Story of Things 
Therapy & Consulting

Under the No Surprises Act, healthcare providers are required to give patients who don’t have insurance, or who are choosing not to use insurance, a Good Faith Estimate of the expected costs for services.

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Your Rights

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.

• This includes psychotherapy and related costs, such as psychological assessments, letters, phone calls, or coordination of care with other providers.

• You will receive a Good Faith Estimate in writing at least 1 business day before your first session.

• You may also request a Good Faith Estimate before scheduling any service.

• If you receive a bill that is $400 or more above your Good Faith Estimate, you can dispute the bill.

 

Please save a copy of your Good Faith Estimate for your records.

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Estimate of Costs at Story of Things Therapy & Consulting, LLC

Typical billed services include:

• 90791 – Intake Assessment: $200 

• 90837 – 60-minute Individual Session: $150

• 90847 – Couples/Family Session: $200

• 90853 – Group Therapy: $60

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The number of sessions and total cost will depend on your individual treatment plan, which will be determined collaboratively with your therapist.

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Disclaimer

This Good Faith Estimate reflects the costs reasonably expected at the time it is created and may change during your course of treatment depending on diagnosis, clinical needs, and session frequency.

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At Story of Things Therapy & Consulting, LLC, we adhere to professional codes of ethics. While the No Surprises Act requires a diagnosis before services begin, assigning one prematurely may be unethical. To comply with the law while upholding ethical standards, we may use a generic billable diagnostic code until an accurate diagnosis is determined.

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The Good Faith Estimate does not include unexpected costs that could arise. If you are billed for more than this estimate, you have the right to:

• Contact your provider to review or adjust the bill.

• Negotiate the charges.

• Ask about financial assistance.

• Initiate a dispute with the U.S. Department of Health and Human Services (HHS) within 120 days of the bill.​

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The dispute process carries a $25 fee. If the reviewing agency agrees with you, you will pay the amount on the Good Faith Estimate. If not, you may be responsible for the higher billed amount.

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For more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.