Provider: Hina Ansari, LPCC
Practice: The Healing Light Therapy LLC
Address: 34194 Aurora Road, #240, Solon, Ohio 44139
EIN: 871778320
License: E:2202965 (Ohio)
NPI 2: 1144996505
Effective January 1, 2022, the No Surprises Act requires health care providers to give patients who are uninsured, or who are not using insurance, an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate explaining how much your medical and mental health care will cost. Under the law, health care providers must give patients who don't have insurance, or who are not using insurance, an estimate of the expected charges for medical services, including psychotherapy services.
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, equipment, and hospital fees. Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
A self-pay patient is someone who is uninsured, or who has insurance but chooses not to use it for their care. If you are a self-pay patient, you are entitled to a Good Faith Estimate of the expected cost of your treatment before services begin.
Patients using in-network insurance benefits are not considered self-pay and will instead receive cost information through their insurer's benefits and claims process.
The following fee schedule reflects the standard charges for psychotherapy services at The Healing Light Therapy LLC. The number of sessions you need cannot be known in advance and will be discussed collaboratively and reviewed regularly.
| CPT Code | Service | Duration | Fee |
|---|---|---|---|
| 90791 | Initial diagnostic intake evaluation | 60 minutes | $200 |
| 90834 | Individual psychotherapy — follow-up session | 45 minutes | $120 |
| 90837 | Individual psychotherapy — extended follow-up session | 53+ minutes | $150 |
| 90832 | Individual psychotherapy — brief session | 16–30 minutes | $80 |
Estimated annual cost projections, based on standard follow-up sessions (code 90834):
| Frequency | Estimated Annual Cost |
|---|---|
| Weekly (52 sessions per year, 90834) | $6,240 per year |
| Biweekly (26 sessions per year, 90834) | $3,120 per year |
| Quarterly (4 sessions per year, 90834) | $480 per year |
A rate change took effect January 1, 2023 for code 90834. EMDR Intensive packages are billed separately as flat-fee, cash-pay services: 6-hour Intensive $1,200; 8-hour Intensive $1,600; 3-day Intensive (18 hours) $3,600. All major credit cards accepted.
This Good Faith Estimate is not a contract and does not obligate you to obtain services. It shows only an estimate of the cost of items and services reasonably expected at the time the estimate is issued.
If you have any questions about the cost of your sessions, please call, text, or email: 440-252-2684 · hina@thehealinglighttherapy.com