Client Info
Fee Schedule
(July 1, 2023 – June 30, 2024)
Mental Health & Substance Use Services
| Service | Unit | Cost |
|---|---|---|
| Clinical Assessment | Each | $215 |
| Psychiatric Assessment | Each | $220 |
| Individual Therapy | Per Hour | $176 |
| Check in with Psychiatrist | 30 minutes | $142 |
| Group Therapy | Per hour | $115 |
| Crisis Evaluation / Emergency Services | Per hour | $320 |
| Case Management | Per hour | $140 |
Rates may differ according to the amount of time spent with your HCRS provider.
The rates provided above will be charged to you based on your ability to pay. See our sliding fee scale based on federal and state poverty levels.
Please let your provider know if you would like to discuss a sliding fee scale with our Billing Department. Our Billing Department would be happy to review this with you.
FYI Sliding Fee Schedule
Does not apply to Developmental Services
Annual Income According to Family Size
| Income Category | 1 | 2 | 3 | 4 | 5 | 6 | 7+ | Percentage of Charges |
|---|---|---|---|---|---|---|---|---|
| 1 | $0 to $14,580 | $0 to $19,270 | $0 to $24,860 | $0 to $30,000 | $0 to $35,140 | $0 to $40,280 | $0 to $45,420 | 10% |
| 2 | $14,581 to $16,767 | $19,721 to $22,678 | $24,861 to $28,589 | $30,001 to $34,500 | $35,141 to $40,411 | $40,281 to $46,322 | $45,421 to $52,233 | 15% |
| 3 | $16,768 to $17,496 | $22,679 to $23,664 | $28,590 to $29,832 | $34,501 to $36,000 | $40,412 to $42,168 | $46,323 to $48,336 | $52,234 to $54,504 | 20% |
| 4 | $17,497 to $18,225 | $23,665 to $24,650 | $29,833 to $31,075 | $36,001 to $37,500 | $42,169 to $43,925 | $48,337 to $50,350 | $54,505 to $56,775 | 25% |
| 5 | $18,226 to $18,954 | $24,651 to $25,636 | $31,076 to $32,318 | $37,501 to $39,000 | $43,926 to $45,682 | $50,351 to $52,364 | $56,776 to $59,046 | 30% |
| 6 | $18,955 to $19,683 | $25,637 to $26,622 | $32,319 to $33,561 | $39,001 to $40,500 | $45,683 to $47,439 | $52,365 to $54,378 | $59,047 to $61,317 | 35% |
| 7 | $19,684 to $20,412 | $26,623 to $27,608 | $33,562 to $34,804 | $40,501 to $42,000 | $47,440 to $49,196 | $54,379 to $56,392 | $61,318 to $63,588 | 40% |
| 8 | $20,413 to $21,141 | $27,609 to $28,594 | $34,805 to $36,047 | $42,001 to $43,500 | $49,197 to $50,953 | $56,393 to $58,406 | $63,589 to $65,859 | 45% |
| 9 | $21,142 to $21,870 | $28,595 to $29,580 | $36,048 to $37,290 | $43,501 to $45,000 | $50,954 to $52,710 | $58,407 to $60,420 | $65,860 to $68,130 | 50% |
| 10 | $21,871 to $23,328 | $29,581 to $31,552 | $37,291 to $39,776 | $45,001 to $48,000 | $52,711 to $56,224 | $60,421 to $64,448 | $68,131 to $72,672 | 60% |
| 11 | $23,329 to $24,786 | $31,553 to $33,524 | $39,777 to $42,262 | $48,001 to $51,000 | $56,225 to $59,738 | $64,449 to $68,476 | $72,673 to $77,214 | 70% |
| 12 | $24,787 to $26,244 | $33,525 to $35,496 | $42,263 to $44,748 | $51,001 to $54,000 | $59,739 to $63,252 | $48,477 to $72,504 | $77,215 to $81,756 | 80% |
| 13 | $26,245 to $28,577 | $35,497 to $38,651 | $44,749 to $48,726 | $54,001 to $58,800 | $63,253 to $68,874 | $72,505 to $78,949 | $81,757 to $89,023 | 90% |
| 14 | $28,578 or more | $38,652 or more | $48,727 or more | $48,801 or more | $68,875 or more | $78,950 or more | $89,024 or more | 100% |
Instructions:
- Locate the column for the number of members in your immediate family.
- Scroll down that column to find the box containing your annual household income (before taxes).
- Follow that row across to the right to see the percentage of our fees that you are eligible to be charged.
- Let your Provider know if you would like to speak with our Billing Department about a sliding fee rate.