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Cost of Services

My Approach to Financial Transparency

I believe psychiatric care works best when expectations are clear from the beginning. My practice is structured to provide thoughtful, unrushed, evidence-informed care in a way that is sustainable and accessible.

To reduce administrative burden and preserve clinical time, I do not bill commercial insurance plans directly. This allows me to focus on patient care rather than insurance requirements and prior authorizations.

For patients who wish to seek out-of-network reimbursement, I am happy to provide a detailed superbill after each appointment for submission to your insurance carrier.

If you have questions about whether out-of-network benefits apply to you, I recommend contacting your insurance company directly.

Fees

Comprehensive Psychiatric Intake (90792)
60–75 minutes
$325

Initial appointments include diagnostic evaluation, discussion of treatment options, and medication prescribing when appropriate.

 

Follow-Up Appointments

Most follow-up visits are approximately 30 minutes in length.

• Standard Follow-Up (99214, ~30 minutes): $190
• Brief Follow-Up (99213, 20–25 minutes): $140

Longer visits may be scheduled when managing complex conditions or making significant medication adjustments.

The appropriate appointment length is determined collaboratively based on clinical need.

2

Payment Policy

Payment is due at the time the appointment is scheduled in order to reserve your time.

Appointments are confirmed once payment is received.

Accepted forms of payment include major credit/debit cards and HSA/FSA cards.

Because insurance is not billed directly, full payment is collected at the time of scheduling. A superbill can be provided for out-of-network reimbursement.

3

Sliding Scale and Access

Access to psychiatric care is important to me. A limited number of reduced-fee appointments are available for individuals experiencing financial hardship.

Sliding scale availability is limited in order to maintain sustainability of the practice. If you would like to inquire about reduced-fee options, please reach out prior to scheduling.

4

A Note About Insurance

I do not participate in commercial insurance panels.

I may accept Medicare in select circumstances. Please inquire directly if you are seeking care under Medicare.

5

Cancellation Policy

At least 24 hours notice is required to cancel or reschedule an appointment.

Appointments canceled with less than 24 hours notice, or missed without notice, may be charged a partial fee.

971-486-6182

2240 SE Stark Street

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Underdog Alchemy is a practice rooted in dignity, accountability, and deep respect for human complexity. We welcome and actively support people and families of all ages, including members of the LGBTQIA+ community; people who have immigrated here and the vibrant communities they help build; individuals working in the sex industry; and those whose relationship structures and identities may be celibate, monogamous, consensually non-monogamous, relationally expansive, asexual, or expressive in diverse and consensual ways. We are committed to creating a space that is affirming, culturally responsive, trauma-informed, and grounded in mutual respect. Abusive, harassing, discriminatory, or dehumanizing behavior toward any individual or community will not be tolerated. If your personal beliefs require the exclusion, diminishment, or harm of others, this practice is unlikely to be a good fit for you.

 

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