---
title: "Fees & Insurance | Shepherd's Heart Counseling NC"
url: https://shepherds-he.art/fees-and-insurance
description: "Session fees, insurance (Aetna, BCBS NC), and Good Faith Estimate for therapy with John C. Murphy, LCMHC in Siler City, NC."
lang: en
---

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Practice Policies

# Fees & Insurance

Draft — pending legal review

Shepherd's Heart Counseling, PLLC is a solo private practice run by John C. Murphy, MA, LCMHC. Fees are kept simple and transparent so you can plan for care without surprises.

## Session fees

- **Initial intake (90 minutes) — clinical assessment and treatment plan:** $195
- **Individual treatment session (50 minutes):** $155

Payment is due at time of service. Card, HSA, and FSA are accepted.

## Insurance

Shepherd's Heart Counseling is in-network with Aetna and Blue Cross Blue Shield of North Carolina. If you carry an in-network plan, your cost is your plan's copay or coinsurance rather than the full session fee.

I confirm that I’m paneled for the NC state employee’s Aetna health plan, BCBS of NC, and other Aetna plans. But if the word Medicare shows up anywhere in your plan, I’m not in network. If your BCBS plan has Y2K in the number, or is from UNC Health Alliance, or is a Medicaid plan run through BCBS, I’m out of network for those too.

If you are out-of-network, you can pay the session fee directly and file with your carrier for reimbursement. If your plan offers out-of-network mental health benefits, ask them about coverage for CPT codes 90791 (intake) and 90834 (45–50 minute psychotherapy). If you're out-of-network, superbills can be provided so you can file for reimbursement with your carrier.

Medicaid and Medicare are not accepted.

## Cancellation policy

Sessions canceled with less than 24 hours' notice, and no-shows, are billed at $100. That fee can be avoided by rebooking later in the same week.

## Good Faith Estimate

Under the federal No Surprises Act, you have the right to receive a written Good Faith Estimate of expected charges for services when you are not using insurance. John provides one at intake and any time you request it.

Read more about your Good Faith Estimate rights →: https://shepherds-he.art/good-faith-estimate

## Questions?

The best next step is a free 15-minute consultation. Reach out here (https://shepherds-he.art/contact) and John will get back to you.

Next step

## Ready to try something that works?

A free 15-minute consultation. Send a request and John will get back to you with times that actually work — no pressure, no forms up front.

Request a Free Consultation: https://shepherds-he.art/contact

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