All services are rendered as cash or self pay only. We can accept Venmo, Paypal, paper check by mail, or cash, all due at the time of the appointment.
| Code | Description | Charge |
|---|---|---|
| 90792 | Psychiatric Diagnostic Evaluation - 90 minutes | $300.00 |
| 99205 | Psychiatric Diagnostic Evaluation w/ Medication Evaluation - 90 minutes | $375.00 |
| 90833/ 99214 | Individual Therapy w/ Medication management - 60 Minutes | $180.00 |
| 90834 | Individual Therapy w/ Medication Management w/ Client or Family - 60 minutes | $235.00 |
| 90880 | Hypnotherapy - 60 minutes | $150.00 |
| 90880/ 99214 | Hypnotherapy with Medication management - 90 minutes | $180.00 |
| 90853 | Group Therapy Session - 90 minutes | $125.00 |
| 90853/ 99213 | Group Therapy Session w/ Ketamine - 180 minutes | $350.00 |
| 99213 | Office/Outpatient Visit, Simple (Established Clients) - 20 minutes | $100.00 |
| 99214 | Office/Outpatient Visit, Medication Management (Established Clients) - 30 minutes | $125.00 |
| 99215 | Office/Outpatient Visit, Complex (Established Clients) - 60 minutes | $250.00 |
| 99441 | Phone/Text/Email visit (other than scheduling or brief chats) | $50.00 |
| No Code | Ketamine Assisted Therapy - 180 minutes | $860.00 |
| No Code | Ketamine Assisted Therapy Package - 3 Sessions | $2460.00 |
| No Code |
Late Appointment Cancellation (less than 24 hours notice)
- 1st Late cancellation - 2nd Late cancellation - 3rd+ late cancellation |
$0.00
$15.00 $25.00 |
| No Code |
"No Show" (missed appointment without cancellation)
- 1st no show - 2nd no show -3rd+ no show (up to half of session fee charge but no less than $75) |
$25.00
$50.00 $75.00 |
| No Code | Official Paperwork Request (Evaluation Letters, FMLA, etc.) | $100.00 |
Please print, fill out, and bring or send these forms to your first patient visit. If information has changed, please repeat this process.