Fees and Financial Information
Fee Schedule, Financial Asistance Options, and Estimate of Costs
Although we are committed to providing high quality clinical services, the clinic's primary purpose is clinical training; therefore there are several options available for financial assistance. The fees we charge are used to operate the Psychological Services Center and advance the training of student clinicians.
There is no cost for a screening to see if we are a good fit to provide you with services. Following a screening, if you are accepted for services, we will discuss fees with you and discuss the cost of care, including providing you with an estimate of the cost of services. While the fees are set, we offer a sliding fee scale and other financial assistance options to keep our fees affordable. You may be eligible for financial assistance based on household size and income and other financial circumstances.
We Believe Cost Should Not Be a Barrier to Care
The PSC offers:
- Sliding Fee Scale Discounts
- Limited Pro Bono Charity Care
Eligibility is based on:
- Household income
- Household size
- Financial hardship
- Ability to pay
Patients may apply for the Financial Assistance Program regardless of insurance status. No patient will be denied services solely because of inability to pay.
The PSC has limited ability to bill private insurance out of the network when clinically appropriate and available. We are not enrolled with Medicare or Medicaid.
To Apply for Financial Assistance
If you wish to apply for the sliding fee scale or pro bono care, you can complete the application forms on our Webcomponent website at: https://uaa.titaniumhwc.com/. To apply for the sliding fee scale please complete “Apply for the Sliding Fee Scale.” To request a reduction beyond the sliding fee or pro bono care please complete “Apply for Pro Bono Charity Care.” Please note proof of income is required within 30 days. If needed, you may apply using the self-attestation form attached to the application. You can request a review of the sliding fee scale or financial assistance at any time if you feel you need a fee adjustment. Requests are reviewed by the Clinic Director.
Good Faith Estimate
Following being accepted for services, we will discuss fees with you and discuss the cost of care, including providing you with an estimate of the cost of services. All clients are entitled to a Good Faith Estimate that will be given in writing and verbally upon request.
The PSC Fees and Sliding Fee Scale
*Please note in August of 2026 we updated our fee schedule and sliding fee scale. We remain committed to offering affordable and accessible services. To ensure we can continue providing high-quality services and cover the cost of materials and operations, we have made an adjustment to our fee structure to better align with current community standards.
Fees
Intake (90791): $174
Screening: no cost
Group: no cost
Therapy: individual:
- 30-minutes (90832): $86
- 45-minutes (90834): $114
- 60-minutes (90837): $167
Therapy: family or couples
- 26 minutes or more (90846): $105
Assessment: Flat rate: $500
Consultation/legal fees $167 per hour (no discount)
PSC Sliding Fee Scale
Chart 1: Discount Column
| Household Size Below | Income Column A | Income Column B | Income Column C | Income Column D | Income Column E | Income Column F |
|---|---|---|---|---|---|---|
| Percentage of Poverty Line | 100% | 125% | 150% | 175% | 200% | 200%+ |
| 1 | $19,550 | $24,438 | $29,325 | $34,213 | $39,100 | +39,100 |
| 2 | $26,430 | $33,038 | $39,645 | $46,253 | $53,860 | +$53,860 |
| 3 | $33,310 | $41,638 | $49,965 | $58,293 | $66,620 | +$66,620 |
| 4 | $40,190 | $50,238 | $60,285 | $70,333 | $80,380 | +$80,380 |
| 5 | $47,070 | $58,838 | $70,605 | $82,373 | $94,140 | +$94,140 |
| 6 | $53,950 | $67,438 | $80,935 | $94,413 | $107,900 | +$107,900 |
| 7 | $60,830 | $76,038 | $91,245 | $106,453 | $121,660 | +$121,660 |
| 8+ | $67,710 | $84,638 | $101,565 | $118,493 | $135,420 | +$135,420 |
Chart 2: Estimated Charge
| Column A | Column B | Column C | Column D | Column E | Column F | |
| Therapy | Nominal Fee $5 | $15 | $30 | $50 | $75 |
No discount |
| Intake | $5 | $15 | $30 | $50 | $75 | No discount - charges depend on visit type |
| Assessment | $50 | $100 | $150 | $200 | $250 | No discount |
Right to Receive a Good Faith Estimate of Expected Charges Notice
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 do not 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
www.cms.gov/nosurprises or call 1-877-696-6775
Payment Options
Please note: If someone other than the client is making the payment, please call our office so we can apply the payment to the correct account.
Applying for a Payment Plan
If you wish to apply for a Payment Plan, you can complete the application forms on our Webcomponent website at: https://uaa.titaniumhwc.com/. Please complete the “Request a Payment Plan Option.”