Good Faith Estimate
Your right to an estimate
Under the No Surprises Act, if you are not using insurance, or are paying for services yourself, you have the right to receive a written Good Faith Estimate of the expected charges for your care.
What the estimate covers
- Introductory consultation (15 minutes)No charge
- Initial diagnostic evaluation (90 minutes)$425
- Psychotherapy session$350
- Session with a partner or family member present$400
Private pay. Out of network. Monthly superbill available on request.
A Good Faith Estimate sets out the expected charges for the services you are scheduled to receive, based on what is known at the time.
How to request one
You can ask for a Good Faith Estimate before scheduling, or at any time during treatment. If a service is scheduled at least three business days ahead, you will receive the estimate at least one business day before it. To request one, email michael@lazarclinical.com or ask at the consultation.
If a bill is higher
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Keep a copy of your estimate.
For more information about your rights, visit cms.gov/nosurprises.
Request an estimate.
An estimate can be provided before your first session.