Financials and Insurance

Weekly Standing  Concierge Appointments ($1100 per month)
Psychotherapy works best when it is consistent and regular. The weekly fee includes:
• 48 weekly 40-45 minute psychotherapy sessions per year at the same time each week during regular business hours (I take 4 weeks off per year)
• 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. Upon request, Dr. Grugle will submit an electronic claim to the patient’s insurance company for direct reimbursement to the patient.

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

Stand Alone Appointments

Single psychotherapy appointments may be booked through the online schedule. The fee is $275 for 40 – 45 minute psychotherapy. Fees for other services vary from $100 – $500.

Standard Fees

Medication consultation  (typically 60 minutes): $550

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

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

Insurance Claim Filing

I will file your insurance claim for you  (provided your insurance company accepts electronic claims – almost all of them do) . Your insurance company may reimburse you directly, but any payments I receive will be credited to your account.

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 $400 per hour (minimum $45). 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.


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 cancelled 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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