Paying for chemical dependency treatment can be a confusing process. We try to be as transparent as possible about our payment and billing practices. We are pleased to offer both insurance and private pay options to our clients.
How much will your appointment cost?
Every insurance company, group and individual enrollment is different. There are too many factors involved for us to provide accurate estimates. You must contact your insurance company directly to determine specific benefit information. Insurance companies have set rates that they determine services to cost. This is referred to as the Contracted Rate. Each insurance company’s rates are different. This rate may be different than the rate we include on the claim. Your insurance company may adjust a charge submitted to them to bring it to their Contracted Rate. This information is applied to your account. If there is any balance remaining, this will be your responsibility.
Here are a few reasons why you might have a balance:
Cost Sharing: This is between you and your insurance provider which outlines how much the insurance company will pay and how much you are required to pay.
- Copay – A set amount (e.g. $20, $35) that you will be required to pay for each service provided.
- Coinsurance – A percentage (e.g. 20%, 30%) of the insurance company’s contracted rate which you are responsible for paying for each charge.
- Deductible – This is a set annual amount (e.g. $1000, $5000) which you must pay each year for the services you receive before your benefit plan kicks in.
Insurance Rates: Code Service Cost
| Service | Insurance Code |
|---|---|
| Diagnostic Assessment | 90791 |
| Comprehensive Assessment | H0001 |
| Assessment Update | 90791 |
| Interactive Comlexity | 90785 |
| Psychometric Testing | 96127 |
| NEO Test | 96130 |
| NEO Results | 96136 |
| Drug Testing | 80307 |
| Individual Session (45 Minutes) | 90834 |
| Individual Session (60+ Minutes) | 90837 |
| HQ Group Session | H2035:HQ |
We send out invoices monthly to notify you of any balances due. When payment is made in full the account is considered current. It is important to understand your health insurance and financial fees involved. We do not want anyone to find themselves in a financial situation they did not anticipate. If you have any questions, please reach out to us and we will help guide you through this process as much as possible.
Private Pay Option
We do offer a private pay option and are able to discount the cost for our services for clients paying privately due to the reduced cost of administration and claims management. For some people this will make sense for their situation, as we are not obligated to release any information to your health insurance if you pay privately.
*Note: Clients with Medical Assistance must process their claims through their health insurance.
Surprise Billing Disclosure: “2022 No Surprise Act”
o Beginning January 1, 2022, federal laws regulating client care have been updated to include the “No Surprises” Act. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services called a “Good Faith Estimate” (GFE) explaining how much your medical care will cost.
o See PDF for full MN DHS rule