BILLING & ASSISTANCE
Thank you for considering Siouxland Mental Health Center to provide services to assist with your mental health needs. Services received at Siouxland Mental Health Center and that you have elected to participate in require financial responsibility on your part. This responsibility obligates you to ensure payment in full of our fees. We will verify your coverage and bill your insurance carrier on your behalf. Payments are expected at the time of service.
It is the mission of Siouxland Mental Health Center to provide services for any person, family, and/or child(ren) who needs care, regardless of their ability to pay. Siouxland Mental Health Center continues to serve clients by offering services at reduced rates for those who qualify for Financial Assistance. Discounts are offered based on household size and annual income. Please complete the following information and return it to the front desk to determine if you or your family members are eligible for a discount.
The discount will apply to all services received at this Siouxland Mental Health but not those services or equipment purchased from outside entities, including reference laboratory testing, drugs, and other such services.
How do I apply?
Download and complete the application form below. Along with a completed application, please provide the following Federal Income Tax forms, W-2s or last two consecutive pay stubs, and valid photo I.D. to Siouxland Mental Health Center (Main Clinic location). We will review the information and get you scheduled with a therapist.
Service | Price | Type of Visit |
|---|---|---|
New Patient Therapy Intake
| $115-$182 | In Person or Telehealth |
Annual Therapy Intake | $137 | In Person or Telehealth |
Individual Therapy Session | $91-$182 | In Person or Telehealth |
Group Therapy Session | $67 | In Person or Telehealth |
Family Therapy Session | $115-$118 | In Person or Telehealth |
New Patient Psychiatric Evaluation | $180-$353 | In Person or Telehealth |
Existing Patient Psychiatric Evaluation | $289 | In Person or Telehealth |
Psychiatric Medication Check | $67-$173 | In Person or Telehealth |
Nurse Visit | $15 | In Person
|
Injection Fee | $25 | In Person
|
OWI Evaluation | $125 | In Person
|
Servicio | Precio | Tipo de visita |
|---|---|---|
Sesión de terapia familiar | $115-$118 | Presencial o Telesalud |
Sesión de Terapia de Grupo | $67 | Presencial o Telesalud |
Ingreso de terapia para pacientes nuevos
| $115-$182 | Presencial o Telesalud |
Sesión de terapia individual | $91-$182 | Presencial o Telesalud |
Visita de enfermera | $15 | En persona
|
Evaluación OWI | $125 | En persona
|
Consumo de terapia anual | $137 | Presencial o Telesalud |
Evaluación psiquiátrica de nuevo paciente | $180-$353 | Presencial o Telesalud |
Evaluación psiquiátrica del paciente existente | $289 | In Person or Telehealth |
Chequeo de Medicamentos Psiquiátricos | $67-$173 | Presencial o Telesalud |
Tarifa de inyección | $25 | Presencial o Telesalud |