Fees & sliding scale
Clear prices.
No surprises.
Self-pay fees for online psychiatric care with Jeffrey Panko, PMHNP-BC, for adults across New York.
Self-pay appointments
Your care.
The details, upfront.
Know the cost of your visit before you begin.
These are the full self-pay fees per appointment. Covered by participating insurances. Your cost depends on your individual benefits.
Explore insurance options15 minutes. Free of charge.
Ask about the practice and whether it feels like a fit for your needs.
Make an appointment| Visit | Time | Fee |
|---|---|---|
| Psychiatric Evaluation | 60 minutes | $300 |
| Medication Management | 20–30 minutes | $150 |
| Psychotherapy - 40 Minute Session | 40 minutes | $175 |
| Psychotherapy - 60 Minute Session | 60 minutes | $200 |
| Introductory Consultation | 15 minutes | Free |
The consultation is a conversation about fit, not a diagnostic evaluation or medication visit.
Choose your visit on the appointments page. Reduced-fee arrangements are agreed before booking.
Making care more accessible
A sliding scale.
A conversation.
At one point in my life as a young adult, I dealt with some pretty heavy depression and anxiety, along with ADHD. I didn’t have health insurance and wouldn’t have been able to afford care if it wasn’t for a provider who had a sliding scale. A sliding scale gave me access to treatment I needed, and that treatment helped me build the life I have now. Because of that experience, I offer 20 reduced-fee spots in my practice for people who would find the full self-pay rate too difficult to manage.
Let’s talk about your circumstances, household resources, and what you would be able to afford. We’ll agree on a fee that will give you access to the care you need. Let’s start the conversation: email me at [email protected] with the subject “Sliding Scale,” and I’ll get back to you as soon as possible to discuss next steps.
Ask about reduced-fee care| Visit | Example fee |
|---|---|
| Psychiatric Evaluation60 minutes | $200–$250 |
| Medication Management20–30 minutes | $100–$140 |
| Psychotherapy - 40 Minute Session40 minutes | $100–$140 |
| Psychotherapy - 60 Minute Session60 minutes | $125–$160 |
These are example fees. I’ll work with you based on your situation and what you’re able to pay. Reduced-fee appointments are subject to availability. Insurance deductibles, copayments, and coinsurance follow your plan.
Before booking
A few practical details.
Are ADHD assessment and medication visits priced differently?
Services are covered by participating insurances, but you can also choose self-pay if that fits your circumstances better. The 60-minute psychiatric evaluation is $300 for self-pay, including appointments focused on initial adult ADHD assessment. Medication-management follow-ups are $150 for 20–30 minutes for self-pay. An assessment may require more than one appointment; any additional visits are discussed with you before booking.
Can I start with the free consultation?
Yes, please do. The free 15-minute conversation is a chance to ask about services and fit. It does not include diagnosis or prescribing.
What if I plan to use insurance?
Review the insurance page and confirm your specific benefits before booking. Self-pay prices are separate from the amount due under an insurance plan.
Payment and appointments
The practical details.
For visits billed directly by the practice, an itemized invoice is sent after the service and payment is due within seven days unless another arrangement is agreed. Payment-method storage requires a separate authorization; policy acknowledgment does not authorize a charge.
Please give at least 24 hours’ notice to cancel or reschedule. The standard attendance charges are $150 for a no-show and $100 for a late cancellation or rescheduling. One shared courtesy waiver is available each calendar year. Reduced-fee visits and payer restrictions have additional limits.
Read the financial policy ↗ · Read attendance and practice policies ↗ · Good Faith Estimates ↗