Cash Pay Rates
Cash pay is only available when a patient has an insurance plan that PACPX does not accept.
Patients cannot opt for cash pay if they have valid insurance that is accepted in our office.
New Patient Appointments
- Standard Appointment (90 minutes): $525 (Appointments exceeding 90 minutes will incur an additional charge of $75 per hour.)
Established Patient Rates
- 20-Minute Medication Management Appointment: $225
- 30-Minute Medication Management Appointment: $285
- 45-Minute Medication Management Appointment: $325
- 60-Minute Medication Management Appointment: $425
- 61-120 Minute Medication Management Appointment: $525
Missed Appointments
- Missed Appointment: $75
- Missed New Patient Appointment: $200
TMS Cash Pay Rates
Cash pay for TMS is available if the patient is uninsured, does not meet insurance criteria, or opts for an off-label protocol not covered by insurance.
- TMS Therapy (36-session course): $7,500
- Saint TMS (MDD) (50-session course over 5 days): $8,500
- Off-Label TMS Therapy (Session count depends on provider): $200 per session
Additional Fees
- General Letters and Form Completion: (Requiring more than 15 minutes) $75 per 30 minutes
- FMLA Paperwork: State or workplace – Cannot be billed
- ESA Letter: $50.00 per animal
- General Letters (Excluding work and school excuses): $75.00 each
- Mailing Costs: Postage costs will be added if mailed to any party.
Medical Record Costs:
If records are requested physically via paper charges per page will apply, if delivered
electronically charges per handling medical records will apply only.
As per WAC 246-08-400 and RCW 70.02.010:
- Copying Charges per Page:
○ Pages 1-30: $1.24 per page
○ Pages 31 and onward: $0.94 per page
- Additional Charges:
○ Handling Medical Records: $28
Note: HIPAA-covered entities may not charge fees or costs not authorized or prohibited by
Federal HIPAA regulations (45 C.F.R. Sec. 164).