since evaluations involve an investment of your time and resources, it is important to understand your benefits and the resources that are available to you. We believe evaluations are truly a gift to your child/teen that can help them unlock their potential to thrive.*
Licensed Clinical Psychologists
45-minute therapy sessions
50-minute therapy sessions
$230 / hour
$260 / hour
Licensed Counselors/Family Therapists
50-minute therapy sessions
$180 / hour
Language Evaluation
→ 1.5 hour time allotment
→ Evaluates receptive language, expressive language, speech sound disorders, social/pragmatic language
→ CPT Code 92523
$250
Articulation Evaluation
→ 1 hour time allotment
→ Evaluates articulation, phonological processes, apraxia (speech sound disorders)
→ CPT code 92522
$150
Treatment
→ 45 minute sessions
→ Covers treatment of receptive and expressive language disorders, social/pragmatic language disorder, delayed language development, speech sound disorders and speech and language disorders associated with Autism, Brain Injury, Hearing Loss, Cleft Lip and Palate, Down Syndrome, Executive Functioning Disorders, and Genetic Disorders
→ CPT Code 92507
$125
Executive Functioning Coaches
60-minute coaching sessions
Executive Function assessments
$175 / hour
$200 / hour
What is Your Cancellation Policy?
The full fee is billed for appointments cancelled with less than 48 hours’ notice.
Appointments are made to reserve a specific time for you; therefore, a minimum of 48 hours’ notice is required for cancelling or rescheduling an appointment. The full fee will be charged for appointments that are missed, cancelled, or rescheduled without 48 hours’ notice.
Do you take my health insurance?
We are a private pay clinic and we do not work directly with insurance companies.
Since we are out of network with insurance companies, patients pay us directly for services (not the insurance company) at the time of service. It should be noted that most PPO plans will cover a percentage of services out-of-network. If you choose to use your out-of-network insurance benefits, we will provide you with a receipt for services (a “superbill”) that you can submit to your insurance carrier for potential reimbursement. We are not responsible for guaranteeing coverage or benefits associated with your plan as insurance companies often change requirements.
Here are some helpful questions to ask your health insurance representative to learn more about your out-of-network coverage:
- Does my coverage include mental health services?
- Does my coverage include seeing an out-of-network provider?
- What is my deductible and must it be met before mental health services are covered?
- How many sessions per year are covered by my health insurance plan?
- Do I need a referral from my primary care physician to access my out-of-network benefits?
- Is Telehealth covered under my normal plan benefit? What modifiers are needed? If so which ones?
- Are there any exclusions on my plan based on the Procedure (CPT) codes?
- Are there any exclusions for learning disorders or specific diagnoses?
- You can ask your insurance provider about the reimbursement rate for specific services by providing the CPT Codes listed below:
Therapy Services
Therapy session (CPT 90834 & 90837)
Family Therapy (CPT 90846, 90847)
Testing and Evaluation Services
Initial Intake for Testing (CPT 90791, 99354)
Psychological Test Administration per each 30 minutes (CPT 96136 & 93137)
Psychological Testing Interpretation, Planning and Feedback per each 60 minutes (96130 & 96131)