Fees & Services

River Road Psychiatry, LLC providers do not accept insurance and operate on a fee-for-service model.

*Carly DiMeglio, RN, MSN, PMHNP-BC does participate with the Lyra Network

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

Pricing Breakdown: Find Your Fit with Our Amazing Team

Therapy Intake Session:

(60 min): $175

Therapy Follow-Up Session:

(60 min): $150

Psychological Testing with...

Steven Dixon

Ph.D, LCP

Therapy Intake Session:

(60 min): $180

Therapy Follow-Up Session:

(60 min): $165
(30 min): $82

Therapy appointment with...

Dr. Kristen Day

Ph.D, LPC

Initial Psychiatric Evaluation:

(60 min): $320
(90 min): $350

Follow-Up Psychiatric Appointment:

(30 min): $120
(45 min): $145
(60 min): $180

Psychiatric appointment with...

Carleen DiMeglio

RN, MSN, PMHNP-BC

New Patient Evaluation:

(60 min): $320
(90 min): $350

Follow-Up Appointment:

Transfer Patients: $80
(60 min): $180
(45 min): $145
(30 min): $120

Appointment with...

Jennifer Peele

MSN, FNP-BC, FAASM

Therapy Intake Session:

(50 min): $145

Therapy Follow-Up Session:

(50 min): $115

Therapy appointment with...

Lian Currie

M.Ed, LPC-R

Therapy Intake Session:

(60 min): $215

Therapy Follow-Up Session:

(60 min): $190

Therapy appointment with...

Lisa Castro

MSW, MBA, LCSW, CCTP,

RYT-500

Phone Calls: Those lasting greater than 10 minutes will be billed at a prorated rate of $250/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 $250/hour for psychiatric provider and $150/hour for therapist (except as otherwise set forth below under Legal-Related Services). Medical record request fee is $35. Fees will be charged to the patient’s credit card kept on file. Paperwork can take up to 10 business days to complete. *We do not complete Social Security Disability Insurance (SSDI) or Emotional Support Animal (ESA) paperwork/letters at this time. Short term disability/leave paperwork is only completed if there is an established/ongoing treatment relationship with a patient.

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.

Tempus Pharmacogenomic Test Administrative Fee: $85

(https://www.tempus.com/patients/neuro-psych/)

Tempus Pharmacogenomic Test Review Session: $120 (30 min, in-person or via telehealth) * This service is offered to River Road Psychiatry, LLC patients or those seeking PGx consultation only

**Fees are reviewed annually and subject to change. Current Fees Eff. 1/1/25

Psychological Testing

Psychological testing identifies very valuable information about the way an individual thinks, feels, and behaves. Psychological testing can provide a deeper understanding of overall cognitive ability, behavioral tendencies, problematic patterns, thoughts, personality traits, and unknown factors contributing to distress and discomfort. Psychological testing allows an individual to gain new insight about themselves, including strengths and challenges, motivations, interests, and traits that can enhance personal growth.

Psychological testing can create a “treatment roadmap” by helping to clarify a diagnosis, by identifying effective treatment targets, and by guiding the creation of a custom-tailored treatment plan. Psychological testing can also be used when treatment has stalled and no longer seems to be helping by identifying the factors and obstacles that are preventing progress and allowing for the adjustment of the treatment plan.

Initial Session Telehealth Diagnostic Interview

(60 min): $175

During this time, a thorough assessment of one’s background is conducted. Information regarding educational experience, family history, and social functioning is gathered. Informal behavioral observations are documented and any past testing or evaluations are discussed. This step is critical to clarify the questions to be answered by testing, to determine if testing is the appropriate course of action, and to identify the instruments to be used.

In-Person ADHD Evaluation and Diagnosis Package (age 16 and older)

$1225

Includes testing, diagnosis if applicable, a comprehensive report, individualized recommendations, and a 30-minute telehealth feedback session. This testing will not identify and diagnose learning disabilities, but will provide a screening to determine if further testing for learning disabilities is appropriate.

In-Person Personality and Diagnostic Clarification Package (Age 16 and older):

$1225

Assessment of cognitive, behavioral, and emotional functioning as well as differential diagnosis. Includes testing, diagnosis if applicable, a comprehensive report, individualized recommendations, and a 30-minute telehealth feedback session. This testing does not include assessment for Autism Spectrum Disorders.

In-Person Comprehensive Psychological Testing Package (Age 16 and older):

$2,025

Combines ADHD Evaluation and Diagnosis Package and Personality and Diagnostic Clarification Package. Includes testing, diagnosis if applicable, a comprehensive report, individualized recommendations, and a 30-minute telehealth feedback session. This testing will not identify and diagnose learning disabilities, but will provide a screening to determine if further testing for learning disabilities is appropriate. This testing does not include assessment for Autism Spectrum Disorders.

All psychological testing services are fee-for-service and will not be submitted to insurance by River Road Psychiatry, LLC. Superbills/patient statements are available on the patient portal. All fees are due at the time of service.

Fees & Services

Pricing Breakdown: Find Your Fit with Our Amazing Team

Therapy Intake Session:

(60 min): $175

Therapy Follow-Up Session:

(60 min): $150

Therapy Intake Session:

(60 min): $180

Therapy Follow-Up Session:

(60 min): $165

(30 min): $82

New Patient Evaluation:

(60 min): $320

(90 min): $350

Follow-Up Appointment:

Transfer Patients: $80

(60 min): $180

(45 min): $145

(30 min): $120

Therapy Intake Session:

(60 min): $215

Therapy Follow-Up Session:

(60 min): $190

Psychological Testing