Ketamine & Spravato care • Maui, Hawaiʻi
A thoughtful next step in your care.
When symptoms continue despite treatment, it may be time to explore another option. Ketamine may help some adults with difficult-to-treat depression and selected other conditions. We begin with your history, your goals, and a conversation about whether treatment is appropriate for you.
Request for a ketamine consultationThe $300 consultation fee is due at booking to reserve your appointment. Cancellations made for a valid reason more than one week in advance qualify for a 50% refund ($150). All other cancellations are nonrefundable. A $50 fee applies each time you reschedule.
Medical evaluation required. Results vary. Ketamine is not appropriate for everyone.
A commitment to affordability
Dr. Yan is committed to making these treatments affordable. She understands that the cost of care matters, especially when treatment involves multiple visits. Ketamine treatment done correctly is resource and time intensive, but we do offer a sliding-scale ketamine pricing is based on affordability, with a clear discussion of your circumstances and expected costs before treatment begins.
Sliding-scale pricing
$400–$1,000
Per 40–60-minute ketamine treatment session, based on affordability. Expect an average of about 2 hours from check-in to check-out for a standard treatment visit (included in your $400-$1000 per session price) allowing time for check-in, readiness, treatment, and recovery.
Some conditions require longer infusions; each additional treatment hour adds to the session cost. Your rate, planned duration, and total estimated cost will be confirmed before treatment. Longer infusions or additional recovery needs will extend your visit.
$300 consultation
Your initial consultation is $300. When you complete six treatment sessions, the full $300 consultation fee is credited toward your sixth session’s bill. If you complete fewer than six sessions, the consultation fee remains payable.
Consultation booking and refund policy: The $300 consultation fee is due at booking to reserve your appointment. Cancellations made for a valid reason more than one week in advance qualify for a 50% refund ($150). All other cancellations are nonrefundable. A $50 fee applies each time you reschedule.
Treatment is recommended only when clinically appropriate; the credit does not require you to continue treatment.
Superbills available
We can provide an itemized superbill for you to submit to your insurer for possible out-of-network reimbursement. Coverage and reimbursement are not guaranteed; some plans exclude ketamine treatment.
Personalized care starts with a conversation.
We review your medical and mental health history, current medications, previous treatments, and support system. Together, we discuss potential benefits, risks, alternatives, and follow-up needs. Treatment recommendations depend on your diagnosis and response—not a one-size-fits-all package.
For mental health concerns, ketamine should be considered within an ongoing treatment plan with appropriate mental health care. For persistent pain, coordination with your treating clinician is important.
Another treatment option
Spravato® through our REMS-certified service
We also offer Spravato (esketamine nasal spray) for eligible adults through the Spravato REMS program. Unlike the off-label injectable ketamine uses below, Spravato has specific FDA-approved depression indications. [9]
- Treatment-resistant depression in adults: used alone or with an oral antidepressant. The labeled schedule is twice weekly for 4 weeks (8 sessions), weekly for weeks 5–8, then weekly or every other week as clinically appropriate.
- Depressive symptoms in adults with major depressive disorder and acute suicidal ideation or behavior: used with an oral antidepressant, twice weekly for 4 weeks (8 sessions), followed by reassessment. Use beyond 4 weeks for this indication has not been systematically evaluated.
Plan for at least 2 hours of monitoring after administration at every Spravato visit. The 40–60-minute ketamine pricing window does not describe a Spravato visit. Spravato can cause sedation, dissociation, breathing problems, and increased blood pressure, and carries a risk of misuse.
Arrange transportation home; do not drive until the next day after restful sleep. Spravato has not been demonstrated to prevent suicide or reduce suicidal thoughts or behavior and does not replace hospitalization when needed. [9]
Ask us about eligibility, medication access, pricing, insurance requirements, and whether the consultation credit applies to your planned course before scheduling. Coverage is not guaranteed.
Off-label indications for ketamine use
These are research schedules, not guaranteed or universally recommended treatment courses. Most evidence below is for IV infusions; it cannot automatically be transferred to IM injections or other routes. Whether a condition can be treated here is determined during consultation.
| Condition | Sessions studied | What this means for your care |
|---|---|---|
| Treatment-resistant depression | One studied course used 6 infusions over 2 weeks. Another trial studied 2 or 3 infusions weekly for up to 4 weeks (up to 8 or 12). |
The clinician may discuss an initial series with regular reassessment. Maintenance is individualized; no FDA-approved IV ketamine schedule exists. [2,3] Symptom reduction: In the Phillips study, 23 of 39 completers (59%) had at least a 50% reduction in depression scores after the 6-infusion course; 9 of 39 (23%) met remission criteria (MADRS score ≤10). This repeated-treatment phase was open-label. Timing and duration: The randomized single-infusion phase found improvement at 24 hours. During the series, the median number of infusions to first response was 3. Responders maintained improvement during 4 further weeks (28 days) of weekly treatment; this does not establish 28 days of relief without treatment. Remission is not a permanent cure. [2] |
| PTSD | A small trial studied 6 infusions over 2 weeks; a larger military/veteran trial studied 8 over 4 weeks. |
Results are mixed: the small trial found benefit, while the larger trial did not show a significant advantage for PTSD symptoms. No established recommended session count. [4,5] Symptom reduction: In the small 30-person trial, 67% receiving ketamine responded versus 20% receiving midazolam; at 2 weeks, the ketamine group’s average CAPS-5 PTSD score was 11.88 points lower than the comparison group. Duration: Among ketamine responders, median time to loss of response was 27.5 days after the 6-infusion course. This is not a promise of symptom resolution. The larger 158-person trial did not find a significant advantage over placebo for PTSD symptoms. [4,5] |
| Complex regional pain syndrome (CRPS) | Trials included 10 outpatient infusions, about 4 hours each, or a continuous inpatient infusion over approximately 4 days. |
Specialist pain protocols differ substantially from brief mental health infusions. These schedules should not be converted into a routine short-session package. [6] Pain reduction: In a 60-person CRPS-I trial using a continuous 4.2-day IV S(+)-ketamine infusion, the average pain score at week 1 was 2.68/10 versus 5.45/10 with placebo. Duration: Pain scores differed significantly through week 11 (about 77 days), but the difference was no longer significant at week 12 (84 days). Functional improvement was not demonstrated. This specialized inpatient S(+)-ketamine protocol is different from a brief racemic ketamine session and does not establish a cure or an expected result for this service. [6,8] |
| Other persistent pain conditions | Protocols vary widely; no single validated session count. |
Evidence depends on the diagnosis. Durable benefit is uncertain for many conditions; pain specialist assessment is appropriate. [6] Symptom reduction and duration: No reliable single percentage, remission rate, or number of relief days applies across these diagnoses. Some small mixed-neuropathic-pain studies found relief during infusion or for roughly 2–3 hours afterward; durable benefit is not established for many conditions. These short-term findings should not be presented as multi-day symptom resolution. [6] |
| Obsessive-compulsive disorder (OCD) | A small proof-of-concept trial studied a single active ketamine infusion. |
Preliminary evidence does not establish a standard treatment series or maintenance schedule. Established OCD treatments remain important. [7] Symptom reduction: In a preliminary 15-person OCD study, 4 of 8 participants (50%) receiving ketamine first achieved at least a 35% reduction in Y-BOCS symptom scores at 1 week, versus 0 of 7 receiving placebo first. Duration: Benefit persisted for at least 7 days in some participants. This small proof-of-concept result does not establish complete symptom resolution, longer-term benefit, or a standard maintenance plan. [7] |
How to read these numbers: Response means a study-defined reduction in symptom scores; remission means symptoms fell below a specified score threshold. Neither means permanent resolution. Percentages describe selected study participants, not your personal chance of improvement. Duration may refer to follow-up while treatment continued or time until response was lost, as specified above. Studies differ in population, medication formulation, protocol, and outcome measures, so results should not be compared directly.
Anxiety, burnout, grief, menopause, and life transitions do not have FDA-approved injectable ketamine indications. We do not assign a standard ketamine session count to these concerns. A consultation can help identify the underlying condition and appropriate treatment options.
Planning costs: Ketamine treatment is cash-pay at $400–$1,000 for a 40–60-minute treatment session, based on affordability. Each additional treatment hour is charged at your agreed $400–$1,000 rate.
- A standard session costs $400–$1,000.
- A standard session plus 1 additional treatment hour costs $800–$2,000.
- A standard session plus 3 additional treatment hours costs $1,600–$4,000.
Six standard sessions total $2,400–$6,000 after adding the $300 consultation fee and applying the $300 credit at the sixth completed session. These examples cover the consultation and ketamine treatments; preparation or integration appointments, if billed separately, add to the total. Longer infusions and other separately billed services also increase these totals.
We confirm charges for partial additional hours, preparation, and recovery before scheduling. These examples apply to ketamine infusions; ask for a separate Spravato medication, monitoring, and total-cost estimate.
Consultation booking and refund policy: The $300 consultation fee is due at booking to reserve your appointment. Cancellations made for a valid reason more than one week in advance qualify for a 50% refund ($150). All other cancellations are nonrefundable. A $50 fee applies each time you reschedule.
Your care involves more than the treatment visit.
Ketamine care requires time, preparation, and follow-up. Our process includes a medical consultation, a separate session devoted to preparing you thoroughly, the infusion or injection visit, and integration sessions afterward. Please plan for these appointments as part of your care.
1. Medical consultation
We review your symptoms, health history, medications, prior treatments, and goals. We discuss whether ketamine is appropriate, potential benefits and risks, alternatives, and coordination with your other clinicians. The consultation is $300, fully credited toward your sixth completed ketamine treatment session.
Consultation booking and refund policy: The $300 consultation fee is due at booking to reserve your appointment. Cancellations made for a valid reason more than one week in advance qualify for a 50% refund ($150). All other cancellations are nonrefundable. A $50 fee applies each time you reschedule.
2. Dedicated preparation session
Before your first treatment, one separate session is devoted to helping you feel informed and prepared. We explain what you may experience, answer questions, discuss your hopes and concerns, and practice ways to feel grounded if unfamiliar sensations or emotions arise. We also review your individualized instructions and transportation and support plans.
3. Treatment and recovery
You receive ketamine by infusion or injection according to your medical plan, with clinical monitoring and recovery observation. A standard treatment experience is approximately 40–60 minutes; the injection itself is brief.
Expect about 2 hours on average from check-in to check-out. Longer infusions and individual recovery needs require more time. Arrange a responsible adult to take you home; do not drive for at least 24 hours after injectable ketamine.
4. Integration and follow-up
Integration means taking time afterward to talk through your experience and connect it with everyday life. You do not need to have a profound experience or discover a particular meaning.
These sessions provide space to discuss emotions or questions, identify practical steps that support your goals, and review how you are feeling. Your care team also tracks symptoms and side effects and reassesses whether further treatment is appropriate.
Integration does not replace ongoing psychotherapy or other needed care.
Ongoing care is required: You must be under the care of a primary care doctor, therapist, or pain specialist throughout your ketamine treatment course. Please continue follow-up with that clinician as part of your overall care.
Planning your time and costs: The medical consultation and dedicated preparation session are separate appointments from the treatment visit. Integration appointments also require additional time. Before you begin, we explain the recommended schedule, who will provide each part of your care, and which preparation or integration services are included or billed separately. The average 2-hour ketamine visit is not a limit on recovery time or a guarantee of discharge at a fixed time. Spravato requires at least 2 hours of monitoring after administration, in addition to check-in and other visit steps.
Questions before you begin
Can I use insurance?
Ketamine infusion treatment is cash-pay. A superbill allows you to request reimbursement; it does not ensure your insurer will pay. Ask your plan about off-label ketamine exclusions, out-of-network benefits, deductibles, prior authorization, and documentation requirements before treatment.
For Spravato, ask about medication coverage, prior authorization, monitoring charges, and the payment arrangements available through our practice.
How is my sliding-scale rate determined?
Dr. Yan is committed to offering affordable care. We discuss your circumstances and expected costs with you before treatment. Rates range from $400 to $1,000 for a 40–60-minute ketamine treatment session, based on affordability.
Each additional treatment hour adds $400–$1,000 at your agreed rate. A standard treatment visit averages about 2 hours from check-in to check-out; longer infusions or recovery needs extend the visit. Longer infusions cost more. Your treatment duration, any partial-hour charges, included services, and total estimated cost will be confirmed before scheduling. Spravato pricing is discussed separately.
How does the consultation credit work?
The initial consultation costs $300 and is due in full when scheduling. Your appointment is not held until payment is received. The full $300 is applied as a credit toward the bill for your sixth completed ketamine treatment session.
If you stop before completing six sessions, the consultation fee is not credited. Continuing treatment depends on clinical benefit and safety, not eligibility for the credit.
What are the consultation payment, refund, and rescheduling policies?
Consultation booking and refund policy: The $300 consultation fee is due in full at the time of scheduling. No appointment will be held without upfront payment.
Once the consultation is booked, cancellation before the consultation is provided is eligible for a 50% refund ($150) for a valid reason and if made more than one week in advance; the remaining 50% is nonrefundable. A $50 rescheduling fee applies each time you reschedule your consultation.
What are the risks?
Ketamine can cause dissociation, dizziness, nausea, sedation, increased blood pressure and heart rate, and occasionally serious breathing or cardiovascular problems. Repeated use can cause urinary or bladder problems and liver injury. Misuse and dependence are possible.
Medication interactions, pregnancy, cardiovascular conditions, psychosis, and substance-use history require careful review. Do not stop prescribed medications without guidance.
Will I need ongoing sessions?
Some people benefit, some need further treatment, and some do not respond. Any maintenance plan should follow reassessment of benefit, risks, and cost. A lasting response cannot be promised.
Is this emergency mental health care?
No. If you are in immediate danger or cannot stay safe, call 911 or go to the nearest emergency department. Do not wait for an appointment or a website reply.
Sources and further reading
- Injectable ketamine: prescribing information.
- Phillips et al., 2019: single, repeated, and maintenance infusions for treatment-resistant depression. Study reprint with response and remission results.
- Singh et al., 2016: randomized dose-frequency study in treatment-resistant depression.
- Feder et al.: randomized repeated-infusion PTSD trial (2021 study, reprinted 2023).
- Abdallah et al., 2022: randomized PTSD trial in veterans and service members.
- ASRA/AAPM/ASA consensus guidelines for IV ketamine in chronic pain, 2018.
- Rodriguez et al., 2013: OCD proof-of-concept trial.
- Sigtermans et al., 2009: randomized S(+)-ketamine infusion trial in CRPS-I.
- Spravato prescribing information: indications, schedules, REMS, and monitoring.
Educational information; treatment requires an individual medical evaluation. Evidence reviewed October 31, 2026.