Good Faith Estimates
Transparent pricing for out-of-pocket psychotherapy services at MBHS.
What Is a Good Faith Estimate? (GFE) for MBHS
Under the No Surprises Act, healthcare providers are required to give clients who are paying out-of-pocket — meaning without using insurance — a Good Faith Estimate of expected costs before services begin. This estimate is designed to help you understand what you can expect to pay so there are no unexpected bills.
At McMillan Behavioral Health and Addiction Services, all services are private pay. This means costs are billed directly to you rather than through a health insurance plan. We are committed to being transparent about fees before your first appointment so you can make informed decisions about your care.
What is surprise/balance billing?
When you see a counselor or other health care provider out-of-network or not using any healthcare insurance, you will pay for these services “out-of-pocket” or “private pay,” meaning the costs are billed directly to you.
“Out-of-network” means providers and facilities that haven’t signed a contract with your health plan to provide services.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.
Common CPT Codes Used at MBHS
90871 – Psychiatric Diagnostic Evaluation
90837 – Psychotherapy, 60 minutes
90834 – Psychotherapy, 45 minutes
90853 – Group Therapy
90785 – Interactive Complexity Add-on (additional psychotherapy time beyond 60 minutes)
Initially, most clients will be billed for an intake (Psychiatric Diagnostic Evaluation), at the agreed upon fee, prior to the appointment.
Each subsequent appointment will be assessed a fee based on the agreed upon fee for each type of appointment, dependent on treatment goals established.
Disclaimer:
- There may be additional items or services that are recommended as part of the treatment that will be scheduled separately and are not reflected in the good faith estimate, dependent on the course of psychotherapy treatment as determined by the counselor named above.
- That the information provided in this Good Faith Estimate is only an estimate and that actual items, services, or charges may differ from the actual services provided; if the services differ, you will be notified prior to incurring any fees.
- That this Good Faith Estimate does not require you, the client, to obtain psychotherapy or other services from MBHS. This is not a binding contract.
Questions?
If you have questions about fees, billing, or what to expect before your first appointment, please reach out directly to Mark McMillan at mark@mark-mcmillan.com or call 248-907-0247.