Good Faith Estimate - Balanced Awakening, PC (Chicago)
If you are a self-pay, out-of-network client you are entitled to receive a “Good Faith Estimate” of potential charges for psychotherapy services provided to you. While it is not possible for us to accurately predict how many psychotherapy sessions may be necessary or appropriate in advance, this document provides an estimate of the cost of services provided. Your total cost of services will depend upon the number of psychotherapy sessions you attend, your individual circumstances, and the type and amount of services that are provided to you. This estimate is not a contract and does not obligate you to obtain any services from us, nor does it include any services rendered to you that are not identified here.
This Good Faith Estimate is also not intended to serve as a recommendation for treatment or a prediction that you may need to attend a specified number of psychotherapy visits. The number of visits that are appropriate in your case, and the estimated cost for those services, depends on your needs and what you agree to in consultation with your therapist. You are entitled to disagree with any recommendations made to you concerning your treatment and you may discontinue treatment at any time.
Individual Psychotherapy
The fee for the first two 55-minute intake appointments is $235 each and the fee for all subsequent 55-minute individual psychotherapy appointments is $210.00, whether in-person or via telehealth. Most clients attend sessions on a weekly basis, but the frequency of psychotherapy visits that are appropriate in your case may vary depending upon your needs. Your total estimated charges will increase or decrease according to the number of visits, frequency of visits, and length of treatment. The chart below provides an estimate of what your fees for therapy may look like.
Number of Weeks
Total estimated charges for 1 session per week
4 weeks
(approximately 1 month of services)
$890.00
12 weeks
(approximately 3 month of services)
$2,5700.00
22 weeks
(approximately 6 month of services)
$4,670.00
44 weeks
(approximately 1 year of services)
$9,290.00
Couples Therapy
The fee for all 55-minute Couples Therapy sessions is $235, whether in-person or via telehealth. Most clients attend sessions on a weekly basis, but the frequency of psychotherapy visits that are appropriate in your case may vary depending upon your needs. Your total estimated charges will increase or decrease according to the number of visits, frequency of visits, and length of treatment. The chart below provides an estimate of what your fees for therapy may look like.
Number of Weeks
Total estimated charges for 1 session per week
4 weeks
(approximately 1 month of services)
$9400.00
12 weeks
(approximately 3 months of services)
$2,820.00
22 weeks
(approximately 6 months of services)
$5,170.00
44 weeks
(approximately 1 year of services)
$10,340.00
Right to Dispute
You have a right to initiate a dispute resolution process if the actual amount charged to you substantially exceeds the estimated charges stated in your Good Faith Estimate (which means $400 or more beyond the estimated charges).
You are encouraged to reach out to hello@balanced-awakening.com at any time with any questions you may have regarding your treatment plan or the information provided to you in this Good Faith Estimate.