The Center for Self

Fee Agreement Policy

Last updated September 1, 2024

Fees & Payment for Service

Payments are due at the time of the appointment, unless other arrangements have been made. Payments can be made via exact cash, check, or debit/credit card. Any returned checks are subject to an additional fee of up to $50 to cover the bank fees we incur. In the event of an overdue account, you are responsible for all collection costs and interest charges may be added to your account.

If you choose to make payments with a credit card, health savings account (HSA), or flexible spending account (FSA), please be aware that we may need to contact your method of payment if any problems arise. We reserve the right to do so as needed and assure you that we will only communicate information with your payment company that is necessary for them to access your account to answer questions and provide solutions to problems utilizing your form of payment.


Balance Accrual Guidelines

  • Any balance due will continue to be due until paid in full. 

  • If necessary, your balance may be sent to a collections service.

  • For balances over $300.00 for over 60 days, services will be paused until balance is under $300.00 and sessions can then be resumed.

Insurance Benefits
Before starting services, you should confirm with your insurance company if:

  • Your benefits cover the type of services you will receive;

  • Your benefits cover in-person or telehealth sessions; 

  • You may be responsible for any portion of the payment (deductible, copayment, coinsurance); and

  • Your Provider is in-network (INN) or out-of-network (OON)

It is your responsibility to ensure The Center for Self has your current insurance policy on file, if your insurance changes it is your responsibility to notify your Provider


When your Provider is out-of-network (OON), they do not have a contract with your insurance company. You can still choose to see your Provider; however, all fees will be due at the time of your session to your Provider. Your Provider will tell you if they can help you file for reimbursement from your insurance company. If your insurance company decides that they will not reimburse you, you are still responsible for the full amount. If your Provider cannot file the claim with your insurance company on your behalf, you will be provided a Superbill to file the claim on your own, if you wish.

If you do not have insurance coverage, listed below are our private pay/cash rates for the services we provide. Please understand that you will likely not be seen for all of these services and that this is an extensive list being provided to you in the interest of full transparency. The services provided to you will be at the discretion of your provider and will be done so based on medical necessity and your specific service needs.

Therapy Fees (Effective 08/01/2024): 

  • 90791 (Therapy Intake) $200

  • 90832 (Individual Therapy, 16-37 Minutes) $130

  • 90834 (Individual Therapy, 38-52 Minutes) $145

  • 90837 (Individual Therapy, 53+ Minutes) $170

  • 90839 (Crisis Session - 60 Minutes) $200

    *This is an extensive, not an exhaustive, list and your provider may deem other services medically necessary.*

Other Possible Fees (not covered by insurance): 

  • No Show/Late Cancel Fees: $75 per missed appointment 

    • No Show = 10+ Minutes Late

    • Late Cancel = Less Than 24 Hours Notice 

    • Clients may be discharged for frequently missed appointments. 

Payment Methods
• The Center for Self requires that you keep a valid credit or debit card on file. This card will be charged for the amount due at the time of service and for any fees you may accrue unless other arrangements have been made with the practice ahead of time. It is your responsibility to keep this information up to date, including providing new information if the card information changes or the account has insufficient funds to cover these charges.

• Cash & Check payments are accepted but a valid credit or debit card on file is still required.


Medicaid Clients

Please note that the fees described in this policy cannot be applied for clients with Medicaid insurance. Thus, clients with Medicaid insurance who have two or more late cancellations or missed sessions will be referred to other providers should there be any indication that the pattern will continue. If the therapeutic relationship is terminated pursuant to this policy, your case may be reopened at any time should you so choose. However, you may be placed on a waiting list if there are other clients waiting to use your time slot. This is standard practice with most therapy agencies and private practice offices.