

Treatment Fees
A Note on What These Fees Represent
We believe patients deserve to understand the cost of ketamine treatment before they pick up the phone. Our fees reflect what we believe is the best model to promote safety, individual attention, and psychiatric progress.
IV Ketamine with Psychiatric Care — Initial Course
Initial treatment ordinarily includes six infusions and six individual psychiatric appointments over approximately two to three weeks.
Combined-Clinician Course — $3,500 total
Includes six infusions and six individual psychiatric appointments.
The first two infusions and psychiatric appointments are with Dr. Dull; the remaining four are with Beth Villani, a dual-board-certified psychiatric and family nurse practitioner. Dr. Dull designs and directs the full course.
Dr. Dull Only — $4,500 total
Includes six infusions and six individual psychiatric appointments.
All six infusions and psychiatric appointments are with Dr. Dull, for patients who prefer Dr. Dull to provide every treatment.
Two Clinical Services Are Provided at Every IV Treatment
Every IV treatment includes two distinct clinical services: the ketamine infusion and a full psychiatric appointment.
Dr. Dull, a board-certified psychiatrist, designs and directs every course. Each infusion is administered by a board-certified clinician, Dr. Dull or Beth Villani, who remains in the room with the patient, one to one, throughout. This provides continuous medical and psychiatric monitoring during the infusion. Separately, each treatment day also includes an individual psychiatric appointment that extends beyond monitoring and administering the infusion itself.
Depending on clinical need, the psychiatric appointment may include assessing symptoms extending beyond simple rating scales — including mania, obsessions and compulsions, panic, trauma reactions, sleep, appetite, and functioning — as well as starting, adjusting, or stopping other medications. It may also include ordering or reviewing medication levels, metabolic or thyroid studies, and therapeutic interventions drawn from cognitive behavioral therapy, exposure and response prevention, and other evidence-based approaches. These assessments become part of your ongoing psychiatric care — either directly with us or, with your authorization, in coordination with your treating provider.
Although both services occur on the same treatment day, the infusion and psychiatric appointment are documented and itemized separately on the superbill, each with its own service code and charge. Depending on your plan, out-of-network reimbursement may be available for either or both services. In some plans, reimbursement for the psychiatric appointment may equal or exceed reimbursement for the infusion. Reimbursement depends on your plan and cannot be guaranteed.
IV Ketamine with Psychiatric Care — Maintenance
Maintenance treatments are scheduled individually when clinically appropriate. Each includes the ketamine infusion and a full psychiatric appointment with the clinician providing the treatment.
With Beth Villani — $600 per treatment
With Dr. Dull — $800 per treatment
Before Treatment Begins — Initial Evaluation
Every patient begins with an evaluation. For patients coming to us specifically for ketamine treatment, the evaluation focuses on whether ketamine is appropriate and can be provided safely:
Dr. Dull — $375
Beth Villani — $275
These evaluations are billed separately from treatment.
For patients also establishing ongoing psychiatric care with us, the first visit is a comprehensive diagnostic evaluation rather than a ketamine-focused evaluation. The applicable fee is explained and confirmed before the appointment is scheduled.
Nasal-Spray Ketamine
Spravato (esketamine) is administered in a private room with medical monitoring throughout, at $375 per session during the initial phase of treatment. Maintenance treatments are billed at $350 per session. Dr. Dull remains on site and checks in personally during each session. Our fee covers the administration of Spravato and the required monitoring; the medication itself may be covered through each patient’s pharmacy benefit.
For patients for whom it is clinically appropriate, a compounded nasal-spray formulation may also be an option. We discuss its suitability and cost individually.