WellMindsAdult Initial Psychiatric Evaluation
60 minutes
$550
A thorough review of your medical and psychiatric history, current symptoms, and goals. Together we arrive at a working diagnosis and individualized treatment plan.
CPT 99204-5 + 90833
Pricing
Private Pay Pricing
No hidden fees and no surprises — just clear, upfront pricing so you can focus on care, not paperwork. All prices on this page are private pay (self-pay) rates, due at the time of service.
Have Aetna, Regence, or Premera? Your out-of-pocket cost may differ — see how Headway handles insurance eligibility, claims, and billing.
Our Model
Why We Are Private Pay
Practicing outside of insurance networks lets us give you time and attention that insurance rules would otherwise limit.
- Unhurried appointments — visit length is set by what you need clinically, not by what a plan will authorize
- Care that adapts quickly — we can change your treatment plan when it needs changing, without waiting on approvals
- Greater privacy — your diagnosis and visit details are not sent to insurance unless you choose to submit a superbill for reimbursement
- No surprise bills — you know each fee in advance, with no denied claims or retroactive charges months later
You can still put your benefits to work: many of our patients use out-of-network coverage, apply visits toward a deductible, or pay with HSA/FSA funds. See Payment & Reimbursement below.
Services & Pricing
Initial Evaluations
Every patient begins with a comprehensive initial evaluation with Dr. P. Prices shown are private pay rates.
The $550 adult intake, $775 child/adolescent intake, and $475 intensive therapy rates are effective September 14, 2026.
Child & Adolescent Initial Psychiatric Evaluation
90 minutes
$775
This is the standard initial evaluation for every patient under age 18. It includes time with the parent or guardian and the child or adolescent as clinically appropriate, along with developmental, school, family, and psychiatric history and treatment planning.
CPT 99204-5 + 90833
Ongoing Care
Established Patients
Follow-up visits are sized to what you need — from routine medication management to in-depth therapy. Prices shown are private pay rates.
Intermediate Follow-Up
Medication management with or without brief psychotherapy
CPT 99214 + 90833In-Depth Follow-Up
Individual or family psychotherapy, or extended medication management
CPT 99213-4 + 90836, 99215Intensive Therapy
One-hour therapy session customized to clinical need
Collateral / Family Session
Dedicated time with parents, guardians, or family members without the patient present
Diagnostics
Neuropsychiatric Testing
Objective cognitive assessment with Creyos and FDA-cleared ADHD assessment support with QbCheck. Price shown is the private pay rate.
Objective assessment
Creyos Cognitive or QbCheck ADHD Assessment
Includes the full digital assessment and a personalized results report. Results are reviewed with Dr. P during a separate 30-minute readout visit, billed at the standard $278 follow-up rate.
Learn more about testing → Explore ADHD diagnostic services →$300
Check Your Benefits
Check your estimated cost with Headway
WellMindsMD does not process insurance claims or handle insurance billing. For patients using eligible benefits, Headway handles benefit estimates, claims processing, and billing.
Use Headway’s cost estimator
Headway can check plan eligibility and estimate your copay, coinsurance, or deductible responsibility before you schedule.
Open Headway Cost EstimatorContact your insurer directly
WellMindsMD can provide a superbill after your visit, but we do not verify out-of-network benefits or submit those claims. Ask your insurer about reimbursement before scheduling.
Review Reimbursement DetailsQuestions to ask your insurance plan
- Do I have out-of-network outpatient mental health benefits?
- What is my out-of-network deductible, and how much have I met?
- What percentage of the plan’s allowed amount is reimbursed after the deductible?
- Do I need a referral, prior authorization, or diagnosis code before treatment?
- How do I submit a superbill, and what is the filing deadline?
Headway’s estimate is not a guarantee of coverage or payment. Headway and your insurer determine eligibility, allowed amounts, patient responsibility, and claim outcomes. You remain responsible for charges not covered by your plan.
Payment
Payment & Reimbursement
How Payment Works
- Payment is due at the time of service via credit card on file in SimplePractice
- We accept FSA and HSA cards as well as standard credit and debit cards
- If two sessions remain unpaid, no further appointments will be scheduled without prior arrangement
- Fees paid for our services may qualify as a medical expense deduction on your tax return — consult your tax advisor
Out-of-Network Reimbursement
You may be able to use your health insurance's out-of-network benefits for reimbursement. Upon request, we provide superbills (itemized healthcare receipts) for submission to your insurance company, and monthly billing statements if needed. We recommend contacting your insurer to confirm your out-of-network mental health benefits. Common billing codes: new visits are typically coded as 99204/05 + 90833; follow-up visits as 99214 + 90833.
Using eligible insurance benefits through Headway? Headway — not WellMindsMD — handles benefit estimates, claims processing, and insurance billing. See insurance billing through Headway.
Good Faith Estimate
In accordance with the No Surprises Act, we provide a Good Faith Estimate (GFE) to all uninsured or self-pay patients, detailing the type of service, estimated costs, and any additional fees before you receive care. Contact us to request your GFE.
If your final bill exceeds your Good Faith Estimate by $400 or more, you have the right to dispute the charges. For more information, visit cms.gov/nosurprises or call us at (425) 499-9975.
Policies
Other Fees
Cancellations & Missed Appointments
Cancellations must be made at least 1 full business day in advance (Monday through Friday, excluding holidays). For private pay appointments, late cancellations and missed appointments are charged the estimated cost of the appointment itself. New patients who do not complete the intake package at least 24 hours before the initial evaluation may have the appointment cancelled with the applicable cancellation fee.
Phone Calls
Calls outside appointments exceeding 10 minutes are billed at $450/hour (prorated). Brief calls under 10 minutes are complimentary.
Forms, Letters & Documentation
Please submit requests at least two weeks in advance so there is adequate time for review and completion.
- Brief documentation (short school, work, or accommodation letters) — billed at the administrative rate below, typically 15–30 minutes
- Complex documentation (disability paperwork, detailed narrative reports, court-related records) — requires a scheduled appointment in addition to the documentation time
Administrative Work
Administrative work exceeding 10 minutes outside of appointment time — including forms, letters, medical record requests, and prior authorizations — is billed at $400/hour in 15-minute increments. We always provide a time estimate and seek your approval first. Written documentation prepared by Dr. P for insurance carriers incurs a service charge for time spent.
You are responsible for all charges regardless of insurance coverage. Have a question about a specific situation? See our FAQ or contact us.
Questions
Billing Questions
Why is the child and adolescent evaluation longer and more expensive?
Evaluating a child means gathering more information from more sources — developmental history, school functioning, and family context — and then translating it into a plan the whole family understands. Ninety minutes gives Dr. P time to meet with your child and to sit down separately with parents or guardians for feedback, rather than compressing both into a single rushed visit.
How is the child and adolescent evaluation structured?
The standard initial psychiatric evaluation is 90 minutes for every patient under age 18. Dr. P includes time with the parent or guardian and the child or adolescent as clinically appropriate, adapting the structure to the patient’s age and clinical needs.
What is a superbill, and how much will insurance reimburse?
A superbill is an itemized receipt containing the diagnostic and procedure codes your insurance company needs to consider an out-of-network claim. Reimbursement depends entirely on your plan. Call the number on your insurance card and ask: “Do I have out-of-network mental health benefits, what is my deductible, and have I met it?”
Do you offer autism testing?
Not as a standalone diagnostic service. Dr. P screens for autistic traits within a psychiatric evaluation and can add Creyos testing for objective cognitive data, but a formal autism diagnosis requires a psychologist administering an instrument such as the ADOS. We would rather refer you somewhere appropriate than sell you an assessment that will not hold up where it counts.
Can I use my HSA or FSA?
Yes. We accept HSA and FSA cards alongside standard credit and debit cards. Fees may also qualify as a medical expense deduction on your tax return — consult your tax advisor.
What if I have Aetna, Regence, or Premera?
Eligible plans are handled through Headway rather than by WellMindsMD. Headway manages benefit estimates, claims processing, and insurance billing. See insurance billing through Headway for details.