Pricing Guide
We verify your benefits, handle prior authorization, and provide a written cost estimate before treatment, so there are no surprises.
How we price care
Insurance & Coverage
In-Network with Major Plans
Aetna, Cigna, Optum, TRICARE, and Medicare. We handle prior authorization and claims submission on your behalf.
Medicare accepted
We bill Medicare for covered services, including standard TMS and Spravato when clinically appropriate. Medicaid is not accepted.
Out-of-network is rare
Because we are credentialed with most plans, true out-of-network situations are uncommon. If needed, we can provide a superbill for reimbursement.
Written estimate before you start
After verifying your benefits, we email you a written estimate showing your expected out-of-pocket responsibility - before treatment begins.
THE PROCESS
What to Expect
A brief conversation to review your situation, answer questions, and explain which treatment options may be appropriate for you.
Free 20-Minute Call
We verify your insurance, confirm whether services require prior authorization, and email a written estimate showing expected patient responsibility before any treatment begins.
Benefits Check & Written Estimate
A thorough psychiatric evaluation and any recommended testing. Your provider reviews your history and develops a diagnosis-informed treatment plan.
Evaluation & Testing
Your provider and care team present a clear plan, medication, therapy, TMS, KAP, or Spravato as appropriate - with a timeline, cost estimate, and follow-up steps.
Personalized Treatment Plan
We monitor outcomes and adjust the plan so short-term gains become durable recovery.
Tracking & Maintenance
Self-pay rates
Published Self-Pay Ranges
These ranges reflect typical self-pay costs for our services. For your specific treatment plan, we provide a clear, written estimate in advance so you know exactly what to expect.
Initial evaluation - MD (60 min)
Starting at $600
Includes a comprehensive psychiatric evaluation and written treatment plan.
Initial evaluation - NP/PA (60 min)
Starting at $300
Full intake evaluation with a nurse practitioner or physician assistant.
Follow-up psychiatry - MD (30 min)
Starting at $300
Ongoing medication management and treatment monitoring.
Follow-up psychiatry - NP/PA (30 min)
Starting at $150
Routine follow-up for established patients.
Individual psychotherapy (60 min)
$160 - $300
Range depends on clinician and session type.
Intranasal racemic ketamine
$300 / session
Includes drug + observation/monitoring. Ask about KAP add-ons.
QBCheck - ADHD testing
$150
Self-pay rate. Typically billed to insurance when applicable.
Creyos cognitive testing
$200 Initial
$150 Repeat
Self-pay rate. Typically billed to insurance when applicable. Medicare patients billed to Medicare.
Spravato (esketamine)
Commonly covered by insurance when clinical criteria are met. We are REMS-certified and assist with benefits verification and prior authorization. Self-pay Spravato is rarely offered - contact us for your specific situation.
Administrative fees
Emergency refill requests $75 (refills must be placed ≥72 hours in advance). Forms & letters: starting at $50; final fee depends on complexity.
TMS pricing
Standard TMS Sliding Scale Program
Income-based discounts for qualifying patients on a standard 36-session course.
Gross household income
$0 – $50,000
$50,001 – $80,000
$80,001 – $120,000
$120,001 – $160,000
$160,001 – $200,000
$200,001+
Total - 36 sessions
$1,540
$2,260
$3,160
$4,060
$5,500
$7,300
Who Qualifies
Sliding scale pricing may be available for uninsured patients or those with commercial insurance plans that have a high individual deductible (≥ $5,000) that applies to TMS. The sliding scale applies only to self-pay balances.
Who Does Not Qualify
Sliding scale pricing applies only to TMS treatment and does not extend to provider visits, ketamine services, or psychotherapy.
Eligibility varies, including for certain insured and Medicare patients.
Accelerated TMS protocols
Accelerated & Specialized TMS
Accelerated protocols are not eligible for the sliding scale and are commonly self-pay. Payment is due at time of service.
SWIFT - 38 sessions
$9,800
Accelerated TMS delivered using the BrainsWay SWIFT protocol (FDA-cleared) in a structured, condensed treatment schedule.
Payment is due at the time of service.
ONE-D - 20 sessions + D-cycloserine
$4,500
Single-day accelerated TMS protocol with adjunctive medication.
Payment is due at the time of service.
Maintenance & OCD protocols
Written Estimate Provided
Special protocols and OCD-focused courses vary by clinical need. Contact us for a personalized written estimate.
Payment Policies
A few things to know before you start.
Payment is generally expected at time of service. For TMS courses, payment plans can be arranged on a case-by-case basis - contact billing to discuss. Payment plans are not offered for routine medication management.
We accept card and electronic payments. We do not accept cash.
All prices listed are representative ranges. Final charges depend on clinical details and payer rules. Written estimates supersede any web-published figures.
All Sliding-scale discounts require income/insurance verification before enrollment and cannot be applied retroactively.
Medicare: some services must be billed to Medicare for Medicare beneficiaries rather than accepted as self-pay. We confirm billing rules and provide a written estimate before treatment.
Frequently Asked Questions
Does my insurance cover TMS?
Most major commercial plans, Medicare, and TRICARE cover standard TMS when clinical criteria are met. We handle the prior authorization process on your behalf and will tell you what's covered, and what isn't before you begin treatment.
What if I have a high deductible?
If your commercial plan has an individual deductible of $5,000 or more that applies to TMS, you may qualify for our sliding-scale program. We verify your benefits and deductible status as part of the intake process.
Do you accept Medicaid?
No. We do not accept Medicaid. We do accept Medicare, and we bill Medicare when appropriate.
Can I set up a payment plan?
Yes, for TMS courses we can arrange payment plans on a case-by-case basis (e.g., deposit + installments, or split payments over the treatment period). Payment plans are not available for routine medication management - payment is expected at time of service. Ask about a payment plan when you request your written estimate; terms are confirmed in writing.
Is the sliding scale confidential?
Yes. All sliding-scale applications and income verification documents are handled confidentially. Decisions are returned in approximately 3 business days.
How does Spravato billing work?
Spravato (esketamine) billing includes two separate components: the medication and the in-clinic observation time.
The medication cost may be billed through either your pharmacy benefit or medical benefit, depending on your insurance plan. For eligible patients with commercial insurance, manufacturer savings programs often reduce the cost of the medication to as little as $10 per treatment.
The observation visit (required monitoring time in the clinic) is billed separately as a medical service. Your cost for this portion depends on your plan and may include a copay, deductible, or coinsurance.
For patients with commercial insurance, programs such as Spravato WithMe may provide additional reimbursement for observation costs (up to program limits).
We verify your benefits and review expected costs with you in advance so there are no surprises.
Learn More. Feel Better.
How TMS Works
Learn how physician-led TMS targets specific brain circuits involved in depression and OCD
Compare Treatments
Learn how TMS, accelerated TMS, Spravato, ketamine, medication, and psychotherapy differ
How Spravato Works
Learn how FDA-approved esketamine works in the brain, what supervised treatment looks like at our clinic.
We Accept Insurance and Make Care Affordable
We accept most major plans for FDA-cleared treatments (including standard TMS and Spravato). We verify benefits, manage prior authorization, and provide a written estimate before treatment so there are no surprises.
Do you accept Medicaid?
No - we accept Medicare but do not accept Medicaid. If you have questions about coverage, call our team and we’ll help.
Will my insurance cover TMS?
Many commercial plans cover standard TMS when medical-necessity criteria are met. Accelerated/fast-track TMS is often self-pay. We verify benefits and submit prior authorization on your behalf.
What if I’m out of network?
This is uncommon because we are credentialed with most plans. If needed, we can provide a superbill for out-of-network reimbursement.
How do I get a written estimate?
Request a free 20-minute expert call. We’ll run a benefits check, explain likely coverage, and send a written estimate of patient responsibility before any treatment.
Can I get sliding scale pricing for TMS?
Yes. We offer sliding scale pricing for eligible patients and can provide a written cost estimate before treatment. To be considered, we’ll ask for proof of income, such as tax documents.
At this time, sliding scale pricing is not available for Medicare patients or for accelerated TMS protocols.
Integrated Care That Delivers Results
Research-informed care that integrates medication management, psychotherapy, TMS, and Spravato/ketamine into a coordinated treatment plan. Treatments are thoughtfully sequenced and monitored within a structured clinical model to support safety, consistency, and meaningful outcomes.
Why Choose Houston Mind & Brain?
MD-led, research-informed brain health - advanced treatments, personalized plans, and practical insurance support.
Insurance Help & Clear Pricing
30+ Years MD Led Psychiatry
Accelerated TMS & Fast Track Paths
Clinical Research & Outcomes Tracking
Integrated Treatment Options
Spravato, Ketamine & KAP Programs
Hear From Our Patients
100+ Five Star Reviews. Real Stories. Real Recovery.
Free 20 Minutes
Speak to a Specialist
Call us at (832) 699-7922 or complete the form below.
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What Happens After I Request My 20-min Call?
We’ll reply within one business day.
A clinician or senior team member will call to discuss next steps (your free 20-minute call).
We’ll verify insurance, send a written cost estimate, and help schedule an evaluation if needed.
