Does the $475 include the consult?

No. The initial consultation is scheduled and priced separately so we can take the time to review your history, medications, and goals without rushing it into the same visit as a treatment. The $475 figure refers specifically to a standard IV ketamine session. When you reach out, we will quote the current consultation fee directly so there are no surprises.

Are follow-up and maintenance sessions the same price?

In general, yes. A standard maintenance or booster IV ketamine session is priced the same as an induction session at $475, because the clinical inputs are the same: CRNA time, monitoring, medication, the suite, and a documented recovery period. Extended-duration protocols or specialized chronic-pain dosing may carry a different fee, and we will tell you that in advance, in writing, before you book.

How does $475 compare to other clinics?

The IV ketamine market in the United States typically runs from roughly $400 to $1,200 per session. We will not name competitors. What we will say is that lower-priced options often achieve the lower price by removing something — usually the on-site anesthesia provider, the depth of monitoring, the screening visit, or the recovery time. Higher-priced options usually layer in concierge services or therapy bundles. We try to publish a price that reflects an honest clinical baseline.

Why isn't integration therapy bundled into the price?

Integration therapy is the work you do with a licensed therapist between and after sessions to make sense of what came up. We do not employ therapists in-house. We refer to outside integration providers, and they bill you directly for that work. Bundling someone else's clinical service into our price would be misleading. You can read more about how to find an integration therapist in Tennessee for that piece.

What We Charge and Why: $475 Per Session Explained

Q: Is there a discount for paying for the whole series up front?

We do not run a standing prepay discount. The reason is straightforward: pre-paying for a series creates pressure to finish it whether or not it is helping, and we would rather you make a fresh decision after each session about whether to continue. If you want to discuss a different arrangement based on your specific situation, you can ask, and we will be honest about whether we can do it.

Why we publish a price

Most ketamine clinics in the United States do not publish a price. You call, you give your contact information, and a number eventually arrives by phone or by email after a sales conversation. We have never liked that pattern. It makes the cost feel like a negotiation, and it puts pressure on people who are already navigating a hard treatment decision.

So we publish the number. $475 per IV ketamine session. That figure appears on our website, in our intake materials, and in every conversation with a prospective patient. The American Society of Ketamine Physicians, Psychotherapists & Practitioners (ASKP3) Standards of Care for Ketamine Therapy, published in 2024, recommends transparent disclosure of cost and out-of-pocket expectations as part of informed consent. The Better Business Bureau’s Standards for Trust identify hidden fees, undisclosed add-ons, and bait pricing as core consumer-protection concerns. We agree on both counts.

Ketamine is FDA-approved as an anesthetic; its use for depression, anxiety, PTSD, and chronic pain is off-label. Insurance does not generally pay for it. That means the cost lands on you, and you deserve to see it before you book.

What’s inside the $475

The $475 is not a room fee. It is a clinical service fee that reflects a defined set of inputs. Here is what is included in every standard session.

CRNA time. Marla Peterson, CRNA, oversees every infusion. The American Association of Nurse Anesthesiology’s 2020 Standards for Office-Based Anesthesia Practice require the anesthesia provider to be in continuous attendance during administration. A CRNA is in the room delivering and monitoring your treatment. That is not a feature we add to feel premium; it is the clinical standard for an office-based anesthetic.
The medication itself. Pharmaceutical-grade ketamine, weight-dosed to your protocol, drawn and labeled per anesthesia practice.
IV setup and administration. Catheter, infusion pump, sterile supplies, and the time it takes to place the line correctly and start the infusion at the right rate.
Continuous monitoring. Pulse oximetry, blood pressure cycling, and heart-rate tracking from the moment the infusion starts until you meet recovery criteria. This is anesthesia-level monitoring, not "we’ll check on you" monitoring.
The suite. A private room with a reclining chair, blackout option, music, blankets, and the calmness needed for the experience to go well.
The recovery period. AANA standards require a documented recovery period before discharge. You stay until your vitals, alertness, and ambulation meet our discharge criteria, which we cover in a separate article on discharge criteria after ketamine therapy.
A brief integration touch-base. Before you leave, we check in on what came up and what may be useful to bring to your therapist. This is not a therapy session. It is a clinical handoff.

Add those up and you have the per-session number. We do not nickel-and-dime any of those line items as add-ons.

What’s not inside

Equally important is what the $475 does not cover, because hidden exclusions are how a "low" price becomes a high one.

The consultation. Your first visit, where we review your history, medications, diagnosis, and goals, is scheduled and billed separately. We will quote the current consult fee directly when you reach out. We keep it as its own visit so neither of us is rushing the most important conversation of the whole process.
Integration therapy with an outside therapist. The work of metabolizing what comes up between sessions is done by a licensed therapist who knows you. We refer; they bill you. Finding an integration therapist in Tennessee walks through how to find someone trained in this work.
HSA/FSA reimbursement paperwork on your end. We provide a detailed receipt and a superbill on request. Whether your plan reimburses, and how much, is between you and your plan administrator. Using HSA/FSA for ketamine and how superbills work explain the mechanics.
Specialized chronic-pain or extended-duration protocols. Some chronic-pain protocols run longer than a standard session or use higher dosing. Those carry a different fee that we will quote in writing in advance.

How a typical induction series adds up

Most patients start with a series of six induction sessions over two to three weeks, followed by maintenance as clinically indicated. We cover the rationale for that pacing in how many ketamine sessions you actually need.

At $475 per session, six induction sessions total $2,850. That is the figure to plan around, in addition to the consult fee, when you are deciding whether ketamine therapy fits your budget. If maintenance is recommended every four to eight weeks afterward, each maintenance session is also $475.

We say all of that out loud because the actual yearly outlay matters more than any single session price. A clinic that quotes "$300 per session" but adds monitoring fees, room fees, IV fees, and a required therapy bundle can easily exceed $475 by the time the bill arrives. The all-in number is what counts.

Why we don’t run discount packages or "first session free" promos

We do not offer a prepay discount for buying the whole series in advance, and we do not offer a free first session. Both are common in the industry. Here is the honest reasoning.

Prepaying a full series creates a quiet pressure to finish it whether or not it is helping. We would rather you make a fresh decision after each session about whether to continue, slow down, or stop. That decision should be a clinical one, not a sunk-cost one.

"First session free" promotions tend to attract people for the wrong reason. Ketamine therapy is not a trial product. It is an off-label medical treatment that requires real screening. Charging the same fee for the first session as the sixth helps us hold the screening to the same standard for everyone who walks in.

None of this is a knock on clinics that price differently. There are reasonable models we have chosen not to use.

How this compares to the broader IV ketamine market

The IV ketamine market in the United States typically runs from roughly $400 to $1,200 per session, with the bulk clustering between $500 and $800. Pricing varies by region, clinical model, and what is bundled.

We will not name competitors. We will say what is broadly true. Lower-priced options often achieve the lower price by removing something. Sometimes the on-site anesthesia provider is replaced with a registered nurse and a remote-supervising physician. Sometimes the monitoring is reduced. Sometimes the screening is shortened. Higher-priced options usually layer in concierge services, in-house therapy, or longer protocols. Both ends can be legitimate; the question is what you are actually paying for.

Our target was a price that covers a clean clinical baseline — CRNA in the room, anesthesia-level monitoring, real recovery time, an unhurried suite — without padding it with services we do not provide. $475 is that number. We review it periodically and have not raised it casually. For a deeper look at the cost question, our article on ketamine therapy cost goes broader.

Payment, HSA/FSA, and the superbill path

Payment is due at the time of service. We accept major credit cards, debit cards, and HSA/FSA cards directly. HSA and FSA cards typically work without any additional paperwork on your end, though some plan administrators require a letter of medical necessity, which we are happy to provide on request.

If you want to attempt out-of-network reimbursement from a commercial insurance plan, we provide a superbill that includes diagnosis codes, CPT codes, and our clinic’s information. Whether your plan will reimburse, partially reimburse, or decline is between you and your insurer. We do not promise insurance outcomes because we cannot control them.

If you have questions about whether ketamine therapy makes sense for your situation, the right place to start is the consultation. You can also read more about who we are and how we work, or about how the process unfolds from first call to last session. For broader context on the treatment itself, our depression treatment overview and chronic pain treatment overview are good starting places.

When the number changes

$475 is the standard IV session price. There are situations in which the number is different, and we tell you in writing in advance.

Extended-duration sessions. Certain chronic-pain or treatment-resistant protocols run longer than a standard session. The fee scales with the clinical time involved.
Specialized protocols. A small number of cases call for non-standard dosing or split-day protocols. These are quoted individually.
The consult. Priced separately as discussed above.

What we do not do is surprise you. If something is going to cost more than you were quoted, you hear about it before the appointment, in writing, with a clear reason. Research suggests that people who have a clean understanding of cost and process going in tend to make better treatment decisions, and that is what we want for you.

We are not the cheapest IV ketamine option in the country. We are not trying to be. We are trying to be a clinic where the price you see is the price you pay, the clinical standard is the one a CRNA holds it to, and the conversation about whether ketamine is right for you is honest from the first call onward.