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Cost of Services for Self Pay

Please enter your annual income and family size below.
Based on this information, we can provide you with the self-pay cost of services.

 Enter ANNUAL income here:
 
Family size
(including yourself):
 
   

Your yearly income is:
  % of Federal Poverty Level
X
Service Per Hour/Event You Pay You Pay You Pay You Pay You Pay
Competency Evaluation Assessment $300.00 $0.00 $75.00 $150.00 $225.00 $300.00
Court Testimony Fee, LBHP $75.00 $0.00 $18.75 $37.50 $56.25 $75.00
Intake Admission Assessment $100.00 $0.00 $25.00 $50.00 $75.00 $100.00
Intake Admission Assessment‐Tele med $100.00 $0.00 $25.00 $50.00 $75.00 $100.00
Treatment Plan‐Initial $100.00 $0.00 $25.00 $50.00 $75.00 $100.00
Treatment Plan‐Review $75.00 $0.00 $18.75 $37.50 $56.25 $75.00
Individual Therapy $75.00 $0.00 $18.75 $37.50 $56.25 $75.00
Individual Therapy‐Tele med $75.00 $0.00 $18.75 $37.50 $56.25 $75.00
Group Therapy $30.00 $0.00 $7.50 $15.00 $22.50 $30.00
Family Therapy w/Client $75.00 $0.00 $18.75 $37.50 $56.25 $75.00
Family Therapy w/o Client $75.00 $0.00 $18.75 $37.50 $56.25 $75.00
Individual Rehab $50.00 $0.00 $12.50 $25.00 $37.50 $50.00
Group Rehab PSR $16.00 $0.00 $4.00 $8.00 $12.00 $16.00
Group Rehab $16.00 $0.00 $4.00 $8.00 $12.00 $16.00
Case Management BHCM 1 $45.00 $0.00 $11.25 $22.50 $33.75 $45.00
Case Management, BHCM II $55.00 $0.00 $13.75 $27.50 $41.25 $55.00
Case Management, LBHP $65.00 $0.00 $16.25 $32.50 $48.75 $65.00
Peer Recovery Support ‐Individual $45.00 $0.00 $11.25 $22.50 $33.75 $45.00
Peer Recovery Support ‐ Group  $7.00 $0.00 $5.00 $5.00 $5.00 $7.00
Wellness Group  $7.00 $0.00 $5.00 $5.00 $5.00 $7.00
Wraparound (Targeted), BHCM II, CADC‐SOC $65.00 $0.00 $16.25 $32.50 $48.75 $65.00
Transitional Case Management, BHCM I $30.00 $0.00 $7.50 $15.00 $22.50 $30.00
Transitional Case Management, BHCM II $55.00 $0.00 $13.75 $27.50 $41.25 $55.00
Transitional Case Management, LBHP $75.00 $0.00 $18.75 $37.50 $56.25 $75.00
Case Management Travel SOC $65.00 $0.00 $16.25 $32.50 $48.75 $65.00
E/M NEW $150.00 $0.00 $37.50 $75.00 $112.50 $150.00
E/M Established  $95.00 $0.00 $23.75 $47.50 $71.25 $95.00
MAT NEW $350.00 $0.00 $87.50 $175.00 $262.50 $350.00
MAT Established  $95.00 $0.00 $23.75 $47.50 $71.25 $95.00
Medication Training and Support  $95.00 $0.00 $23.75 $47.50 $71.25 $95.00
Family Training and Support  $39.00 $0.00 $10.00 $20.00 $30.00 $39.00
Intensive Outreach(unique or generic ID) $40.00 $0.00 $10.00 $20.00 $30.00 $40.00
Screening & Referral  $25.00 $0.00 $10.00 $15.00 $20.00 $25.00
Mental Health Evaluation* $300.00 $300.00 $300.00 $300.00 $300.00 $300.00
DUI Evaluation* $175.00 $175.00 $175.00 $175.00 $175.00 $175.00
DVI Evaluation* $175.00 $175.00 $175.00 $175.00 $175.00 $175.00
AOD Assessment* $175.00 $175.00 $175.00 $175.00 $175.00 $175.00
Anger Management (LBHP)* $60.00 $60.00 $60.00 $60.00 $60.00 $60.00
Anger Management (CM)* $30.00 $30.00 $30.00 $30.00 $30.00 $30.00
AOD group (LBHP)* $60.00 $60.00 $60.00 $60.00 $60.00 $60.00
AOD group (CM)*  $30.00 $30.00 $30.00 $30.00 $30.00 $30.00
*These services are not eligible for a discounted rate