FAQs and Fees

What are the main types of testing that you offer?

Psychological Testing – Testing that helps to clarify psychiatric diagnosis, behaviors, symptoms, coping skills, and emotional issues.

Neuropsychological Testing – Testing that helps to clarify current strengths and weaknesses in areas such as attention, memory, executive functioning, visuo-spatial reasoning, social perception, verbal abilities, problem solving, and cognitive development. Many of these domains can also be addressed through a cognitive, developmental or psychoeducational evaluation, depending on the referral question.

Learning Disability/Educational Testing – Testing that is used to understand a person’s academic strengths and weaknesses, and to help identify the presence or absence of learning disabilities. Evaluations can be comprised of more than one type of testing listed above, depending on the referral question(s).

Testing isn’t cheap and isn’t fast. Why should I bother getting testing for myself or my child? In most cases, testing that is done well is a very good value for the money and time commitment. Too often in our current healthcare system, we work backwards in trying to identify or resolve a problem. We start by trying a medication, or pursuing a treatment, or both, without knowing what we are actually dealing with. Sometimes this will work, just because we happened to land on the right thing, and everything will be improved. But most of the time, the families or adults that come to me have already been to many different providers and tried many different things, and don’t really know what they are dealing with. They have been given many different diagnoses and suggestions but no one has sat down with them for any significant length of time and really tried to figure out the problem, in context, and to rule other things out that can look similar but would be treated in vastly different ways. So while testing is not a quick fix, and is not recommended in all situations, in the long run, we can often save you considerable time and grief by trying to “get it right the first time.”

What health insurance do you accept and how much of my evaluation will it cover? If you would like to use your health insurance towards the costs of evaluation, Dr. Rutherford is in-network for Health New England and MassHealth (MBHP and HNE Be Healthy only). Dr. Geier is in-network for MBHP and HNE Be Healthy and should be accepting HNE shortly. Please be advised that health insurance plans differ greatly in how much evaluation time they will cover. It is not unusual for insurance to cover only about 50% of the time needed to do a clinically appropriate evaluation and report. Additionally, most insurers will not cover any academic testing, classroom observation, or attendance at school meetings, and some will not cover testing related to ADHD (Attention Deficit Hyperactivity Disorder). Ms. Denno is not in-network for any insurance plans at this time. If Dr. Rutherford or Dr. Geier is in-network for your health insurance, she will first work within their system and policies to try to obtain coverage for at least some of the cost of your evaluation. However, you should be prepared to pay for some additional time out-of-pocket, or else you may need to opt for a less in-depth evaluation. The options would all be discussed before any testing would start, so that you can make an informed decision about how/if you want to proceed. Most insurance does not cover the cost of attending school meetings, conducting school observations, telephone sessions, or completing extended paperwork. If you are interested in any of these services, Dr. Rutherford/Dr. Geier charges $175/hour, in 15-minute increments. If you are on an MBHP or HNE Be Healthy MassHealth plan, state law requires that Dr. Rutherford/Dr. Geier work entirely within the confines of the testing hours that they will cover. This  means that you cannot be charged for any additional services or time. Therefore, if MBHP/HNE Be Healthy does not authorize the total number of hours needed to examine your concerns, you will only be able to have an abbreviated assessment, and it may not answer/address all of your questions. We would discuss this before starting any testing.

If you are paying privately, Dr. Rutherford and Dr. Geier each charge $250 for an initial consultation; Ms. Denno charges $165. This consultation consists of a single meeting in which we discuss your concerns and we help you to determine what mental health intervention(s) would be most appropriate to pursue in response. This may be testing, which we can provide, or it may be a different service, in which case we would give you suggestions regarding referrals. We are happy to give you a receipt to submit to your insurance, but it is possible that you will only be partially reimbursed, or not at all. We encourage you to call your insurer beforehand to find out all of their procedures and requirements for reimbursement for any of our services. If you are paying privately for evaluation, we use flat rates. Half of the cost is due before the first testing appointment will be scheduled, and the balance must be received in full before the report will be written, unless a payment plan is arranged. We accept cash, check, and credit/debit cards for all services. Payment plans are by credit/debit card only. For a breakdown of the types of evaluations and services we offer out of pocket, their costs, and what they include, please click here: Rutherford-Geier self-pay fee schedule or Denno fee schedule .

If this is a legal matter, Dr. Rutherford does some legal cases. Higher rates apply for all services, and insurance will not cover any of these costs. Please contact Dr. Rutherford to discuss this more specifically. Dr. Rutherford has experience working with family law attorneys to evaluate children in DCF custody who are in need of recommendations regarding appropriate mental health services, academic placement, and/or parenting issues. She has experience working with family law attorneys to evaluate parents who have lost custody of their children to DCF and are in need of psychological or neuropsychological assessment in order to help determine their next steps with regard to their parenting. She has also done some independent evaluations at the request of special education attorneys or educational advocates, and some civil and criminal case work. All legal evaluations are tailored to the attorney’s referral questions and include testifying in court if appropriate.