Out-of-pocket psychiatrist in Manhattan: cost and reimbursement

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Compare the two payment paths

What to ask the coordinator before booking

• The fee and length of the initial evaluation with your proposed clinician.
• The fee and length of medication-management, therapy or combined appointments.
• Current availability and in-person or telehealth options.
• The clinician’s training, experience and approach to your goals.
• The documentation available for an insurance claim and what help the practice provides.

The team uses structured, evidence-informed approaches adapted to each person’s needs. Discuss how assessment, treatment decisions and follow-up will work with the clinician you are considering.

Verify benefits for the actual clinician and service

Call the member-services number on your insurance card. Ask whether outpatient mental health care with your proposed out-of-network clinician is covered, whether any authorization is required, and which documents and deadlines apply. Ask the practice for the clinician and service details your insurer needs.

Request your remaining out-of-network deductible, the plan’s allowed amount and the percentage the plan pays after the deductible. Plans can use different deductible and payment rules. Your plan documents and insurer’s response are the basis for estimating reimbursement.

Use the benefits-check questions · Understand superbills

For the full arithmetic, with a worked plan year and a private calculator, see how out-of-network reimbursement works.

A hypothetical reimbursement calculation

This example illustrates the arithmetic. It is not a practice fee, an insurer quote or a patient’s experience. Assume the service is covered, all applicable deductible requirements have been met, and the plan pays 70% of a $200 allowed amount for a visit billed at $500.

A remaining deductible, an excluded service or other plan rules can reduce or eliminate payment. A superbill documents the service; it does not guarantee reimbursement. HealthCare.gov explains allowed amounts and out-of-network coinsurance.

What our patients' plans actually paid back

Insurers paid our patients back a median of about $220 for a medication-management visit with 45 minutes of psychotherapy (99214 + 90836), across 91 visits by 19 patients from October 2024 to June 2026. That median includes the 20% of visits that paid $0 because the plan applied them to the deductible. Across all visit types, Anthem/Empire BCBS paid a median of about $220 per visit (20 patients) and UnitedHealthcare about $200 (13 patients).

These are aggregated figures from our patients' Explanations of Benefits and say nothing about Aetna, Cigna, Oxford or the Empire Plan. Your own deductible, coinsurance and plan year decide your payment. The full tables are in what our patients got back.

Written estimates for uninsured and self-pay patients

If you are uninsured or are not using insurance to pay for care, you can usually receive a Good Faith Estimate when you request one or schedule care at least three business days in advance. Ask for the expected charges for the care you plan to receive. See CMS guidance on Good Faith Estimates for timing and eligibility.

Speak with the Manhattan team

The NYC office is at 80 Eighth Avenue, New York, NY 10011. Adults who live or work in Manhattan below 59th Street can ask about psychiatry, medication management or combined medication and therapy. Request Dr. Sultan by name if you would like to discuss his availability and fees.

Office location and adult care in Chelsea · Your first appointment

Frequently asked questions

How much does an appointment at Integrative Psych cost?

Fees vary by clinician and visit type. Ask for the exact fee for your initial evaluation and follow-up appointments. The range does not establish Dr. Sultan’s individual fee.

Does the practice take insurance?

Integrative Psych is out-of-network. Patients pay the practice and may seek reimbursement using detailed invoices or superbills. Coverage and payment depend on the individual plan.

Does 70% reimbursement mean 70% of my bill?

It may refer to a percentage of the plan’s allowed amount. In a hypothetical covered visit costing $500, a $200 allowed amount and a 70% plan payment would yield $140 after any applicable deductible has been met. Ask your insurer how your own plan calculates payment.

Can I pay privately without filing an insurance claim?

Yes. You can pay privately without seeking reimbursement. Ask the practice about evaluation and ongoing-care fees so you can plan for the full cost.

Can the practice help with a claim?

The practice provides detailed invoices and guidance on claim submission and can assist with additional documentation. Ask the coordinator what support is available. Your insurer determines eligibility and payment.

Can I get a written estimate?

If you are uninsured or paying without using insurance, you can usually get a Good Faith Estimate when you request one or schedule care at least three business days in advance. Ask the practice for the expected charges for your planned care.