Rates & Insurance

We are in-network with Oregon Health Plan (OHP – HealthShare CareOregon, PacificSource Community Solutions, and Trillium). While we are out-of-network with all commercial insurances, we are happy to bill them as a courtesy to our clients. We are unable to bill Kaiser or Tricare.

Comprehensive Evaluation Rates

A comprehensive psychological evaluation typically requires many hours of professional time. Please refer to our Services page (link) for more details about what a comprehensive evaluation entails.

We bill most psychological services at an hourly rate of $285. As most evaluations require a total of 14-20 hours of services, the total cost of a MindSights comprehensive evaluation typically ranges from $3990 to $5700 (prior to insurance participation), depending on scope and complexity.

We do believe that competently-provided and individually-tailored assessments can be extremely beneficial to both children and their families; however, these benefits can be diminished if the cost of the assessment creates financial stress. We therefore urge potential clients to carefully consider the financial impact of pursuing an evaluation at this time.

Giftedness and Early Entry Testing

Evaluations for academic and/or intellectual giftedness, or for the purpose of early entry to kindergarten, are billed at a flat rate that ranges from $700 to $1500, depending on the age of the child and the specific tests requested. We do offer a reduced rate for families who qualify for free or reduced lunch and are seeking early entrance to kindergarten in Portland Public Schools or Woodburn School District. Please find out which test(s) are required for any academic programs to which you plan to apply, and we will quote you accordingly. Please be sure to inform us of any relevant deadlines as well.

Insurance Information

We have found that working within the limitations imposed by private/commercial insurance companies can interfere with our ability to provide families with high quality psychological services. Therefore, MindSights has opted not to enroll with private insurance panels and is considered an out-of-network provider.

If you would like to use private health plan benefits to help limit the costs of services, Mindsights will directly bill your insurance company so that you can obtain any reimbursements that are part of your health plan. Our billing specialist can check your out-of-network benefits and provide you with a personalized estimate that takes your anticipated insurance contribution into account. You are also encouraged to contact your health insurance company directly to determine the level of coverage included in your plan.

When working with most private/commercial insurance plans, we do require a prepayment at the beginning of the psychological assessment process. The amount of the prepayment will be based on the anticipated total cost of the evaluation and the estimate we receive from your insurance company. The pre-payment is due two weeks prior to the first testing session and will be applied to the fees accrued over the course of testing. It is possible that testing costs may exceed your prepayment and you may owe a final balance once services are completed and insurance has responded to all claims. If there is a credit in your account after insurance payments have been received, we will reimburse you promptly.

If your insurance requires a pre-authorization for psychological evaluation services, we will submit the pre-authorization request after your initial consultation. It is possible that the insurance company will not authorize all of the hours the clinician requests. If this is the case, we will recalculate the prepayment to reflect their coverage.

  • For Trillium members: If possible, please have a current mental health provider send us the information indicating diagnostic clarification needs for ongoing treatment and/or therapy. Providers can either use our referral form or their own. We will send you intake paperwork to complete and return. Once we have received the completed intake forms, we will reach out for scheduling.
  • For PacificSource Community Solutions (PSCS) members: Your insurance company now requires pre-authorization for psychological evaluations. If possible, please have a current mental health provider send us the information indicating diagnostic clarification needs for ongoing treatment and/or therapy. Providers can either use our referral form or their own. We will send you intake paperwork to complete and return. Once we have received the completed intake forms, we will reach out to schedule an initial consultation with one of our clinicians. After your initial consultation, the clinician will request that PSCS authorize the hours needed to provide the evaluation. If PSCS authorizes the evaluation, we will schedule the testing. If the request is denied, the clinician will inform you of this and help you identify next steps.
  • For HealthShare/CareOregon (HS/CO) members: Your insurance company requires a pre-authorization for psychological evaluations. We will need a referral from your child’s current mental health provider, as well as an approved pre-authorization. If you don’t have a provider and need assistance, please reach out to the Member Customer Service 503-416-4100.