Cash pay
Cash pay online psychiatrist, no insurance needed
Clear prices, longer visits, and the same clinician over time. No insurance required.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last reviewed June 28, 2026 · Editorial policy
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Why cash pay
Why we don't take insurance
shrinkMD is private pay on purpose. Billing insurance pushes practices toward short, rushed visits and a rotating cast of clinicians. Paying cash lets us protect visit length, keep continuity with the same clinician, and prescribe based on what helps you, not what a plan will approve.
We don't bill or participate with commercial insurance, Medicare, Medicaid, or other government plans. On request we can provide a superbill you can submit to your plan for possible out-of-network reimbursement, though reimbursement is determined solely by your plan and isn't guaranteed.
Pricing
Transparent, the same in every state we serve
| Visit | Price |
|---|---|
| Initial evaluation | From $295 |
| Follow-up visits | $110 to $215 |
| Membership (optional) | $49 per month, first month free |
Want the longer version of why we made this choice? Read why we don't accept insurance.
Frequently asked questions
Good questions, clear answers
Does shrinkMD take insurance?
No. shrinkMD is a cash pay practice. We can provide a superbill on request that you may submit to your insurer for possible out-of-network reimbursement, but reimbursement is determined by your plan and isn't guaranteed.
How much does an online psychiatrist cost at shrinkMD?
Initial evaluations start at $295, follow-up visits run $110 to $215 depending on length and complexity, and an optional membership is $49 per month with the first month free.
Is cash pay cheaper than using insurance?
It depends on your plan. Cash pay means a clear, predictable price with longer visits and continuity. If you have strong in-network psychiatric coverage, an insurance based practice may cost less out of pocket.
See if shrinkMD fits
Cash pay, physician led online psychiatry for adults, with no controlled substances and the same clinician over time. Join the waitlist for your state.
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