Osika & Scarano Psychological Services, P.C. 

Outpatient Visits

For routine outpatient visits to our office, we bill your insurance. You are responsible for your copay and deductible (which varies with each plan).

No Insurance

If you do not have insurance, please complete the Sliding Fee Scale Packet, available in the Forms section, so that we may adjust our fees depending upon need. In addition, we work closely with a specialist from Fidelis Care, as well as an enrollment specialist from Adirondack Health Institute, who can help you find a health insurance plan that is affordable for you. We will be more than happy to make a referral for you.


Unless you have a specific type of insurance, there will be a $50 no-show or late cancellation fee. We respectfully ask that you give us at least a 24 hours of notice prior to canceling your appointment. However, we understand that life happens: you are sick, your car breaks down, you got called into work, etc. Please keep in mind that simply not showing up will always be billed, unless you have a specific type of insurance. Frequent late cancellations will also be billed.

Court Testimony and Appearances

Due to the nature of our work, and in order not to place patients in danger, we require two weeks notice if any court appearance or testimony is required. Video testimony helps eliminate some of this risk, since it eliminates travel and wait time.

This work is not billable to insurance, so any patient that calls for testimony will be responsible for payment. Our Fee is $150 per hour. In addition to time spent testifying, all preparation, travel, and wait time will be billed by the hour. If one of our staff is called as an "expert witness," our fee is $250 per hour.

Please also keep in mind that preparing for such testimony requires an entire chart review, along with memorizing it, which can take a minimum of 2 hours. Unless the court order explicitly states that a release of information is not needed, both birth parents will need to sign a release of information that gives staff permission to speak with both the court and the attorney for the child.

Evaluations for Court and Other Legal Purposes

If your insurance does not cover evaluations for court, probation, etc., it will be billed at $300. This includes fees for your sessions, and the writing of the report.

If your insurance does not cover achievement testing required to make a diagnosis of a Learning Disability, you have 3 options:

  1. Call your insurance company and ask if they would agree to pay for 2 hours of achievement testing.
  2. Ask your child’s school to complete the achievement testing.
  3. Have our office complete the testing, and agree to pay over the course of six months.

Please note: If you choose our office to complete the testing, we will administer the Wechsler Individual Achievement Scale (WIAT). Administration of the full WIAT will take about 2 hours, and the charge is $60 per hour. A six-month payment plan can be agreed upon in writing at this time.

Report Writing

Unfortunately, most insurances do not allow providers to bill for report writing. Scoring and writing psychological reports is a daunting task, and typically takes 1-3 hours of work. This is billed at a rate of $60 per hour. A six-month payment plan can be agreed upon, if needed. Medicaid does allow clinicians to bill for report writing.