Hill Country Neuro

FEES

Our practice does not currently bill insurance for assessment services because we provide comprehensive, in-depth evaluations that insurance companies typically do not reimburse at a level that would allow us to deliver the quality and time investment these assessments require. Insurance policies often impose restrictions on the length of sessions, the type and number of assessment measures permitted, and the clinical focus of testing—all of which can compromise the thoroughness and accuracy of a neuropsychological evaluation. In addition, academic and learning-related testing is usually not covered under insurance benefits. If you would like to pursue reimbursement on your own, we can provide a detailed invoice (“superbill”), which you may submit directly to your insurance provider. Please be aware that superbills include diagnosis and procedure codes, which means the information becomes part of your insurance record.

Reimbursement, if any, varies widely based on individual plans, so we recommend contacting your insurance carrier to determine whether any out-of-network benefits apply. Because coverage decisions are made solely by your insurer, we cannot guarantee any level of payment.

We’re able to offer a small number of sliding-scale slots for families who need financial flexibility. This means the fee is reduced based on your financial situation. These spots are limited, but we try to reserve them for clients who otherwise wouldn’t be able to access a high-quality, comprehensive assessment. Families and church communities are also often underutilized sources of financial support, and we have pre-written letters you can use to request assistance from either or both, right here.

To protect appointment times, a credit card is required on file. The card will only be charged in the event of a missed appointment or a cancellation with less than 24 hours’ notice unless the situation qualifies as a legitimate emergency.

Most psychological and behavioral health services can be paid for using Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA). These accounts can be used like a standard credit card and often allow the cost of services to be paid with pre-tax dollars. Since plan rules vary, please verify with your specific HSA or FSA provider if any limitations apply. Given this info, here are our fees:

Initial Consultations for Neuropsych Evaluation Services (10-30 minutes) = no cost
Focused Evaluations (e.g., ART psych eval, Giftedness, ADHD or ASD only*) = $350-$1000
Comprehensive Neuropsychological (incl. Learning Disorder) Evaluations = $1250-3500

*While I can provide a limited, single-issue assessment focused solely on ADHD or on ASD (autism), it is important to understand what that type of eval does—and does not—include. A focused evaluation looks only at one specific diagnosis, and it's a yes or no answer. It does not explore other potential diagnoses, contributing factors, or the broader pattern of strengths and challenges that often emerge in a full neuropsychological assessment.

For many individuals, especially those who have had to mask their neurodivergent traits for years, symptoms are often intertwined with anxiety, learning differences, executive-function challenges, or other emotional and developmental factors. When only one area is assessed in isolation, the results offer only a snapshot rather than the full, big-picture analysis of what is happening. Important pieces of the puzzle can be missed. And often, ADHD and autism co-occur and this is missed by companies that only offer these focused evals.

I often meet families who previously completed a narrow “ADHD-only” or “ASD-only” evaluation elsewhere and were simply told, “You don’t meet criteria.” They were given no explanation of why they didn’t meet criteria, what else might be contributing to the difficulties they were experiencing, or where to go next. Many leave with unanswered questions, ongoing concerns, and the frustration of having paid a lot of money for an assessment that didn’t actually clarify anything—only to start over with a comprehensive evaluation. Also, many psychiatrists, colleges, workplaces, and schools (especially prescribers determining ADHD medication eligibility) often require more comprehensive documentation than what these brief, single-issue evaluations provide, that they received elsewhere.

A full neuropsychological assessment is designed to avoid this situation by looking holistically at cognitive, emotional, behavioral, and developmental factors together. This approach not only identifies diagnoses more accurately but also explains why symptoms are occurring and what interventions are most likely to help.

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