Service Type
 Duration/Service Level
Our Fee
Intake Assessment  Per Session $200.00
Individual Single Session  16-37 Min $75.00
 38-52 $120.00
 53+ Min $150.00
Individual Therapy  16-37 Min $75.00
 38-52 $120.00
 53+ Min $150.00
Family Therapy with Patient Present  Per Session $120.00
Family Therapy without Patient Present  Per Session $120.00
Couples Therapy – Full Fee Flat Rate  Per Session $75.00
Group Therapy  Per Session $50.00
Theft Offender Class ($25.00 non refundable)  Per Class $50.00
Tobacco Cessation (<10 Minutes)  Per Session $20.00
Tobacco Cessation (+10 Minutes)  Per Session $30.00
Tobacco Cessation Group  Per Session $30.00
Team Conference  30 Min $50.00

Crisis and Hospitalization Screening Services
Duration/Service Level
Our Fee
Crisis Therapy (up to 74 minutes)  (30-74 min) $170.00
Additional 30 minutes Crisis Therapy after first 74 min, up to 2 times w/in 24 hours  (>75 min) $75.00
Mobile Crisis Intervention  15 Min $56.25
Crisis Advanced Level (QMHP) 3 hour/day limit  15 Min $45.24
Crisis Intermediate  15 Min $36.20
Crisis Basic  15 Min $22.62
State Hospital Screen  Per Eval $0.00
KVC Star Screen (State Hospital Screen for chidren)  Per Eval $0.00
PRTF Screen with Client Present  Per Eval $200.00
PRTF Screen without Client Present  Per Eval $0.00
CBST Meeting  Per Eval $83.20
PASSR Screen – Paid by HealthSource  Per Eval $345.00
Continued Stay Screen  Per Eval $305.00
Continued Stay Screen – with Peer Support  Per Eval $305.00

Medication Services
Duration/Service Level
Our Fee
Medication Evaluation by MD or APRN  Per Session $210.00
99213 Evaluation & Management Level 3 by MD or APRN  Per Session $110.00
99214 Evaluation & Management Level 4 by MD or APRN  Per Session $150.00
99215 Evaluation & Management Level 5 by MD or APRN  Per Session $175.00
99441 (5-10 Mins) Telephone Med Service  Per Session $110.00
99442 (11-20 Mins) Telephone Med Service  Per Session $150.00

Substance Use Services
Duration/Service Level
Our Fee
SUD Intake  Per Eval $200.00
KCPC Assessment  Per Eval $200.00
SUD Individual Therapy  16-37 Min $75.00
 38-52 $120.00
 53+ Min $150.00
SUD Family Therapy  Per Session $120.00
SUD Group Therapy  Per 15 Minutes $12.50
SUD Assessment & Court Ordered Evaluations  Per Eval $200.00
ADSAP  Per Class $85.00
ASI Assessment – SB 123 Only  Per Eval $175.00

Evaluations
Duration/Service Level
Our Fee
Eval – Achievement  Per Eval $310.00
Eval – ADHD  Per Eval $310.00
Eval – Anger  Per Eval $435.00
Eval – Bariatric  Per Eval $685.00
Eval – Competency  Per Eval $315.00
Eval – Diagnosis  Per Eval $810.00
Eval – DUI  Per Eval $310.00
Eval – Full Psych  Per Eval $810.00
Eval – IQ  Per Eval $810.00
Eval – Law Enforcement  Per Eval $685.00
Eval – Memory  Per Eval $185/$125
Eval – Parenting  Per Eval $765 Cash Upfront
Eval –  Substance Use  Per Eval $810.00
Eval – Sex Offender  Per Eval $1,300 Cash Upfront
Eval – Guardian  Per Eval $560.00

CBS & CSS Services
Duration/Service Level
Our Fee
Community Psychiatric Support & Treatment (CPST)  15 Min $33.18
Psychosocial Rehabilitation Individual (PR-IND)  15 Min $14.18
Psychosocial Group – Child  15 Min $9.10
Psychosocial Group – Adult  15 Min $4.55
Targeted Case Management  15 Min $10.83
Attendant Care  15 Min $6.96
Attendant Care (SED Waiver)  15 Min $6.93
Peer Support – Individual  15 Min $16.02
Peer Support – Group  15 Min $8.01
Parent Peer Support – Individual  15 Min $16.02
Parent Peer Support – Group  15 Min $8.01
Targeted Case Management (SPMI and SED)  15 Min $10.83
Wrap Around Facilitation (Waiver Only) 15 Min $22.62
Parent Support and Training – Individual (Waiver Only)  15 Min $11.31
Parent Support and Training – Group (Waiver Only)  15 Min $3.39
Independent Living – Skills Building  (Waiver Only)  60 min $45.23
Respite – Individual and Group (Waiver Only)  15 Min $6.78
Respite – Waiver and PRTF (Waiver Only)  15 Min $6.78