Concierge Care without the “Boutique” Price Tag

We are confident that our fees are competitive within the DC area fee-for-service private practice market, while at the same time consistently out delivering our peers on 3 Critical Components of your experience:

* The extraordinary nature of your psychotherapy experience. Our providers are the best in the area! (see our credentials and clients testimonials)

* The outstanding customer service delivered by Petra our Director of Administrative Hospitality and our 21st century user friendly secure communication and scheduling platforms. Ask your therapist about the option of telemedicine appointments when you’re out of town on business with our very user friendly encrypted App.

* The exceptional ambiance and amenities throughout our care environment.

See our Testimonials page for details



You’re wondering, “How much do Psychologists charge?” If you’ve been to several websites, you’ve likely already found, more times then not, this information is disappointingly hard to find or not offered at all. You’ve likely seen website’s “Rates and Insurance” pages actually require you to call and ask.

We feel strongly that this unnecessarily increases anxiety, forcing you to begin a relationship with an awkward question and potentially creating doubt as to whether the pricing quotes are capricious, as well as causing you to dread a potential “hard sell.” Thus making your selection process unnecessarily opaque, arduous, and uncomfortable. We think we can do better than that.

Most initial consultations will be 60 mins, and the standard follow-up appointment duration that insurance companies like to reimburse for is 45 minutes.

Need more time? It’s up to you and your therapist. Your out-of-network arrangement is private and between the two of you.

Our couples therapists often preferred extended appointment durations for initial and follow-up couples therapy appointments. Contact the couples therapist you would like to work with directly for details.


Psychotherapy Fees

CLINICIAN Initial 60/90 min. Appt. 45/60 min Individual Therapy 50/90 min Family or Couples Therapy
Nicole Beane, LCSW-C $250/n/a $215/$230 $250* (60 min)
Krista Beyer, Psy.D. $230/n/a $200/$215 $210/$300
Megan Burleson, Ph.D $240/n/a $210/$225 $220/$310
Elizabeth Carr, Psy.D. $295/n/a $235/$250 $240/$365
Tess De Smedt, LMSW (fall of 2023) $175/n/a $150/$165 $160/n/a
Elsy Estrada, LMSW $175/n/a $150/$165 $160/n/a
Jill Jacobson, Ph.D. $230/n/a $200/$215 $210/$300
Jacqueline Flores, LCSW-C $225/n/a $190/$205 $195/$280
Johanna Koenig, LCSW-C $220/n/a $185/$200 $195/n/a
Daniela Nogales, LCPC $230/$295 $200/$205 $200/$285
Dana Payes, LCSW-C $220/n/a $185/$200 $195/$280
Jessica Payne, LCSW-C $225/n/a $190/n/a $195/n/a
Jacy Perkin, PMH, CNS-BC $225/n/a $190/$205 $200/$295
Raffaela Peter, Ph.D. $235/n/a n/a/$220 n/a/n/a
Betsy Tseronis, LCPC $225/$290 $190/$205 $205 (60 min)/$280


Medication Management Fees

CLINICIAN Initial Medication Evaluation 60-90 mins Follow-Up Medication Mgmt. 30 mins Tel-Cons & Charges Outside of Sessions*
Russell Carr, M.D. $450-485 $225 Prorated by the minute based on $450/hr
Adrian Kress, M.D. $450 $225 Prorated by the minute based on $450/hr
*Including: Medication refills between scheduled appointments (min $75 for MD); insurance pre-authorizations; extended discussions about treatment plans.


Testing Fees

CLINICIAN Testing Appropriateness Consultation Comprehensive Testing Package
Megan Burleson, Ph.D. $240* $4000
*Credited toward testing package



Equine Assisted Therapy – Starting Spring of 2024

CLINICIAN 60 mins Equine Assisted Therapy (Arena or Field)
Tess De Smedt (Spring 2024) $210



CLINICIAN Initial Evaluation & Exploration Meeting 60 45/60 mins Psychoanalysis Sessions
Russell Carr, M.D. $450 $225/$325


Non-Reimbursable Court Appearance Fees

CLINICIAN Deposit For Court Appearance* Record Review & Preparation for Appearance Daily Court Appearance Fee Preparation Mtgs w/ Patient’s Attorney (Prorated hourly fee will be calculated based on minutes used) Phone or virtual
LPCP, LMSW-C, LMFT $1500 $500 $3250 $500
Licensed Psychologist $2000 $650 $4500 $550
Psychiatric NP $2500 $850 $5250 $600
Psychiatrist $4000 $1200 $7500 $800

* Deposit will be charged 8 days before the court appearance date and is non-refundable, even if the issue is settled out of court.  This fee is in consideration of the likely six standing patient appointments that will need to be cancelled.


We do not accept insurance. We have chosen this intentionally so that our therapists have more control over your treatment. Many insurance companies limit numbers of sessions with in-network providers, do chart reviews of in-network providers (compromising your privacy), do not cover some treatments aour clients are seeking such as sexual functioning concerns when billed directly, and most do not cover couples therapy when in-network. Insurance companies also reimburse providers at significantly lower rates then the local market, which results in many clinicians with exceptional skills and advanced post-degree training to leave their panels. 

By being out-of-network we can recruit exceptional clinicians who are committed to providing you with the outstanding treatment you are asking for and deserve without the insurance company dictating everything they do. With this you can also feel more comfortable that your private information is being kept completely confidential and away from your insurance company. If you would like to, you are welcome to submit your receipts to your insurance carrier for possible out of network reimbursement. Some insurance companies are willing to reimburse our clients a portion of the costs for each session. We will supply you with an itemized medical receipt, called a Superbill, at the end of each month which you can submit along with your claim form to your health insurance provider for reimbursement. There is no guarantee that your insurance provider will accept a portion or the full cost of services. Contact your health insurance company to see if they accept out-of-network provider superbill receipts for claim reimbursement. 

In order to use your insurance to help cover your costs of care, you will need to plan on submitting your paid receipts to your insurance company for partial reimbursement. This is because we are not in-network with any insurance companies. This means that we do not take co-pays for services and balance bill insurance carriers.

As licensed mental health professionals, our out-of-network services are likely reimbursable in full or in part by your health insurance.

You can pay for your appointments with cash, check, or you credit/debit card. Additionally you may use your employee benefit plan’s HSA/FSA card (using pretax dollars) as our credit card processing merchant account is registered as “medical.”

We will provide you with paid receipts which will include CPT treatment codes and diagnostic codes that you can submit to your insurance company for reimbursement. Please ask your therapist for details and advice on how to navigate this process. Although we cannot submit this paperwork on your behalf, if this process is new to you, please let us know. We are here to help!

You can learn more about your insurance benefits by asking your insurance carrier’s customer service representative the following questions:

  • Do I have mental health benefits?
  • What is my annual deductible and has it been met? How much is still remaining? Does it restart at the end of the calendar year or at some other time? Do we meet the deductible individually or as a family unit?
  • Is there a limit to the number of sessions my plan will reimbursed for in a calendar year? Or a spending cap?
  • Does my plan allow for the use of out-of-network providers? (Again: All of our providers are Out of Network at this location, Kentlands Psychotherapy does not have enpaneled providers.)
  • What is the cost sharing component/split?
  • What do you consider ‘reasonable and customary‘ R&C for a CPT code of 90834 (the insurance company’s idea of a standard fee for a 45 min follow-up psychotherapy appt) and what percentage do you reimburse from that?  So, for example, if they consider $100 R&C and they reimburse 80% of that amount, they should be cutting you a check for $80 after each of your $175 Appt’s.  On the other hand, if they considered $200 R&C they would reimburse 80% of the full appt fee (for example) of $175, hence you could expect a check back for $140. (i.e., 80% of $175.00)
  • Is approval required from my primary care physician?
  • Are there any standardized forms I will need to submit for reimbursement? Where do I find these forms on your (insurance) company’s website?

Bill Payment

Payment is due at the time of service unless prior arrangements have been made with your provider. We accept all major credit cards, cash, and personal checks. We will provide a medical receipt called a Superbill at the end of every month for you to submit to your insurer for reimbursement, generally on the Monday following your appointment.

All questions regarding your account should be directed to our Director of Hospitality, Petra Desmond, at


24-Hour Cancellation Policy

When cancelling or rescheduling  appointments with more than 24 hours notice, please use the patient portal. If you need assistance with this technology please call Petra Desmond at (240) 252-3349, 807.

If you do not attend to your scheduled appointment and you have not notified your therapist at least 24 hours in advance, you will be charged the full fee for the appointment as booked. Please call as soon as possible if you have trouble making your appointment time. Please text or call your therapist first if you are needing to cancel on short notice, you can also call the office, but know that should not be the primary method to notify your therapist as these main phone number will have a delay in picking up messages and relating that message to your provider.  In emergancy cases, exceptions to the 24-hr policy can be made.


Other Policies

You will learn more about record keeping, privacy, and other billing policies, in the online paperwork you complete before your initial consultation appointment. If you have any questions or concerns about these forms, please bring them to the attention of your therapist before or during your first appointment.

Inclement Weather?  Click here for our inclement weather (snow) policy.


Notification of Federal Protections against Surprise Billing: No Surprises Act/ Good Faith Estimates

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, medical equipment such as Alpha Stims, and hospital fees. Your health care provider will provide you a Good Faith Estimate in writing prior to your medical service or item. You can also ask your health care provider and any other provider you choose (to work with), for a Good Faith Estimate during scheduling. If you receive a bill that is substantially higher than estimated on (more than $400 than) your Good Faith Estimate, you can dispute the bill.  It is a good idea to save a copy of your Good Faith Estimate. 

For questions or more information about your right to a Good Faith Estimate, visit


Notification of Federal Protections against Surprise Billing for Out-of-Network clients

Getting care from this provider or facility could cost you more as we are out-of-network:

If you have insurance and choose to proceed working with us, getting care from this provider or facility could cost you more than if you went to an in-network provider. 

 If your insurance plan covers the item or service you are getting, federal law protects you from higher bills when you get emergency care from out-of-network providers and facilities, or when an out-of-network provider treats you at an in-network hospital or ambulatory surgical center without your knowledge or consent.

Ask your healthcare provider or patient advocate if you need help knowing if these protections apply to you. 

 According to federal regulations, a waiver can be signed to pay the full fees, which may be more than your in-network benefits, which may mean you have:

given up your protections under the law. you may owe the full costs billed for items and services received. Your health plan might not count any of the amount you pay toward your deductible and out-of-pocket limit. Contact your health plan for more information (regarding your out of network benefits).   

You should not sign any waivers, if you did not have a choice of providers when receiving care. For example, a doctor was assigned to you with no opportunity to make a change (or without choice). Before deciding whether to sign a waiver, you can contact your health plan to find an in-network provider or facility. If there isn’t one, your health plan might work out an agreement with a provider or facility.  


Your Rights and Protections Against Surprise Medical Bills

 When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a healthcare facility that isn’t in your health plan’s network. 

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay (in network rate) and the full amount charged (private fee) for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care–like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. 

You are protected from balance billing for 
Emergency services

If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in network cost-sharing amount (such as copayments, deductible, and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balance filed for these post-stabilization services. 

Certain services at an in-network hospital or ambulatory surgical center

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most these providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. 

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.

You are never required to give up your protections from balance billing. You also aren’t required to get out-of-network care. You can choose a provider or facility in your plan’s network. 

When balance billing isn’t allowed, you also have the following protections: 

You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.  Your health plan generally must:  cover emergency services without requiring you to get approval for services in advance (prior authorization).  Cover emergency services by out-of-network providers. Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.  Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.  

For more information about your rights under federal law, visit: