Regular dosage methadone (up to 100mg daily), no regular split dosage
|High dosage methadone (101-200mg daily), up to 100mg daily, split dosage||
|Very high dosage methadone (>200mg daily), 100-200mg daily, split dosage||
|Methadone 6 month medical taper, for patients not qualifying for maintenance treatment||
BURPRENORPHINE MAINTENANCE TREATMENT
- Higher fees represent the higher cost of medication
- Medication dispensed/administered in the clinic
Buprenorphine 1-4mg daily
|Buprenorphine 5-8mg daily||$90.00|
|Buprenorphine 9-12mg daily||$100.00|
|Buprenorphine 13-16mg daily||$110.00|
|Buprenorphine 17-20mg daily||$120.00|
|Buprenorphine 21- 24mg daily||$130.00|
NALTREXONE MAINTENANCE TREATMENT
50mg /daily, prices available on request
RAPID MEDICAL TAPER (5-21 days)
* Fee includes intake evaluation and close medical supervision. Fee must be paid in full at the time of admission. Follow-up treatment with groups, possibly naltrexone, AA/NA attendance, and further support services is recommended. If transferring to maintenance treatment, fees as listed above.
Fees may be charged for more extensive psychiatric and psychotherapy treatment appointments.
Family members and significant others are encouraged to participate in treatment at no additional cost (except non-patients are charged a $5.00 fee ear acupuncture and yoga).
INTAKE EVALUATION with commitment for long-term treatment (at least 6 month)*:
Intake fees must be paid in cash, cashier check or money order. We do not accept credit cards.
New pt., starting buprenorhine maintenance; buprenorphine readmission and transfer pt.
New pt., starting methadone maintenance; readmission patient within 3 years of leaving
|Transfer methadone pt., stable, with complete chart & recent lab work; readmission within 3 month||$90.00*|
|Transfer methadone pt. w/o complete chart &/or unstable; readmission, 3mo-3yrs out of treatment||$100.00*|
* These intake fees are much lower than the costs and the value of the extensive medical-psychiatric evaluation and included laboratory work. It also includes the 1st week of treatment until next Monday when weekly fees are due. Consent to evaluation and treatment includes a commitment for long-term treatment, as indicated and ordered by the physician. We may request 3-6 months payments in advance if the patient does not have a stable income and is supported by a third party.
|Dispensing outside med. time, when RN available||$10.00|
Urine drug screen not required by regulations, per patient request
|Urine drug screen required if missing after having take home dose||$10.00|
|Saliva drug screen||$10.00|
|Pregnancy tests (urine)||no charge|
|Charge for missed case manager appointment, unless 24 hours notice is given||$5.00|
|Charge for missed MD appointment||$10.00|
|Ear acupuncture groups up to 20 sessions/quarter||no charge|
|Ear acupuncture groups above 20 sessions/quarter or outside of acupuncture group||$5.00|
|Emergency temporary transfer by phone and fax||$25.00|
|Temporary transfer to other clinic (set-up in advance)||no charge*|
|Temporary transfer in (setup fee)||$15.00|
|Temporary transfer in (daily fee; <=100mg)||$10.00|
|Temporary transfer in (daily fee, >100mg)||$12.00|
|Permanent transfer to other program or physician||$25.00|
|Record copying fee (up to 25 pages)||$25.00|
After voluntary slow medical taper from maintenance, while stable
|1 individual counseling session and group sessions||free of charge|
|Additional sessions with case manager in continued follow-up treatment:|
|MD follow-up appointment:|
Patients are required to pay the full weekly fee on or before Monday before dosing. You may make payments of any size any day during office hours. If unable to pay the weekly fee at one time, please make multiple small payments during the previous week. If receiving take home dosages for the following calendar week (more than Mondays), you must pay when receiving the take home dosages. Payments on Saturday must be by personal check or money order.
Patients are expected to attend the clinic regularly for observed dosing. Patients are charged their weekly fee even if "missing" (not coming in regularly for medication).
If you have a balance due to a non-payment, your dosage will be decreased, initially by 10% of your regular dosage. The dosage will not be increased until the following Monday unless you pay your balance and the fee for the following week. A medical taper for non-payment is started later in the first week or the beginning of the second week of non-payment. Buprenorphine tapers are generally more rapid since buprenorphine is very long acting.
While having a balance, we expect you to make small payments several times weekly; otherwise, your dosage will be tapered over approx. 14-30days. During administrative medical taper, you will be charged your weekly fee, and you will be charged $10.00 for extended counseling and $25.00 for MD appointments, to be applied to your balance.
If, due to unusual circumstances, you cannot pay your regular fee by Monday, talk with your case manager and fill in a fee consideration request form one week in advance, stating the circumstances and your commitment when to pay. In reviewing your request, we will consider your time in treatment, group attendance, previous payment record, stability, etc.
POLICIES REGARDING FORMER PATIENTS WITH A BALANCE
When patients who left treatment with an unpaid balance wish to be readmitted, we generally expect them to pay the full balance if previously <6 month in continuous treatment or at least half the balance if previously >6 month in continuous treatment. The remainder of the balance is to be paid off as per individual arrangement.
These fees are valid beginning January 20th, 2020. Prices of treatment may be subject to change without advance notice. Please call the clinic for recent information.