Transparent rates. Care within reach.
We believe cost should never be the reason someone doesn't get help. Below are our standard self-pay rates and an income-based sliding-fee scale for clients who qualify.
Schedule of fees for outpatient services
These are our standard self-pay (cash) rates for outpatient substance use and behavioral health services, effective August 2026. Clients who qualify for the sliding-fee scale pay a reduced rate — see the next section. A Good Faith Estimate is provided for all self-pay services.
| Service | Unit | Rate |
|---|---|---|
| Substance Use Assessment / ASAM Level-of-Care Evaluation | Per evaluation | $225 |
| Alcohol & Drug Assessment (screening intake) | Per assessment | $120 |
| Psychiatric Diagnostic Evaluation with Medical Services (MAT intake) | Per evaluation | $250 |
| Service | Unit | Rate |
|---|---|---|
| Individual Therapy — 60 minutes | Per session | $185 |
| Individual Therapy — 45 minutes | Per session | $135 |
| Individual Therapy — 30 minutes | Per session | $100 |
| Family Therapy (client present) | Per session | $150 |
| Group Therapy / Counseling | Per participant / session | $45 |
| Outpatient Behavioral Health Counseling | Per 15 minutes | $25 |
| Service | Unit | Rate |
|---|---|---|
| Intensive Outpatient Program (IOP) | Per day (per diem) | $200 |
| Group Counseling by a Clinician (IOP) | Per session | $55 |
| MAT / MOUD Medication Management & Monitoring | Per month | $215 |
| Case Management / Care Coordination | Per 15 minutes | $30 |
| Peer Support Services | Per 15 minutes | $60 |
| Drug Screen (presumptive, per date of service) | Per screen | $40 |
Rates reflect prevailing 2026 outpatient behavioral-health rates for the Las Vegas / Nevada market. Codes shown (CPT®/HCPCS) are provided for billing reference and do not guarantee coverage by any payer. Fees are reviewed periodically; the schedule in effect on the date of service applies.
Reduced fees for qualifying clients
No one is turned away based on inability to pay. Our sliding-fee scale reduces your cost based on your household size and annual income, measured against the federal poverty guidelines. Discounts apply to most outpatient services.
By household size (annual income)
Based on the 2026 federal poverty guidelines for the 48 contiguous states.
| Household | Tier A | Tier B | Tier C | Tier D |
|---|---|---|---|---|
| 1 | ≤$15,960 | ≤$23,940 | ≤$31,920 | ≤$39,900 |
| 2 | ≤$21,640 | ≤$32,460 | ≤$43,280 | ≤$54,100 |
| 3 | ≤$27,320 | ≤$40,980 | ≤$54,640 | ≤$68,300 |
| 4 | ≤$33,000 | ≤$49,500 | ≤$66,000 | ≤$82,500 |
| 5 | ≤$38,680 | ≤$58,020 | ≤$77,360 | ≤$96,700 |
| 6 | ≤$44,360 | ≤$66,540 | ≤$88,720 | ≤$110,900 |
| 7 | ≤$50,040 | ≤$75,060 | ≤$100,080 | ≤$125,100 |
| 8 | ≤$55,720 | ≤$83,580 | ≤$111,440 | ≤$139,300 |
Household of more than 8: add $5,680 per person to each Tier A figure. Incomes above Tier D are billed at the standard self-pay rate.
What each tier pays
- Tier A — nominal fee (about 80% off standard rates)
- Tier B — about 60% off standard rates
- Tier C — about 40% off standard rates
- Tier D — about 20% off standard rates
- Above Tier D — standard self-pay rate
| Service | A | B | C | D | Std |
|---|---|---|---|---|---|
| ASAM assessment | $45 | $90 | $135 | $180 | $225 |
| Individual (60 min) | $37 | $74 | $111 | $148 | $185 |
| Group session | $9 | $18 | $27 | $36 | $45 |
| IOP (per day) | $40 | $80 | $120 | $160 | $200 |
Illustrative examples. Your final rate is confirmed after we review your documentation.
- A recent pay stub, or
- Prior-year tax return (Form 1040), or
- Award letter (SSI, SSDI, unemployment, or public assistance), or
- A signed self-declaration of income if no documents are available
We also ask for household size. Your information is kept confidential and used only to determine your fee.
Applying is simple
Ask about the sliding-fee scale when you call or at your first visit. We'll review your household size and income, confirm your tier, and give you a written Good Faith Estimate before services begin.
- No one is denied services based on inability to pay.
- Sliding-fee status is typically reviewed once a year, or sooner if your circumstances change.
- Payment plans can be arranged for balances.
Questions about your options? Call 702-803-9355, Mon–Fri, 9:00 AM – 5:00 PM.
For clients referred through Las Vegas Justice Court specialty court programs, we bill the client's commercial insurance — or apply self-pay / sliding-fee options — as the primary source of payment. Where a covered service is denied for reasons outside the client's or agency's control, the referring Court may serve as payer of last resort at the standard rates, subject to a fully executed Memorandum of Understanding (MOU). We document all court-billed services in the Court's case management system and provide progress and attendance updates as required.
Let's find the option that fits
Request an assessment or call us to review your payment options. We'll make the cost clear before anything begins.