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

  • First Appointment Interview: $270
  • Individual 60-minute psychotherapy session: $265
  • Individual 45-minute psychotherapy session: $185
  • Individual 30-minute psychotherapy session: $160
  • Family psychotherapy 45-minute session: $220 
  • Parenting Skills Training (family therapy session w/o patient) 45-minute session: $212
  • Intellectual Abilities Testing (WPPSI, WISC-V, or the WJ IV Tests of Cognitive Abilities for Kindergarten Readiness or TAG identification): Pro-rated per hour, ask the clinician 


Dr. Vázquez’s Rates:

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



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


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 certain insurance plans. Usually, a person pays more of a percentage of the cost, but they get some of the cost covered so they can receive the care from the provider they prefer. We easily and routinely provide “superbill” itemized statements for insurance reimbursements. We are happy to provide you with a superbill receipt, but we cannot guarantee reimbursement by 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 have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 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 that is 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