Rates and Insurance
Rates
The following self-pay (out-of-pocket) rates are specific and exclusive to services provided by Dr. Justin Bush, PhD:
- First Appointment Interview: $375
- Individual 45-minute psychotherapy session: $260
- Parental Consultation, Counseling, and Parenting Skills Training 45-minute session: $275
- Family psychotherapy 45-minute session: $295
- Reading / Dyslexia evaluation: $2,825
- Math / Dyscalculia evaluation: $3,125
- Combined reading and math: $4,025
- Records review and written critique (no new testing): $750
- Consultation: $275 per hour
Evaluations are billed as a flat, all-inclusive fee covering the clinical interview, testing, scoring, records review, the written report, and the feedback session. Nothing is billed separately, and you receive a written Good Faith Estimate of the total cost before any services begin. The report is delivered within 10 business days of the final testing session and receipt of all rating scales. A 50 percent deposit reserves your testing dates; the balance is due at the feedback session.
Insurance
Dr. Bush is exclusively in-network as a Preferred Provider with Aetna, Lyra Health, and Regence BlueCross BlueShield.
When out-of-network, fees will be due at the time of service. Your insurance company reimburses you after you submit your claims for reimbursement.
Insurances NOT accepted and considered out-of-network with Dr. Bush are: Care Oregon, Intercommunity Health, HealthShare, Moda, Open Card, United Healthcare (UBH), Providence, Trillium Community Health Plan, Umpqua Health, or Yamhill Community Health.
Diagnostic evaluation, psychological testing, and psychotherapy services can be reimbursed through a flexible spending account (FSA), health savings account (HSA), or health reimbursement account (HRA).
Several health plans include out-of-network benefits that help you pay for your care from health providers who do not accept specific insurance plans. Usually, a person spends a larger percentage of the cost, but they get some of the cost covered to receive the care from the provider they prefer. We efficiently and routinely provide “superbill” itemized statements for insurance reimbursements. A superbill receipt is provided upon request, but it cannot guarantee a refund from your insurance company. Contact your insurance company to verify your specific out-of-network benefits.
What is a superbill, and can I get a superbill to submit to my insurance company?
A superbill is a billing statement for insurance reimbursement. It is an itemized form created by healthcare providers and given to clients, outlining specific information about the assessment and psychotherapy services rendered and the payments made. We securely email superbill statements to our clients (or their legal guardians) upon request.
Please note a superbill does include personal information such as the client’s name, the provider’s name and credentials, the office address and phone number, the client’s DSM-5/ICD-10 diagnostic code, the type of service provided for mental health (referred to as CPT billing codes) such as a diagnostic interview CPT 90791), psychotherapy treatment service (CPT codes: 90832, 90834, 90837, 90846, 90847), the dates of service, and the fees paid by the client (or parent/legal guardian).
NOTICE TO ALL CLIENTS
You can receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, healthcare providers must give patients who don’t have insurance or are not using insurance an estimate of the bill for medical items and services.
You can receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes expenses like medical tests, prescription drugs, equipment, and hospital fees.
Ensure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your healthcare provider and any other provider you choose for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute it.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059
Insurance plans accepted
Dr. Bush is in-network as a Preferred Provider with Aetna, Lyra Health, and Regence BlueCross BlueShield. If you carry one of these plans, you pay your copay or coinsurance and the claim is billed directly.
Out-of-network benefits and superbills
Many plans include out-of-network benefits that reimburse a portion of what you pay a provider outside their network. Fees are due at the time of service, and you receive a superbill to submit for reimbursement. Two questions worth asking your plan before you start: what is my out-of-network deductible for outpatient mental health, and what percentage of the allowed amount is reimbursed after it is met?
Using FSA, HSA, and HRA funds
Psychotherapy, diagnostic evaluation, and psychological testing are eligible expenses under a flexible spending account (FSA), health savings account (HSA), or health reimbursement account (HRA). Payment details and card options are on the payments page.
Frequently asked questions about rates and insurance
How are evaluations billed?
As a flat, all-inclusive fee, published up front. The fee covers the clinical interview, testing, scoring, records review, the written report, and the feedback session — nothing is billed separately, and there is no hourly meter running. You receive a written Good Faith Estimate of the total cost before any services begin, as required under the federal No Surprises Act. See psychological testing and evaluation.
Do you offer a sliding scale?
Ask during your free 15-minute consultation — availability varies with caseload.
Does insurance cover parent consultation?
Coverage varies by plan, since parent coaching is not always billed as a therapy service. Check with your plan or ask during the consultation. Details are on the parent consultation page.
Is telehealth covered the same as an in-person session?
For the plans listed above, telehealth is generally covered on the same terms as in-person care for outpatient mental health. Since all sessions in this practice are held by secure video, it is worth confirming telehealth coverage when you call your plan.
What is the No Surprises Act Good Faith Estimate?
If you are uninsured or choosing not to use insurance, federal law entitles you to a written estimate of expected charges before services begin. Request one at any point and it will be provided.
Questions about cost?
Fees should not be the reason a family goes without care they need. Request a free 15-minute consultation or send a message to talk through options. More answers are on the FAQ page.