Therapeutic Services

Fee Schedule

The following information is a general guideline about our rates.

These rates may change without advanced notice.

Please note we do not accept Medicare / Medicaid (CMS).

Payment Methods

We accept the following forms of payment: 

    • Cash

    • Check

    • Credit/Debit Card

    • Paypal 

Base Hourly Rate

  • Sessions are billed at $150 to $250 per hour.

  • We bill a minimum of 1 hour service, and then a minimum 15 minute increments thereafter.

  • See our Consultation Services Page for consultation rates.

Individual billing is a minimum of 1 hour, and then billed in minimum 15-minute increments thereafter. For example a 1 hour 41 minute session would be billed as 1 hour 45 minutes.

Group Rates

We offer a number of discounted group programs ranging from $50 to $200 per session, per participant. In order to cover staff payroll, the programs require a minimum of 3 participants otherwise that specific session may be cancelled.

Individual client session with dedicated employee team

We offer a range of programs. One of our more popular programs includes 3 employee staff as participants in the session to provide a controlled group experience. For our role-playing game sessions, for example, this would include the client, plus two staff members as fellow "players" and one staff member as the  "Game Master" (GM).

For our RPG Sessions with team staff programs for one client, we recommend working 3 hours per session for weekly programs (depending on client functional capacity, physical or cognitive fatigue, etc.), or 4 hours per session if every-other week.

RPG Therapy programs are typically designed around 2-4 months per program arc. Most clients achieve many desired goals within the first arc, and often ask to continue for additional arcs working on further goals. Typically engaging between 6 to 18 months.

Then as we implement the self-efficacy transition programs, we often migrate to a once per month 1-hour check-in program for 3-6 months.

  • A 3-hour session typically costs $450 - $600.

  • A 4-hour session typically costs $600 - $800. 

When you complete the intake paperwork, let us know if you want to begin with weekly or every-other week. Our research shows that both programs work equally as well, though results take longer with the every-other week program, the same results are realized over time.

Consultation Services

See our Consultation Services Page for more information on direct consulting.

Payment Due

Most of our services require payment at the time of service delivery.

Some services require payment in advance.

Upon special arrangement some of our services can allow payment within 30 days of service. 

Cancellation Policy

For individual service cancellations with less than 24 hours notice there is a $200 flat fee for online services and services in our primary Service Areas.

For all other services and service areas, please see the cancellation policy specific details for each service and/or service area.

For online and services within our primary service areas, if you notify us of your cancellation at least 24 hours before service delivery (for online services, and services in Zone, you may reschedule. If you have pre-paid and do not wish to reschedule, we can refund you the full amount paid minus any processing fees we have to pay (for example Paypal processing fees, merchant fees, etc.).

No-Show Policy

For 1-hour session no-shows, our full $150/hr rate applies.

For multi-hour session no-shows, there is a $200 flat fee if we show up at the office, online, or other locations, and the client does not show up or provide warning at least 24 hours before the appointment.

Return/Refund Policy

We hope you will be pleased with our services. If you are not fully satisfied, we ask that you please contact us first to provide an opportunity to help meet your needs.

Please see the details below regarding returns/refunds policies.

Digital Products

Unless otherwise specified, games, software downloads, e-books, and other purchases from our online stores or other stores selling our products, are not returnable after purchase.


Please see our Cancellation policy for details on cancellation charges and requirements.

For services actually delivered, within the restrictions of applicable laws, we have a no refund policy once our services have begun to be delivered to the client.

Insurance Coverage

Medicare partially covers some therapeutic recreation for certain conditions. Some health insurance policies will also cover recreational therapy to various degrees. An individual’s healthcare provider and insurance company can provide details about cost and how to get a therapy referral. It is important to remember that only a prescription for recreational therapy would be considered for reimbursement, which doesn't occur all the time. This means you need to get you doctor (typically General Practitioner, or Ph.D. Psychiatrist, or Medical Doctor M.D., or others that are authorized to write prescriptions), to write a prescription specifically for Recreation Therapy (RT) or Therapeutic Recreation (TR). Even better if it is more specific to RPG Therapy as the modality for the intevention.

Please note that generally, due to changes implemented by the 2010 Affordable Care Act (ACA), as of 2016 we are not usually able to accept insurance coverage policies for most providers including Medicare and Medicaid.

If your insurance policy covers Therapeutic Recreation or Recreational Therapy services you may be able to receive full or partial coverage for some of our services, but you are ultimately responsible for paying for our services, and then you can work with your insurance company for reimbursement.

Please contact your insurance company in advance to determine if they consider either “Therapeutic Recreation” or “Recreational Therapy” as a covered service, and the amounts they will cover, including number of sessions, pay-out rate, etc.

Medicare / Medicaid

We do not accept Medicare or Medicaid.

Financial Assistance

We are working on putting together a Financial Assistance Fund to help those with financial struggles wishing to receive our services. A portion of all our client's payments are (when possible) place into this fund to help us over time offer a sliding scale option. We do not yet offer this sliding scale option, but will announce when the fund is sufficiently finances.

If you are interested in helping support this fund to enable others to receive services, please let us know, and we will gladly supply you with the necessary forms to donate to this fund.