Pricing Guide
TMS, Spravato, Ketamine & Medication Management Pricing in Houston
Have insurance? Here's what applies to you
The pricing below is mostly focused on self-pay. Most patients with insurance pay just their plan's copay or coinsurance, not these amounts. We verify your specific benefits and send a written estimate before treatment starts. See the insurance plans we're in-network with →
Psychiatric Care
Initial evaluation
NP/PA $300 · MD $600
Full intake and treatment plan
Follow-up visit
NP/PA $150 · MD $300
Ongoing medication management
Individual psychotherapy
$160–$300
Depends on clinician and session type
Interventional Treatments
Take the TMS Coverage Quiz →
Standard TMS
36 sessions, self-pay
$1,540–$7,300
Income-based sliding scale detailed below
Accelerated TMS, ONE-D
20 sessions
$4,500
1-day protocol plus medication
Accelerated TMS, SWIFT
36 sessions
$9,800
BrainsWay accelerated protocol
Spravato (esketamine)
per treatment *Not offered as self pay*
As low as $10
With insurance and savings program
Intranasal ketamine
per treatment
$300
Includes medication and monitoring
Ketamine Assisted Psychotherapy
per session
$450
Includes medications and psychotherapy
Cognitive Testing
QBCheck, ADHD testing
self-pay rate
$150
Billed to insurance when applicable
Creyos, cognitive testing
self-pay rate
$200 / $150
Initial visit, then repeat visits
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.
How we price care
Insurance & Coverage
In-Network with Major Plans
BCBS, 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.
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 recieve 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.
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.
Contact us
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.
