Therapy Sliding Fee Scale | Financial Hardship & $0 Fee Waivers | Partnerships | Payment Policies | Fee FAQs
The Antioch Community Counseling & Psychology Clinic is committed to providing accessible, affordable behavioral health services. As a university training clinic, we offer therapy and psychological assessment services at reduced self-pay rates.
The Clinic is entirely self-pay and does not accept or bill insurance. Our services are not billed using insurance-based CPT procedure codes, and the Clinic does not provide superbills for submission to insurance companies. Clients are responsible for the cost of services based on their assigned therapy fee or assessment fee and should not expect reimbursement through their health insurance plan.
To help reduce financial barriers to care, therapy fees are offered on a sliding scale based on household income, and a limited number of additional financial hardship options may be available depending on client need and Clinic capacity.
Fees at a Glance
Therapy
- Individual, couples, and family therapy:
$10–$100 per 50-minute session based on annual gross household income - Standard therapy fee:
$100 per 50-minute session - Initial intake appointment:
No cost - Financial hardship fee waivers:
A limited number of $0 therapy spaces are available based on financial need and Clinic capacity
Psychological Assessment
- Assessment fees:
Generally $500–$3,500 depending on the type and scope of the evaluation and the individual needs of the client - Reduced-cost assessments:
A limited number may be available for individuals experiencing significant financial hardship, depending on financial need, assessment type, and Clinic capacity
Therapy Sliding Fee Scale
The standard fee is $100 per 50-minute session, with reduced fees available down to $10 per session. Therapy fees are determined using a sliding fee scale based on annual gross household income.
Clients are asked to provide documentation of annual gross household income prior to engaging in services to establish their sliding-scale fee. Acceptable documentation may include a recent paystub, tax return, bank statement, documentation of government assistance, or other documentation reasonably demonstrating current income.
We recognize that income documentation may not always reflect a person’s current financial circumstances. If you have experienced a significant change in income or financial circumstances, please let us know in your intake or returning-client paperwork so that your current situation can be considered when determining your fee.
Intake Appointments
Initial intake appointments are provided at no cost to the client. The client’s applicable sliding-scale fee or approved fee-waiver status will be established prior to the start of ongoing therapy services whenever reasonably possible.
Financial Hardship & $0 Fee Waivers
The Clinic maintains a limited number of full fee-waiver ($0) spaces for community clients experiencing significant financial hardship for whom the minimum $10 session fee would create a substantial barrier to receiving services.
Fee waivers may be requested as part of the intake or returning-client process and are based on both financial need and available Clinic capacity. Availability is limited, and approval of a fee waiver is not guaranteed.
Approved fee waivers are generally valid for one year from the client’s first therapy session. Clients wishing to continue or return to services after that period may request a new fee waiver and will be asked to provide updated financial information. Previous approval does not guarantee future availability or eligibility.
If your financial circumstances change significantly while receiving services, you may request reconsideration of your assigned fee.
For additional information about fee-waiver eligibility or the application process, please contact the Clinic at 206-268-4840 or [email protected].
Changes in Financial Circumstances
If your financial circumstances substantially change while you are receiving services, you may request reconsideration of your assigned fee. Fee-waiver availability may also change throughout the year based on Clinic capacity.
Your assigned fee will not be changed without notification.
Psychological Assessment Fees
Psychological assessment fees generally range from $500–$3,500, depending on the type and scope of the evaluation and the individual needs of the client.
Assessment services are charged as a comprehensive assessment fee rather than by individual testing hour or procedure. The specific fee for an evaluation will be discussed with the client as part of the assessment screening and scheduling process.
The Clinic offers a limited number of reduced-cost assessment opportunities for individuals experiencing significant financial hardship. Availability is based on financial need, the type of assessment requested, and Clinic capacity.
University & Community Partnerships
Some clients receive services through established university or community partnerships and are not subject to the general community sliding fee scale.
Current arrangements include:
- Eligible Antioch University Seattle students: $0 per therapy session
- Eligible City University students: $0 per therapy session through the Clinic’s reciprocal student services agreement
- Other approved university, agency, or community partnership rates may apply
Antioch University PsyD students are not eligible to receive therapy services through the Clinic.
Payment & Appointment Policies
Payment for therapy services is due prior to each scheduled appointment unless alternative arrangements have been approved or services are provided through an established university or community partnership.
Payment for psychological assessment services is generally collected at the first scheduled testing session. Depending on the total assessment fee and payment arrangements, the fee may be divided between the first two testing sessions. Any applicable payment arrangements will be discussed with you prior to testing.
The Clinic accepts cash, check, Visa, Mastercard, and Discover.
Clients will receive a Good Faith Estimate describing the expected cost of services based on the fee assigned at the time the estimate is prepared.
If a client’s assigned fee changes, including following approval of a full fee waiver or a significant change in financial circumstances, an updated Good Faith Estimate may be provided reflecting the new expected cost of services.
Clients are expected to provide at least 24 hours’ notice when canceling or rescheduling an appointment.
The first late cancellation or no-show fee will be waived as a one-time courtesy. Subsequent appointments canceled with less than 24 hours’ notice or missed without notice will be subject to the Clinic’s applicable cancellation/no-show fee.
Appointments canceled by the therapist or Clinic will not result in a charge. Exceptions may be considered when emergencies or unexpected circumstances prevent a client from attending or providing adequate notice.