If you are in crisis, call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.

Transparent Pricing

Simple, Published Prices

No surprise bills. Every price we charge is on this page.

Flat, Known Costs

You know the price before you book. Payment is due at time of service.

Superbills Provided

Paperwork you can send to your insurer for possible out of network reimbursement.

Private By Design

Your record stays with our practice, protected by HIPAA and Washington law.

Visit Fees

All visits are telehealth, anywhere in Washington State.

Initial Psychiatric Evaluation
60 to 75 minutes with Kyle. Full history, diagnosis, and a treatment plan you help build.
$350
Initial Primary Care Evaluation
60 to 75 minutes with Abby. Whole-health history, labwork planning, and a primary care plan built around your goals.
$350
Follow Up / Medication Management
25 to 30 minutes. Progress review and medication adjustments.
$175
Extended Session
50 to 55 minutes. Bigger medication changes, combined medication and therapy work, or a full metabolic and lab review.
$250
Brief Check In
15 minutes. One stable concern or a quick lab review, established patients.
$95
The Field Rate

First Responders, Healthcare Workers & Outdoor Professionals

Fire, EMS, law enforcement, dispatch, corrections, military and veterans, nurses and hospital staff, and outdoor professionals — guides, ski patrol, rangers, instructors, trail crews: $250 evaluation and $155 follow ups. Always, not a promotion.

First Responders Outdoor Professionals
The Family Rate

Care for the Whole Household

The first member of your household pays their usual rate. Every additional member pays $250 for their evaluation and $155 for follow ups, the same numbers as the Field Rate. Same household, honor system, no paperwork.

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Our Partner

Wilderness Skills Classes & Events

Classes, group events, and the wellness app are offered by BCMH Wellness, a separate company we partner with. Membership there is $29 a month and your first class is free. Events are open to everyone.

Visit BCMH Wellness ↗

Good to Know

How does payment work?
Payment is due at time of service by card.
Can I use my insurance at all?
We can provide a superbill, an itemized receipt with the codes insurers need, which you can submit for possible out of network reimbursement. Check your plan's out of network mental health benefits. HSA and FSA funds can usually be used for our services.
How does labwork work?
Lab ordering and review are included with your intake and medication management visits, at no extra charge. We write the order for a defined panel (baseline: CBC, metabolic panel, lipids, HbA1c, thyroid; plus monitoring labs your medications require), and you take it to the lab of your choice. Many insurance plans cover routine bloodwork at Quest or Labcorp. If you prefer cash pay, Fullscript offers direct rates plus a $10 draw fee. Either way, the only lab bill is the lab's own. We add no ordering fee, no review fee, and no markup.
How does the Family Rate work?
Once one member of your household is a patient here, every additional member of the same household gets the Family Rate: $250 for their evaluation and $155 for follow ups. It works on the honor system, it never expires, and it stacks with nothing because it doesn't need to — Field Rate families already get the same numbers for every member.
What's your cancellation policy?
Please give at least 48 hours notice to change or cancel so we can offer the time to someone else. Late cancellations and no shows may be charged the visit fee.
What about the Good Faith Estimate?
Under the No Surprises Act you have the right to a Good Faith Estimate of expected charges. Our prices are published and flat, so there's rarely a surprise. The full notice is on our Good Faith Estimate page.
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