Carencia Financial Policies

The fees below apply if you do not have insurance or if your insurance does not cover our services.

Service Fees

We are currently accepting Cigna, United Healthcare, Friday Health Plans, Avera, and BCBS PPO. If you are out of network or uninsured the below Cash Rates apply.

Appointment Length

We keep our patient-to-provider ratio low and our appointment times extended. All appointment lengths exceed the standard.

From the Carencia Team

An Honest Approach to Billing & Fees

Finances can be a subject that medical practices avoid discussing. At Carencia, our financial transparency is a point of pride. We know that the intersection of financial realties and empathy is complicated, logistically and emotionally, so we’ve chosen to address this dilemma directly.

As our financial agreement states, we will charge the card we have on file to take care of your balance with us, including late cancel and missed appointment fees. We understand that late cancels and missed appointments can occur for many reasons, but the way in which they impact us goes beyond economics. It also means we’ve missed an opportunity to assist another patient during that same time. It’s our sincere hope that you understand our perspective.

If you do not see a charge on your card for a missed appointment or late cancelation, please expect a request for payment at your next visit.

Initial Mental Health/Psychiatric Appointment


60-90 minute appointment to gather history, build rapport, and to address initial treatment needs.

Follow-Up Medication Management


30-minute follow-up appointment.

Follow-Up Medication Management and/or Therapy


53-minute Medication Management and/or Therapy follow-up appointment.

Ketamine Treatment Visit


90-minute session that may include psychotherapy.

Urine Drug Screen


Ordered by the provider as needed.

Late Cancellation/No Show


Fee for a late cancellation (less than 24-hour notice) or appointment no show.

FMLA/STD Completion


Fee for the completion of forms related to leave from work/school or disability.

Vivitrol Coordination Fee


This is a fee not associated with the prescribing or direct administration of the medication but the organizing of care from enrollment to the monthly coordination with the manufacturer/ pharmacies.

After Hours Appointment Fee


This fee is associated with a service we offer to accommodation those who are wanting to avoid disruption to their weekday schedules such as work or school. We provide appointments outside of our normal business hours which are after 5 pm M-F and Saturday/Sunday. Openings are based on availability. The fee is in addition to any patient responsibility of using insurance.