Healthcare costs are confusing.

While medical billing is complex, we aim to be as transparent as possible. Bay Children’s Services utilizes a billing model based on Medicare, a federal government insurance program. For each of your visits, one or more billing or CPT (current procedural terminology) codes are selected to signify the services provided in session. The Centers for Medicare & Medicaid Services assign a cost to each of these codes based on the complexity or difficulty of each service.

 

Frequently asked questions:

WHAT CODES DO YOU USUALLY BILL FOR VISITS AND HOW MUCH DO THEY COST?

The most common billing for an individual session with a physician is one of the E&M codes

  • 99213 - $337.10 (low complexity) - (with cash discount: $269.98)

  • 99214 - $474.36 (mid complexity) - (with cash discount: $379.49)

and one of the psychotherapy add-on codes

  • 90833 - $243.95 (16-37 minutes) - (with cash discount $195.16)

  • 90836 - $309.10 (38-52 minutes) - (with cash discount $247.28)

  • 90838 - $408.99 (53+ minutes) - (with cash discount $327.19)

Click here to download our full charge sheet, which includes billing codes and cost for intake, couples, family, and group therapy visits.

WHY CAN’T YOU TELL ME THE COST OF EACH SESSION AHEAD OF TIME?

Billing codes are selected based on what happens in a given session. Therefore, we can typically give a range or an estimate, but cannot give you an exact amount until after the session and necessary documentation occur.

do you take INSURANCE?

We do accept several commercial insurance plans and are always working to increase our panel of insurance providers. If you have insurance, but we are not in-network with your insurance provider, we will still submit a claim to your insurance and they may provide partial reimbursement.

do you offer any discounts or financial assistance?

If you elect to pay out of pocket (that is, not use a health insurance plan), we offer an automatic 20% discount on our rates. Additional financial assistance is available on a case-by-case basis, with an effort to make affordable treatment available to those with the highest need and fewest resources. As a non-profit organization, we rely on grants and donations to help us provide equitable care to all members of our local community.