Practice Fees
River Road Psychiatry, LLC providers do not accept insurance and operate on a fee-for-service model.
All fees are due at the time of service.
We recognize that there is often an additional expense when patients choose to participate with a provider who does not accept insurance. There are many benefits to the direct pay model, including increased confidentiality over your private information, reduced emphasis on diagnoses, and greater flexibility in treatment duration and frequency. We will strive to use your time and financial investment wisely while also ensuring you reach the outcomes you seek.
*Superbills/Invoices available at the end of each month upon request
Initial Psychiatric Evaluation (60 min): $275
Follow-Up Psychiatric Appointment (30 min): $100
Therapy Appointment with Dr. Kristen Day:
Therapy Intake Session: (60 min): $175
Therapy Follow-Up Session: (60 min): $145 (30 min-$72.50)
Therapy Appointment with Lisa Castro, MSW, MBA, LCSW:
Therapy Intake Session: (60 min): $175
Therapy Follow-Up Session: (60 min): $150 (30 min-$75)
Phone Calls: Those lasting greater than 10 minutes will be billed at a prorated rate of $180/hour for psychiatric provider and $150/hour for therapist. This includes phone calls with the patient, other providers, insurance companies (including for prior authorization medication requests), family members, other treatment facilities, etc. Fees will be charged to the patient’s credit card kept on file.
Paperwork/Letters: All forms, medication prior authorizations, letters, or other paperwork will be assessed a base fee of $35 and any time above 15 minutes will be billed at a prorated rate of $200/hour for psychiatric provider and $150/hour for therapist (except as otherwise set forth below under Legal-Related Services). Fees will be charged to the patient’s credit card kept on file. Paperwork can take up to 10 business days to complete.
Legal- Related Services: All services related to legal proceedings will be assessed at $400 per hour (including but not limited to court testimony, depositions, legal conferences, preparation of reports/letters, travel/waiting time, and records/chart review). Unless otherwise arranged, an estimated fee is due 5 days in advance of a court or deposition appearance, and the balance (if any) is due within 48 hours after. If the court hearing/deposition is canceled for any reason
less than 5 business days prior to the date, the full fee is charged (for time spent preparing
plus two hours). Fees will be charged to the patient’s credit card kept on file.
Missed Appointment /Late Cancellation Fee: If you miss your appointment without cancelling or cancel less than 48 hours in advance, you may be charged the full amount of the appointment. This includes initial appointments.
Urgent Prescription Refill: A $25 fee will be charged for 1) refill requests made outside of business hours (Monday-Friday 9am-5pm), including weekends and holidays or 2) refill requests made when a patient has not scheduled/attended a follow-up appointment and needs medication to get through until the next available appointment.
GeneSight Psychotropic Pharmacogenomic Test Administrative Fee: $75
GeneSight Psychotropic Pharmacogenomic Test Review Session (if not an active RRP, LLC patient): $100 (30 min)
**Fees are reviewed annually and subject to change. Current fees effective 1/1/23