Cost / Texas
How much does a psychiatrist cost in Texas without insurance?
shrinkMD publishes its self-pay prices, and they are the same across Texas. Here is the number, and what it buys.
Written under the clinical direction of Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last updated October 4, 2026 · Editorial policy
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The number
What a psychiatrist costs in Texas
In Texas, the honest answer to 'what will this cost me' is often buried in an insurance maze. shrinkMD skips that: here are the real numbers for cash-pay psychiatric care.
At shrinkMD the prices are simple and published: an initial evaluation from $295, follow-up visits $110 to $215, and an optional $49 per month membership where it's offered (Maine, once intake opens). Prices shown are shrinkMD's published self-pay rates as of July 2, 2026, and are the same in every state where we practice.
What it costs
shrinkMD self-pay prices for Texas
| Service | Self-pay price | What's included |
|---|---|---|
| Initial evaluation | $295 or $395 | $295 with a psychiatric nurse practitioner or $395 with a psychiatrist: a full 45 to 60 minute evaluation, diagnosis, and written plan. |
| Follow-up visits | $110 to $215 | Per visit, depending on clinician and length. Member rates are lower where membership is offered. |
| Membership (optional) | $49 per month | Membership availability varies by state and is not yet offered here. |
Access in Texas
Why cash pay makes sense in Texas
Consider the setting: Texas is the second-most-populous state, with vast rural stretches between its big metros, with more than 31 million people. Much of the state faces a serious shortage of mental health providers, with most of its 254 counties having few or no psychiatrists and nearly all designated as mental health professional shortage areas. When you can see the price and skip the drive, care in Texas gets a great deal more reachable.
With cash pay there is no prior authorization, no network to fight, and no bill that lands weeks later. In Texas, the price you see is simply the price you pay.
National data show that waits for a new outpatient psychiatric appointment often run beyond four weeks, and longer in rural areas, per AnxietyResearch. Cash-pay telepsychiatry is often quicker to reach because it does not depend on a plan's in-network panel.
Insurance
What about insurance?
shrinkMD is cash pay in Texas and everywhere else. We do not bill or participate with commercial insurance, Medicare, Medicaid, or other government plans. On request we can provide a superbill you may submit for possible out-of-network reimbursement, though reimbursement is determined solely by your plan and is not guaranteed.
For the reasoning behind the model, see why we do not accept insurance. For care itself, see our anxiety and depression pages for Texas.
Care in Texas is priced the same as everywhere we practice, and it is built to be reachable. Join the waitlist and we will reach out the day intake opens for Texas.
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Frequently asked questions
Good questions, clear answers
How much does a psychiatrist cost in Texas without insurance?
In Texas, expect $295 for the initial evaluation, $110 to $215 per follow-up, and, where it's offered (Maine, once intake opens), an optional $49 per month membership. Prices are published and the same in every state where we practice.
Do you take insurance in Texas?
We do not bill insurance in Texas. You pay the published rate and can submit a superbill we provide for possible out-of-network reimbursement, which your plan alone determines.
Is online psychiatry cheaper than in-person in Texas?
Often the value is better rather than simply cheaper: a published price, a full-hour evaluation, and the same clinician over time, without travel. If you have strong in-network coverage, an insurance based option may cost less out of pocket.
How much does an online psychiatrist cost without insurance?
shrinkMD's self-pay prices are initial evaluations from $295, follow-ups $110 to $215, and an optional $49 per month membership. The prices are the same in every state where we practice.
Be first when booking opens
Physician led, cash pay online psychiatry for adults in Texas, with published prices, no controlled substances, and the same clinician over time. Join the waitlist for Texas.
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