2025 Fee Schedule

  • Therapy

    Available in DC, Delaware, Florida, Illinois, Indiana, Kansas, Maine, New Jersey, North Carolina, Pennsylvania, Vermont, Virginia, Washington, and West Virginia.

    Self Pay
    Individual $165
    Couples/Family $220

    Insurance and Payment Policies
    Inquire about available coverage*
    Insurance benefits are verified and billed through a vendor

    Medicare and Medicaid
    At this time, I do not accept any Medicare or Medicaid/Medical Assistance plans, including managed care or advantage plans. Please note: Medicare and Medicaid beneficiaries typically cannot pay out of pocket for services.

    Out-of-Network Insurance
    If I am not in-network with your insurance, you may still be able to use out-of-network benefits for therapy. This involves paying the full session fee at the time of service. Upon request, I can provide a superbill—a detailed receipt of the services provided—for you to submit to your insurance company for potential reimbursement. If approved, your insurance may reimburse a portion of the cost.*

    No-Show/Late Cancellation Policy
    A $65 fee applies for missed sessions or cancellations made with less than 24 hours’ notice. This fee is charged regardless of whether sessions are typically covered by insurance or paid at a reduced rate. Please note that insurance does not cover no-show or late cancellation fees.

    *To verify your benefits, contact your insurance provider or check your benefits online. Look specifically for coverage details under "Outpatient Mental Health Care" to understand your expected costs.

  • Clinical Supervision

    Supportive supervision for all disciplines
    LSW and LCSW licensure preparation

    Individual
    Professional $125 / Hour
    Student $65 / Hour

    Group: 4-6 Participants
    Per Participant $60 / 90-minutes

  • Coaching

    Customized coaching packages available

    Single Session $180

    Packages
    4 sessions (1-2 months) $670 (save $50)
    12 sessions (3-6 Months) $1960 (save $200)
    24 sessions (6-12 Months) $3720 (save $600)

    Sessions run 40-50 minutes
    All packages include e-mail support between sessions

    Package expires 12 months after date of payment; unused sessions are non-refundable and non-transferable

  • Small Business Consulting Services

    Details coming soon! Reach out to discuss your needs.

  • Gender Confirming Surgery

    Evaluation and letter of support for gender affirming (confirming) surgery adhering to WPATH standards when such letter is determined to be necessary and appropriate.

    Individuals seeking gender affirming surgery should be able to do so without systemic barriers. Evaluations for a letter supporting gender confirming surgery are focused on informed consent, identifying supports as well as any potential psychosocial issues which might negatively impact recovery.

    Insurance may cover the evaluation and follow up consultation to discuss the letter and recommendations.

    The cost includes up to 30 minutes of professional consultation with the treating provider and time crafting and distributing the letter; letter writing services are not covered by insurance and will be billed directly to the client.

    For those clients without insurance to cover the cost of the consultation, a reduced fee may be available:
    $0-$165 - Established Client Evaluation + Letter
    $0-$350 - New Client Evaluation + Letter

    Clients may choose to continue with therapy and other services provided after the evaluation, based on therapist’s availability. Please see posted fees.

    The Gender Affirmative Letter Access Project (GALAP) is a group of clinicians offering pro bono letter writing services for clients seeking gender affirming surgery. If Gretchen Murchison is unable to provide the service you are seeking, you may wish to check with GALAP for available clinicians.

  • Family Court

    The therapist’s role is to provide therapeutic services so that individuals might feel better and/or improve functioning, at times as it relates to family dynamics. The therapist’s role is not intended to gather information for the courts or to make judgments related to the family.

    It is our policy to have no court involvement in family court cases as that could harm the professional relationship and the ability to achieve treatment goals.

    The informed consent includes a clause that clients agree not to request testimony in any future court proceedings or allow release of therapeutic intervention records.

    Courts can appoint experienced, specially trained professionals to conduct independent evaluations and make recommendations to the court when needed related to a divorce or custody action.

IMPORTANT NOTES

Billing for therapy and clinical evaluations is managed through Grow Therapy or Headway. All other professional and administrative services are invoiced through Stripe and are due at time of service.

Documentation is completed at the discretion of the therapist. Therapist retains the right to refuse requests for forms, letters, and collateral contacts.

Release of records, documents, and other information must be compliant with HIPAA guidelines. A signed Release of Information is required for any communication between therapist and outside parties.

Documentation is released to client only unless direct submission is required. Client assumes the responsibility for confidentiality of records which have been disclosed directly to them.

Client is responsible for fees for documentation and administrative activities. Insurance does not pay for administrative activities or letter writing services. Documentation / administrative fees will be invoiced through Stripe.

Fees are subject to change.

A New Client is one who has not received any professional services from Gretchen Murchison in the past three years.