Self-Pay Psychiatrist | East Texas Psychiatry & Counseling
Transparent self-pay psychiatric care — by secure telepsychiatry across Texas or in person at our Tyler clinic. Published rates, no insurance paperwork.
Board-certified PMHNPs. Most patients seen within a week. 90-minute first appointment. Same provider every visit. Statewide telepsychiatry from our Tyler clinic.
Why Self-Pay Matters
Self-pay works well for patients who do not have insurance, whose plans we are not contracted with, or who want privacy that bypasses insurance documentation. Self-pay rates are published before your first visit. There are no surprise charges, no insurance billing delays, and no diagnosis codes reported to your insurer.
What You'll Pay
We publish our self-pay rates before you book. The initial 90-minute evaluation has a single rate; follow-up medication management visits have a standard 30-minute rate. Add-on time (extended sessions, complex pharmacogenomic review) is billed in 15-minute increments at a disclosed rate. Most patients budget for an initial evaluation plus 4-6 follow-up visits in the first year of care.
Cost transparency before your first visit
Our intake team confirms your expected cost in writing before you book. No surprise charges, no deposit required to schedule, no hidden add-ons. If your situation changes (insurance starts, plan changes, billing arrangement shifts), we discuss options at that point.
How It Works
Self-pay patients pay at the time of service via credit card, debit card, HSA card, FSA card, or ACH. We email an itemized receipt after each visit so you can submit it for HSA/FSA reimbursement, out-of-network insurance reimbursement (via superbill), or your own records.
When This Makes Sense
You don't have mental health coverage
If your plan excludes mental health, has a very high deductible, or limits psychiatric visits, self-pay can be more predictable than insurance.
You want privacy
Self-pay visits do not generate insurance claims, so no diagnosis codes are reported to your insurer. This matters for some professional licensing situations and for patients who don't want their employer-sponsored plan to see psychiatric utilization.
Your insurance doesn't cover us
If we are not in-network with your plan, self-pay is often less expensive than the full out-of-network rate you'd pay at first, and you can submit a superbill afterward for partial reimbursement.
You want appointment flexibility
Self-pay sessions are scheduled by you, not gated by referral requirements or prior authorization. Same-week appointments are typical.
Clinical Perspective
A common scenario in our practice: a patient whose insurance technically covers mental health, but with a $5,000 deductible they will not hit this year and a 90-day wait for an in-network specialist. Self-pay gets them seen this week at a published rate they understand up front — often for less than the full session fee billed to a deductible they will not satisfy.
Conditions We Treat
Our psychiatric services cover the full range of adult mental health conditions. Common reasons patients come to us:
Frequently Asked Questions
What are your self-pay rates?
Rates are published before your first visit and confirmed by our intake team. The 90-minute initial evaluation, follow-up medication management visits, and any add-on services each have a transparent, disclosed rate. Contact us for current rates.
Can I use my HSA or FSA card for self-pay?
Yes. Psychiatric care is HSA- and FSA-eligible. We accept HSA and FSA cards for payment at the time of service and email an itemized receipt for your records.
Can I submit a self-pay receipt to my insurance later?
Often yes. We provide a superbill — an itemized receipt with the diagnosis and procedure codes your insurance needs to process out-of-network reimbursement. Reimbursement amounts vary by plan; contact your insurer for details.
Is self-pay cheaper than using insurance?
Sometimes. If your deductible is high or your plan does not cover psychiatric visits well, self-pay may cost less out of pocket than the full session rate billed against a deductible. We discuss both options at intake so you can choose what makes sense for your situation.
Do I need a referral for self-pay?
No. Self-pay patients book directly without referral. Most patients are seen within one business week.
Can I switch from self-pay to insurance later?
Yes. If your insurance changes or we become in-network with your plan, we can switch your billing arrangement at your request.
Authoritative Resources
The following resources are maintained by U.S. government agencies and clinical organizations, independent of our practice:
- HealthCare.gov — Mental Health Coverage Definitions
- Texas Department of Insurance — Provider Network Rules
This page provides general information about self-pay options at East Texas Psychiatry and Counseling. Rates, network participation, and reimbursement rules can change. Confirm specifics with our intake team before your first visit.
Psychiatric care that fits your situation
Costs confirmed before booking. Most patients seen within one business week. Same provider every visit.
100 Independence Pl, Suite 307, Tyler, TX 75703
Monday–Friday, 8 AM–5 PM · Statewide telepsychiatry available
