Fees & Rates

Fees for Services

My fee for individual therapy is based on a “tier” anti-oppressive rate structure. Why do I do this? Many reasons! The capitalist system that we all exist in oppresses folks with less access to financial privilege - making it increasingly harder to get support and mental health care.

Our access to finances are largely determined by our race, gender, disability or ability, citizenship status, language, generational wealth, and many other factors. This pricing system allows for both individual reflection on access to wealth and resources, and encourages folks to pay according to their financial access.

Most importantly, this system allows for me to be able to offer reduced fees or “sliding scale” spots that are prioritized for folks who hold one or more of these identities: Black Indigenous People of Color, gender expansive, trans, and non-binary folks, and disabled people. When you pay in Tier 3 Redistribute and Give Back, you are supporting my ability to provide support to folks with less financial privilege and helping to counter the systemic oppression of resources for folks with the above identities.

I am committed to being a part of increasing access to care by offering reduced fee or “sliding scale.” Tier pricing supports me in being able to determine the number of spaces based on my critical reflection of my own financial privilege, access to resources, and ability to continue to support and serve my community.

  • You might fall into tier 3 if you: 

    • Can comfortably meet all of your basic needs

    • Own your own home or property, or rent a higher-end property

    • Own or lease a car

    • Employed or do not need to work 

    • Have reliable access to health care 

    • Have access to financial savings, family wealth and/or resources in times of need 

    • Have access to expendable income 

    • Can always afford to buy new things 

    • Can afford vacations or time off for leisure

  • You might fall into tier 2 if you: 

    • Stress about meeting basic needs but still regularly achieve them 

    • Have some debt, but it does not limit attainment of basic needs

    • Have daily reliable transportation 

    • Employed 

    • Have access to health care 

    • Have access to financial savings 

    • Have some expendable income 

    • Able to buy some new things and thrift others 

    • Can take time off for sickness or leisure and still be able to pay next months bills 

    • Can travel annually without financial strain 

  • This can range from $65-$165. These spots have limited availability.

To determine what you should pay, please examine the tiers above or “the green bottle” photo.

*Please note that if you receive Medicaid I cannot provide services to you as you are required to work with an in-network provider.

This framework was originally created by Alexis J. Cunningfolk. | www.wortsandcunning.com with additions from Britt Hawthorne | www.embracingequity.org. Image can be found here: https://www.radicalhistoryclub.com/sliding-scale 

Good Faith Estimate

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges. 

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 www.cms.gov/nosurprises