The following self-pay (out-of-pocket) rates are specific and exclusive to services provided by Dr. Bush:

  • First Appointment Interview: $295
  • Individual 45-minute psychotherapy session: $225
  • Parental Counseling and Parenting Skills Training (family therapy session w/o patient) 45-minute session: $250
  • Family psychotherapy 45-minute session: $260 


Dr. Vázquez’s Rates:

Dr. Vázquez is out of network with all commercial insurers and Oregon state health insurance plans. Please get in touch with her directly for specific self-pay (out-of-pocket) rates for psychological testing, evaluation, and consultation services.



Dr. Bush is exclusively in-Network as a Preferred Provider with Aetna and PacificSource health plans.


When out-of-network, fees will be due at the time of serviceyour insurance company reimburses you after you submit your claims for reimbursement.

Diagnostic evaluation, psychological testing, and psychotherapy services can be eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), and health reimbursement account (HRA). 

Several health plans include out-of-network benefits that help to pay for the care you get from health providers who do not accept specific insurance plans. Usually, a person spends more of a 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. We are happy to provide you with a superbill receipt, but we 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 that 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 guardian) 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).

You can receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care 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 health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill of at least $400 more than your Good Faith Estimate, you can dispute the bill.
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 http://www.cms.gov/nosurprises or call: 1-800-985-3059

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