Pricing & Services

Transparent, Premium Mental Health Pricing

Specialized psychiatric and interventional care reflecting advanced training and Bay Area standards — without concierge pricing.

Given your experience (seasoned PMHNP + law background) and your ability to offer in‑person care, TMS, and ketamine, it is reasonable to price yourself about 10–20% above a “generic” PMHNP while still below concierge psychiatry in the Bay Area.

Typical California data put PMHNP private‑pay sessions around $175–$350, with SF/Oakland on the higher end ($175–$400), so the table below reflects that uplift.therapyroute+3​

psychiatric and interventional care

2026 PMHNP–JD with TMS/ketamine (cash, Bay Area, non‑concierge)

(You said: no 90792, no 99213; include 30‑min and 45‑min intakes and 15‑min follow‑ups.)

Service / CPT code Typical time 2026 cash rate (PMHNP “generic”) 2026 cash rate for you (≈10–20% above)
Brief intake – bill 99204
30 min
$260–$275
$300
Standard intake 99204
45–59 min
$300–$325
$360
Complex intake 99205
60–74 min
$340–$360
$400
Short follow‑up – bill 99214
15 min
$150–$165
$180
Standard follow‑up 99214
20–30 min
$180–$200
$220
Extended follow‑up 99215
40–50 min
$220–$240
$260
Psychotherapy add‑on 90833 (with E/M)
30 min
+$80–$90
+$100
Psychotherapy add‑on 90836 (with E/M)
45 min
+$120–$130
+$140
Individual psychotherapy 90837
60 min, no E/M
$190–$210
$230
Family / couples 90847
50–60 min
$210–$230
$250

Ketamine / TMS premium services (cash)

A fair, non‑concierge but clearly premium structure for you:

Service Typical time 2026 cash rate for you
Ketamine dosing session (IM/IV/Spravato style, in‑clinic, monitoring)
90–120 min
$650–$800 (e.g., $725)
Ketamine prep / integration psychotherapy
50–60 min
$300–$350 (e.g., $325)
TMS session (if charging per treatment, self‑pay)
20–40 min
$225–$275 (e.g., $250)

These numbers place you above the average PMHNP session cost range of $175–$350, and solidly within the SF/Oakland “major city” band of $175–$400 per session, reflecting your added legal expertise and advanced modalities without moving into full concierge pricing.annaglezermd+3​