Medical Care Pricing
For office visits, our rate is $300/hour.
For House Calls, our Urgent Care rate is $395 for a one hour appointment within 20 minutes of Asheville city limits. Most visits can be completed within an hour. If you require additional time, we charge an hourly rate of $300/hour, billed in half hour increments. This may include time spent interacting with pharmacies, other physicians and medical facilities as indicated. If you live outside of Asheville, you may be charged an additional travel fee, depending on distance. If so, this will be discussed with you during your initial phone contact.
If your treatment will require use of higher cost disposable equipment or tests, you may be charged the at-cost replacement fee for these items. Routine disposable equipment and supplies are provided at no cost. We will provide an estimate of all costs during our initial phone conversation. Your credit card will not be charged until the visit is completed.
Phone and videoconferencing consults are available for prescription refills or other routine needs, if we determine this is medically appropriate. These are billed in 15 minute increments at a $300/hour rate, for a typical rate of $75 for a 15-minute call.
NOTE: OUR PSYCHIATRIC PRACTICE IS FULL. WE ARE ONLY ACCEPTING NEW CLIENTS FOR OUR KETAMINE PSYCHOTHERAPY PROGRAM.
- Complete Psychiatric Intake Evaluation (90 minutes): $480
- Medication Management Follow up Sessions (30 minutes): $150
- Medication Refill Visits, Established clients on stable regimens only (15 minutes): $90
- Combined Medication Management and Psychotherapy sessions (60 minutes): $300
- Combined Medication Management and Psychotherapy sessions for WEEKLY clients: $230
- Family Consultations (60 minutes): $300
Home Visits or visits to your office or other location:
These appointments will be billed at an hourly rate of $395 for the first hour, with additional time billed at a rate of $150 per half hour.
As Needed Telephone Services:
Medication Management Sessions:
30 minute: $150
15 minute: $90
Crisis Psychotherapy Sessions:
60 minute: $300
Executive Services:
With notice, we will schedule blocks of services for out of town clients who choose to travel for intensive outpatient treatment. Please contact our office for rates or more information.
$1,350 For Your Initial Visit.
For Detox services, the cost of the initial assessment visit is $1,350.00 due at the time of service. Once we begin treatment, physician house call services are billed at an hourly rate of $300/hour. This includes scheduled house calls and phone sessions. House calls are also billed an additional travel fee, depending on your location, and this will be included in your individual estimate. You will have daily symptom check-ins with a physician by phone or text included at no additional cost. 24-hour phone support is also included at no additional cost. If we prescribe optional adjunctive services, such as home visits by a nutritionist, meal delivery, or cognitive behavioral therapy providers, these costs will be included in your individualized cost assessment prior to beginning treatment, so you will know what to expect in detail.
Though we cannot provide you a detailed estimate prior to your assessment, we understand that it is helpful to have a rough estimate of potential cost. Most clients' treatment is completed for a total cost between $18,000 and $35,000, depending on the complexity of their treatment needs and the rate of detox. Because of the structure of the Detox practice, we cannot bill your insurance for these costs.
Initial Intake and Medical Screening Visit, 90 minutes, $450
Therapist Intake Visit, per paired therapist rates
Individual Ketamine Therapy Sessions, 90 minutes, $525 each; therapist will bill their time seperately
Preparation and Integration sessions, 50 minutes, per therapist rates
Ketamine Treatment Cost:
Ketamine is currently offered through our house call practice as well as our office-based Ketamine Clinic.
If you choose to visit our clinic at 12 Medical Park Drive, initial consultation visits are $450.00 for a 90 minute session and subsequent dosing visits are billed at $525.00 and scheduled as 90 minute visits to enable adequate recovery time.
For house call Ketamine treatment, initial consultation visits are $600.00 for 90 minutes and include a full medical assessment. Your initial dose will take place with physician monitoring at your second visit and, depending on route of administration, this visit averages approximately two hours, billed at
$900.00. Subsequent visits are between 60 to 90 minutes, billed at
$750.00.
Once you are on a stable regimen, dose visits take place anywhere from every two weeks to every three months, depending on how long you maintain a response. Given this, cost of treatment over time varies. Ketamine treatment is not covered by insurance and is a private pay service.
Payment and Cancellation Policies
Unlike many concierge practices, Concierge Medicine and Psychiatry does not charge retainer fees. Instead, we operate on a fee-for-service model. Payment is per appointment time and type and is due at time of service. In order to maintain client privacy, we do not directly bill insurance companies. Your doctor will not discuss your care with insurance providers and will not provide insurance companies, or any third-party payers, access to your diagnosis or treatment records. We also do not participate in utilization review for reimbursement decisions about claims. However, many clients with private insurance do choose to have their insurance partially reimburse them for our services. In the event that you request this, we will provide you with a billing invoice that may be submitted to your insurance. This invoice allows your insurance company to reimburse you for our services at your policy's out of network rate. The amount you are reimbursed depends on your particular insurance plan. We can not currently provide this service for Medicare or Medicaid clients. Patients who choose to use this option should be aware that insurance companies require the disclosure of diagnostic and procedure codes in order to reimburse you.
Payment is accepted by cash, check, or credit card and is due at time of service.
Appointments may be rescheduled within the same week, even on short notice, without a fee. No shows will be charged the full visit fee. Exceptions are made for extenuating circumstances, and our staff will do our best to accommodate your schedule.
