Standard Fees

• Medication consultation  (typically 60 minutes): $385

• Psychotherapy with or without medication (40-45 min): $275

• Medication Follow Up (20-25 minutes): $220

• Weekly Standing Concierge Appointments ($275 per week)

Psychotherapy works best when it is consistent and regular. The weekly fee includes:
• Weekly 40-45 minute psychotherapy sessions per year at the same time each week during regular business hours. There is no weekly fee for weeks I am out of the office
• Prescribing of all medically necessary psychiatric medications
• Coordination with your primary care physician for all medical conditions, lab studies, or other testing
• Anytime online scheduling to view, cancel or change your appointments
• Anytime online patient portal for messaging, lab results and documents

If your scheduled weekly session falls on a federal holiday, another time in the same week will be offered. Concierge fees are non-refundable. Any proceeds received from insurance will be credited toward the concierge fee.

Your progress in treatment may be enhanced by attending up to 4 sessions per week.

Overdue Accounts

I don’t send paper statements because they’re a drain on time, paper and transportation resources. Statements are due upon receipt in your onpatient account. If you have an outstanding balance over 60 days old, I’ll charge a 1.5% late fee (minimum $1.00) and send a text asking you to login and check your balance. If the balance remains unpaid we’ll have to part ways.

To make a payment on your account, choose the most convenient method:

PayPal (send to



Set up an Auto Debit

Mail a check or Credit Card Authorization

Insurance Claim Filing

I’ll take (some of) the hassle out of using your insurance. I can electronically file your claim to most insurance  plans for you and bill you only for your portion. I’m out of network for insurance plans (except CIGNA), so check your out of network deductible to see how much you’ll owe out of pocket before insurance kicks in. If you have an FSA or HSA, you can set up an autopay for your balances due.

I am “opted out” of Medicare – Medicare will not reimburse any fees and you will not be able to file a claim.

I have 2 weekly slots available for reduced fee or CIGNA patients- There may be a waiting list for these reduced fee slots.

Additional Services

Non medically necessary services requested by the patient are not covered by insurance and are charged at a standard fee of $420 per hour (minimum $42). Examples of non-medically necessary services are completion of disability forms, FMLA forms, prescription pre-authorization appeals, completion of life insurance applications and duplication of medical records.

Cancellation Policy (non concierge appointments)

Your appointment time is reserved for you and you alone. The full office visit fee will be assessed for broken appointments or appointments canceled with less than 24 hours advance notice, unless the canceled appointment can be filled with another patient’s visit. Cancellation fees are not usually covered by insurance. In case of winter weather, cancellation fees will not be charged if Dallas, Richardson or the patient’s Public Schools are closed.

Treatment Estimates

Patients may request a written estimate of their out-of-pocket expenses.  Charges may vary based on the patient’s condition. The request may delay the scheduling of your care.  The actual charges may differ from the amount paid by the third-party payer.  The patient is personally liable for the services not paid by health insurance.
Dr. Grugle will not furnish adverse information to consumer reporting agencies regarding amounts owed by the patient if the patient finalizes a payment plan agreement within 45 days of receiving the first statement. You may be able to reduce some of your out-of-pocket costs for an out-of-network medical or health care claim that is eligible for mediation by contacting the Texas Department of Insurance at and 1-800-252-3439.

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