Resources / Pricing
Transparent Pricing
Clear, cash pay pricing with no surprises. Our rates are the same in every state we serve, so you always know what to expect. We also provide a superbill you can submit to your insurer for possible out of network reimbursement.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Published June 7, 2026 · Last reviewed June 8, 2026 · Editorial policy

Pricing
Simple, transparent rates
The same in every state we serve.
Membership
From $75 a month. Predictable, ongoing care with priority scheduling and member visit rates.
Initial Evaluation
From $295. A comprehensive 45 to 60 minute evaluation with a psychiatrist or certified nurse practitioner.
Follow Up Visits
$95 to $220 depending on visit and membership level, for ongoing medication management and care.
What's included
What you get with shrinkMD
Real clinical time and continuity, not rushed, volume driven care.
- A comprehensive 45 to 60 minute initial evaluation.
- Non controlled medication management with structured follow up.
- Therapy coordination when it helps.
- A superbill for possible out of network reimbursement.
Transparent, cash pay pricing means you always know the cost before your visit.

What the fee covers
One price, the whole visit
Your visit fee covers the clinical work end to end: the full appointment time with your clinician, your diagnosis and treatment plan, prescriptions sent electronically to your pharmacy, and coordination notes when care involves your other clinicians.
There are no membership fees, no facility fees, and no charges you have not seen before booking. The price on this page is the price.
Thinking it through
How to compare the real cost of care
The honest comparison is not our fee versus a copay. It is our fee versus a high deductible that rarely gets met, weeks or months of waiting, time off work for office visits, and fifteen minute medication checks that lead to more visits, not fewer.
Most patients can pay with HSA or FSA funds, and if you have out of network benefits, the superbill we provide may bring part of the fee back. We will never pretend that self pay is right for everyone, but for many people it is both better care and better math.
Keep exploring
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Frequently asked questions
Good questions, clear answers
How much does it cost to start?
Your first visit is a comprehensive evaluation starting at $295. Memberships start at $75 a month for ongoing care, and follow ups range from $95 to $220 depending on visit and membership level.
Is the price the same in every state?
Yes. Our cash pay rates are consistent across every state we serve.
Can I get reimbursed by insurance?
We don't bill insurance directly, but we provide a superbill you can submit for possible out of network reimbursement. Check your plan's out of network mental health benefits.
Could pricing change?
Pricing shown here is current and may be updated over time. The latest rates are always on this page.
How much does an online psychiatrist cost without insurance?
At shrinkMD you pay a transparent flat fee per visit, listed before you book. Many patients find self pay costs less than expected once they compare it to high deductibles, surprise bills, and time away from work.
Why does shrinkMD not accept insurance?
Staying out of network lets clinicians spend real time with you, keeps your records private from insurers, and removes prior authorization delays. We publish pricing up front so there are never surprise bills.
Can I use my HSA or FSA to pay?
Yes. Psychiatric care is a qualified medical expense, and most patients can pay with HSA or FSA funds. We can also provide a superbill you may submit to your insurer for possible out of network reimbursement.
Are there any hidden fees?
No. You see the full visit price before you book. There are no membership fees, no facility fees, and no charges you have not agreed to in advance.
Get started with clear pricing
Know the cost up front, and get real clinical time. Choose your state, complete the intake, and book your evaluation online.
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