$750
Your story and autism history
120 min
1
Adult ADHD and autism evaluation pricing
Clear prices. Pay one visit at a time.
You will know the full cost, how long each visit is, and what you get before you book. The price is the same in every state we serve.
Every evaluation is 3 visits and 4 to 6 hours of one-on-one time. You pay for each visit on the day you have it.
ADULT EVALUATION
ADHD
$1,750 total
Paid in 3 parts, one per visit. Your first visit is $550.
Your story and history
1 hour
$550
Cognitive Testing
2 hours
$650
Diagnosis and care plan
1 hour
$550
One-on-one time
4 hours
ADULT EVALUATION
Autism
$2,050 total
Paid in 3 parts, one per visit. Your first visit is $750.
Your story and autism history
2 hours
$750
Cognitive Testing
2 hours
$650
Diagnosis and care plan
1 hour
$650
One-on-one time
5 hours
ADULT EVALUATION
AuDHD
$2,500 total
Paid in 3 parts, one per visit. Your first visit is $900.
Your story: ADHD and autism
2 hours
$900
Cognitive Testing
2.5 hours
$800
Diagnosis and care plan
1.5 hours
$800
One-on-one time
6 hours
Visit times are approximate.
EVERY EVALUATION COMES WITH
A written report
Share it with your doctor, school, or work.
A care plan
Treatment options and next steps, made with you.
A superbill
A receipt with insurance codes, emailed after each visit.
The same price in 5 states
NJ, NY, DC, FL, and CA.
HSA and FSA cards
Work for every service we offer

What you get
Three visits. Because getting it right takes time.
Insurance pays for an hour or less. We spend 4 to 6 hours with you. We left insurance so we could take the time this work needs. You pay for each visit as you go.
We listen first
You tell your story. Karina listens and asks the questions a form cannot. You leave knowing what comes next.
Real testing
You take a test called Creyos. It is a trusted, science-based tool. This way, your diagnosis rests on more than one talk.
We go over everything together
We look at your test results, what we saw, and what you told us. Together, we land on a diagnosis, treatment options, and next steps. Your written report and care plan are included.
Why not one visit?
Some places hand you a long form to fill out, then give you one hour with a provider. Often, that does not lead to the right diagnosis. And it rarely leaves you feeling sure about it. Getting it right takes time, testing, and a real conversation. That is why we take three visits.
Payment and insurance
We don't bill insurance. Here is what that means for you.
We are out of network with every insurance plan. Here is how it works:
You pay us at each visit.
1
2
After each visit, we email you a superbill. This is a receipt with the codes your insurance needs.
3
You send the superbill to your insurance company.
4
If your plan has out-of-network benefits, it may pay you back part of the cost. Plans with good benefits often pay back 40 to 70%. Some plans pay nothing.
Not every plan has out-of-network benefits. Please check yours before you count on money back. We can help you check.
Major credit cards
Visa, Mastercard, AMEX, Discover
HSA and FSA cards
Work for every service we offer
An example
$1,750
ADHD evaluation, 3 visits
$700 to $1,225
Money back, if your plan pays 40 to 70%
$525 to $1,050
What you end up paying
This example assumes a plan with out-of-network mental health benefits that pays back 40 to 70% after you meet your deductible. Many plans pay back less. Some pay nothing.
How to check what your plan pays
Call the number on your insurance card and ask:
- Do I have out-of-network mental health benefits?
- What is my out-of-network deductible?
- After I meet it, what percent do you pay back?
- Is there a limit on visits per year?
Not sure what the answers mean? Call (908) 215-2331 and we will help.
Other fees
Care after your evaluation, and other services.
Ongoing care
For medication, care plan changes, check-ins, and questions between big reviews.
$175
per visit
Follow-up visit
30 minutes. In person in Westfield, NJ or Midtown Manhattan, or online in any state where we are licensed.
Migraine and headache care
Special care for migraines and headaches at our Westfield, NJ office. Online visits are available if you are not getting Botox.
$450
First migraine visit
1 hour. We go over your history and current treatment, then make a plan for you.
$175
Migraine follow-up
30 minutes. Treatment changes, medication, and check-ins.
$2,150
per session
Botox for migraine, without insurance
Includes 155 units of Botox and the injection. About 20 minutes, every 12 weeks, using the FDA-approved PREEMPT protocol.
$250
per session
Botox for migraine, with insurance
Many insurance plans cover Botox. If yours does, your plan ships it to us, and you pay only for the injection.
WHAT WE DO
Evaluation and care plan
A full evaluation and a written care plan. You take the plan to a local prescriber for medication.
WHERE
Washington, DC
Florida
California
WHAT WE DO
Full care
Evaluation, diagnosis, a care plan, and ongoing medication care from us.
WHERE
New Jersey
New York
WHERE WE PRACTICE
Five states. Same care, same price.
The evaluation, the testing, and the written care plan are the same wherever you live. What changes is who handles your medication after.
Questions
Questions about cost, answered.
Don't see yours? Call (908) 215-2331 or send us your question.
Do I have to pay for the whole evaluation up front?
No. You pay for each visit on the day you have it. All three visits are needed to finish the evaluation. If you stop early, you only pay for the visits you had.
What if I can't afford the full cost?
We do not offer payment plans or sliding-scale fees right now. But you only pay for one visit at a time, which spreads out the cost. HSA and FSA cards work for all our services. If you have a high-deductible health plan with an HSA, that is usually the cheapest way to pay.
Do you take Medicare or Medicaid?
No. We are private pay only. We do not bill any insurance, public or private. We do give you a superbill so you can ask your insurance for money back.
What is a superbill?
A superbill is a detailed receipt. It has the codes your insurance company needs. We email you one after each visit. You send it to your insurance. If your plan covers out-of-network care, they pay you back directly.
Will my insurance pay me back?
It depends on your plan. Plans with good out-of-network mental health benefits often pay back 40 to 70% after you meet your deductible. Plans with no out-of-network mental health benefits pay nothing. Call your insurance to check.
Why is the price the same in DC, FL, and CA if you can't prescribe there?
Because the work is the same. The hours Karina spends with you, the testing, and the written care plan do not change based on your state. The only difference is who manages your medication after: Karina in NJ and NY, or your local prescriber in DC, FL, and CA.
How much does medication cost?
Medication is paid for at the pharmacy. It is not part of our fees. Most ADHD and autism medications come as generics, which usually cost $5 to $30 a month. Brand-name drugs cost more. We can talk about options and likely costs during your evaluation.
Is there a fee if I miss a visit or cancel late?
Yes. If you cancel less than 24 hours before your visit, you are charged the full visit fee. This keeps time open for other patients. We are flexible about moving visits when you give us more than 24 hours notice.
Can I get a refund?
You pay per visit, so you only pay for care you have received. If you are not happy during the evaluation, you can stop after any visit. For ongoing care, refunds are not usual since the visit already happened. But we will always talk through any concerns with you.
Ready when you are.
The next step is to book your first visit. Want to talk about cost, payment, or insurance first? Call us. We are happy to help.