Confluence Psychiatry and TMS

Cash prices

1. Ketamine & Spravato — Evaluation and first treatment

   Standard service: Evaluation and treatment

   Ask what's included
   $360

   Includes comprehensive evaluation and first treatment on the same day. Currently self-pay; practice is not in network. Insurance does not cover ketamine; Spravato may be covered—confirm on your call.

   Source: confluencemd.com · checked Oct 2026
2. Ketamine & Spravato — Follow-up treatment

   Standard service: Follow-up treatment session

   Ask what's included
   $250 per session

   Price per subsequent treatment after the $360 evaluation and first treatment. Currently self-pay; practice is not in network. Insurance does not cover ketamine; Spravato may be covered—confirm on your call.

   Source: confluencemd.com · checked Oct 2026
3. Follow-up visit - 25 minutes

   Standard service: Follow-up visit (25 min)

   Code 99213

   Ask what's included
   $160 per visit

   Self-pay; practice is not currently in network. Requires a separate $320 initial evaluation, which determines the appropriate follow-up.

   Source: confluencemd.com · checked Oct 2026
4. Initial evaluation - A full hour with a psychiatrist

   Standard service: Initial psychiatric evaluation (60 min)

   Ask what's included
   $320 per visit

   Self-pay; practice is not currently in network. Required initial appointment for every psychiatry and therapy patient.

   Source: confluencemd.com · checked Oct 2026
5. Follow-up with therapy - 55 minutes

   Standard service: Psychiatric follow-up with psychotherapy (55 min)

   Ask what's included
   $280 per visit

   Self-pay; practice is not currently in network. Requires a separate $320 initial evaluation, which determines the appropriate follow-up.

   Source: confluencemd.com · checked Oct 2026
6. TMS - Accelerated, 1–2 day

   Standard service: TMS accelerated course (1-2 days)

   Ask what's includedPackage
   $2,800

   Self-pay. Includes 20 sessions over one to two days, initial clinical evaluation, all follow-up visits, and touch-up sessions within six months. No facility fees or add-ons.

   Source: confluencemd.com · checked Oct 2026
7. TMS - Accelerated, 5 day

   Standard service: TMS accelerated course (5 days)

   Ask what's includedPackage
   $5,500

   Self-pay. Includes 50 sessions over a single week, initial clinical evaluation, all follow-up visits, and touch-up sessions within six months. No facility fees or add-ons.

   Source: confluencemd.com · checked Oct 2026
8. TMS - Standard course

   Standard service: TMS full course

   Ask what's includedPackage
   $3,800

   Self-pay. Includes 36 sessions over six to eight weeks, initial clinical evaluation, all follow-up visits, and touch-up sessions within six months. No facility fees or add-ons.

   Source: confluencemd.com · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.