Transparent Pricing
Honest pricing, paid in stages, the same across every state we serve.
Most specialty practices either hide their pricing behind a contact form or surprise you with bills you didn't expect. We do neither.
Every service is priced clearly. Every evaluation is paid across the visits it covers, not as a single upfront cost. Pricing is the same in New Jersey, New York, Washington DC, Florida, and California — same clinical work, same price.
We don't accept insurance directly. We do accept HSA and FSA cards, and we provide a superbill for out-of-network reimbursement.

How Our Pricing Works
Time, not transactions
Our evaluations take five hours of clinical time spread across three visits. Insurance pays for 30-60 minutes total. We left insurance so we could give the time the work actually requires.
Pay as you go
Each visit is its own payment. No giant upfront commitment. If something changes between Visit 1 and Visit 3, you're not locked in for the full amount.
Same price, every state
Same evaluation depth in NJ, NY, DC, FL, and CA. The clinical work is identical regardless of where you live. The only thing that changes is who manages your medications afterward.
Evaluation Pricing
All evaluations include three visits and
approximately three to five hours of clinical time.

Adult ADHD Evaluation
$1,650
Visit 1 — Initial Consultation & History
(60 min) | $550 due at visit
Visit 2 — Neurocognitive Assessment
(60 min) | $650 due at visit
Visit 3 — Diagnosis & Care Plan Review
(60 min) | $550 due at visit

Adult Autism Evaluation
$2,050
Visit 1 — Autism (ASD) Consultation
(120 min) | $750 due at visit
Visit 2 — Specialized Autism Assessment
(60 min) | $650 due at visit
Visit 3 — Diagnosis & Care Plan Review
(60 min) | $650 due at visit

Adult AuDHD Evaluation
$2,500
Visit 1 — AuDHD Consultation (ADHD + Autism)
(90 min) | $900 due at visit
Visit 2
—
Neurocognitive Assessment
(120 min) | $800 due at visit
Visit 3
—
Review & Care PlanningReview
(60min) | $800 due at visit
Ongoing Care Pricing
Follow-up appointments for ongoing care, medication management, and care plan updates.
Follow-Up Visit: $175 per visit
Standard 30-minute follow-up appointments. Used for medication management, care plan adjustments, check-ins on how things are going, and any clinical questions that come up between major care plan reviews. Available in-person at our Westfield NJ or Midtown Manhattan offices, or by telehealth across all licensed states.

Migraine & Headache Care Pricing
Specialty migraine and headache care, available at our Westfield, NJ office.
Migraine Consultation (Initial) $425
Comprehensive 60-minute initial migraine consultation. Includes detailed history, current treatment review, and personalized treatment plan. Telehealth available for non-Botox treatment paths.
Migraine Follow-up Visit $175
Standard 30-minute follow-up. Used for treatment adjustments, medication management, and check-ins.

Botox for Chronic Migraines (per session) $2,150
FDA-approved PREEMPT protocol. 31 injection sites. About 20 minutes per session. Performed in-person at our Westfield NJ office. Re-treatment every 12 weeks (~4 sessions per year).
Eligibility requirements: 15+ headache days per month with 8+ migraine days, headache duration of 4+ hours per day, pattern persisting 3+ consecutive months, and adequate trial of at least 2 preventive medications. Eligibility confirmed during initial consultation.
Payment & Insurance
Accepted payment methods
Major credit cards
Visa, Mastercard, AMEX, Discover
HSA / FSA cards
Most common — works for all evaluation, follow-up, and Botox service

Insurance
We don't bill insurance directly. We're an out-of-network provider for all major insurance carriers.
What this means in practice:
- You pay us directly at each visit
- We provide a superbill (a detailed receipt with billing codes) after each visit
- You submit the superbill to your insurance for out-of-network reimbursement
- Reimbursement amounts vary by plan — typically 40-70% of the visit cost for plans with strong out-of-network benefits
How to check your out-of-network benefits
Call your insurance member services line and ask:
- Do I have out-of-network mental health benefits?
- What's my out-of-network deductible?
- Once the deductible is met, what percentage of out-of-network costs are reimbursed?
- Are there limits on annual visits?
Our office can help you interpret your benefits if you're unsure.
Call Us: (908) 215-2331.


Where We Practice
NJ & NY
Full Care
Comprehensive evaluation, diagnosis, treatment planning, and ongoing prescribing.
DC, FL & CA
Diagnostic & Care Plan
Comprehensive evaluation and a written care plan that you'll use with your local prescriber.
Real Patients, Real Progress
Ready to Move Forward?
If you're ready to schedule, the next step is booking your initial consultation. If you have questions about pricing, payment, or insurance reimbursement, our office can help.
Pricing Questions, Answered
Do I have to pay the full evaluation cost upfront?
No. We offer pay-as-you-go model where partial payment is due at each visit. You're paying for services rendered at each step. If you don't continue past Visit 1 or Visit 2, you only pay for the visits you completed.
What if I can't afford the full evaluation?
We don't currently offer payment plans or sliding-scale pricing. The pay-per-visit structure helps with cash flow — you only commit to one visit at a time. HSA/FSA cards work for all our services. If you have an HDHP with HSA, that's typically the most tax-efficient way to pay.
Do you accept Medicare or Medicaid?
No. Neurokin is private-pay only. We don't bill any government or commercial insurance directly. We do provide superbills for out-of-network reimbursement.
What's a superbill?
A superbill is a detailed receipt with billing codes (CPT codes, ICD-10 codes, provider NPI, etc.) that your insurance can use for out-of-network reimbursement. After each visit, we email you a superbill that you submit to your insurance company. They reimburse you directly based on your plan's out-of-network benefits.
Will my insurance reimburse me?
It depends on your plan. Plans with strong out-of-network mental health benefits typically reimburse 40-70% after you meet your out-of-network deductible. Plans without out-of-network mental health benefits won't reimburse anything. Call your insurance member services line to confirm.
What happens if I'm an existing patient and pricing changes?
Existing patients in continuous care since [LAUNCH DATE] are grandfathered at the original $150 follow-up rate. New patient pricing applies to new evaluations and new patient follow-ups booked after the launch date. Continuous care means no more than 90 days between visits.
Why is pricing the same in DC/FL/CA when I won't get prescribing?
Same clinical work, same price. The five hours Karina spends on your evaluation, the testing tools, the integrated diagnostic formulation, and the written care plan are identical regardless of which state you're in. What changes is who manages your medications afterward — Karina (in NJ/NY) or your local prescriber (in DC/FL/CA). The clinical product is the same.
What's the cost of medication itself?
Medications are paid separately at the pharmacy — they're not included in evaluation or follow-up pricing. Most ADHD and autism-related medications are available as generics, which are usually $5-30/month with HSA/FSA. Branded medications can be more expensive. We can discuss medication options and likely pharmacy costs during your evaluation.
Do you charge a no-show or late-cancellation fee?
Yes. Cancellations within 24 hours of a scheduled visit are charged the full visit fee. This protects appointment availability for other patients and reflects the time Karina has reserved for you. We're flexible on rescheduling outside the 24-hour window.
Can I get a refund if I'm not satisfied?
We charge per visit, so you only pay for what you've received. If you're dissatisfied with care during evaluation, you can stop after any visit and only pay for what's been completed. For ongoing care, refunds aren't typical (you've received the service), but we'll always discuss any concerns directly.
Call (908) 215-2331.