Services & Fees
Please review our available services and associated fees to better understand your options before getting started.
Cancellation Policy
Your appointment time is reserved exclusively for you.
If you are unable to attend your appointment, please notify the office by phone or email prior to the appointment time.
We require a 24-hour notice for any canceled appointment.
Failure to follow this policy will result in being billed the full session amount for the time reserved for you.
SERVICES OFFERED BY
Dr. Sindhura Suryadevara, MD
New Patient Consultation Call
15 min
$100
New Child or Adolescent Initial Assessment
120 min
$615
New Adult Assessment
60 min
$515
Follow-Up Appointment
In-person or telehealth
30 min
$275
Follow-Up Appointment
In-person or telehealth
45 min
$315
Follow-Up Appointment
In-person or telehealth
60 min
$365
No Show / Late Cancellation
Outside the 24-hour window — subject to full appointment charge
$150–$365
Phone Call
For calls conducted remotely.
15 min
$100
Phone Call
For calls conducted remotely.
30 min
$275
Coordination of Care Appointment
(e.g. school meetings, other medical clinicians, therapy providers, etc.)
30 min
$100-275
Medication Refills (after lapsed follow-up appointment period)
$15
Additional Forms, Letters, and Documentation
School/Testing Accommodations, Medical Leave, etc.
Varies
$50–$150
*For established patients, Dr. Suryadevara offers telepsychiatry (video-conference) appointments on an individual basis.
SERVICES OFFERED BY
Dr. Carly Hanks, PhD
New Client Intake
75 min
$275
Psychotherapy Session
50 min
$225
Letter in Support of Gender Affirming Services
90 min + letter
$350
Fertility Counselling & Letter in Support of Third-Party Reproduction
90 min + letter
$350
Payment & Insurance
Important information about our payment policies and insurance
Payment for Services
Our office staff will inform you of the amount due when the appointment is scheduled. We require that a credit card is kept on file via our secure electronic medical record system. Patients are responsible for full payment at the time of service.
Methods of Payment Accepted
Cash, credit card (or debit and HSA/FSA cards), and checks only for established patients.
Returned Checks
A $30.00 service charge will be added on all checks returned for insufficient funds.
Late Balances
Any pending charges/balances over 30 days may incur a 3% late fee per month until the outstanding balance has been remitted.
Pre-Paid Charges
There may be situations that a pre-paid charge or credit card hold for the appointment is required. The office will discuss that with you prior to any cost that you may incur.
Insurance Information
Private Pay Practice
Prana Integrated Psychiatry is a private pay practice who is an out-of-network provider with all insurance companies and therefore does not accept insurance. While we do not bill insurance, we can provide you with a “superbill” to submit to your insurance company for possible out-of-network reimbursement and you may file your own claims for reimbursement. Please note that we will not file claims on your behalf.
Payment is due at the time of service.
Medicare, Tri-Care and Medicaid
If you are a Medicare, Tri-Care and Medicaid patient — we have opted out of these plans. As a result, patients with these insurance coverages are not permitted to submit claims from our practice to these insurance providers for reimbursement.
Superbills
We can provide a “superbill” after each session so that you may submit a claim to your insurance for reimbursement. These statements can be obtained through the patient portal at the beginning of the calendar month or by using our Request a Billing Statement form found in the Patient Resources tab on our website.
Suggested Questions to Ask Your Insurance Carrier
Please contact your insurance company directly about the benefits, deductibles, and reimbursement rates available to you, as they can vary by individual carrier and plans.
Suggested Questions to Ask Your Insurance Carrier
- What is my eligibility for out-of-network mental health outpatient services?
- How much will be covered for office visits with CPT codes 90792, 99213, 99214, 90833, 90836, 90791, 90834, and 90837?
- Are virtual (telehealth) or telephone calls covered?
- Do I have a deductible that I must meet before my insurance starts to cover payments?
- How many sessions are covered under my current plan per year?
No Surprises Act / "Good Faith Estimate"
You have the right to receive a Good Faith Estimate of the total expected cost for any non-emergency healthcare services. Under the No Surprises Act, healthcare providers are required to give patients who do not have insurance—or who choose not to use insurance—an estimate of expected charges for medical items and services.
- You are entitled to receive a Good Faith Estimate in writing at least one (1) business day before your scheduled service
- You may also request a Good Faith Estimate before scheduling any service
- If you receive a bill that is $400 or more above your estimate, you have the right to dispute the charges
- Be sure to keep a copy or take a photo of your Good Faith Estimate for your records.
For questions or more information about your rights, please visit: www.cms.gov/nosurprises or call (800) 985-3059