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Self-Pay

No insurance? No problem. 

Looking for a self-pay psychiatrist or mental health prescriber? At Quimson Behavioral Health,

Dr. Pia Quimson-Guevarra and physician assistant Cayley Mesterheide, offer self-pay psychiatry

for adults by telehealth in Oregon and Washington. We also have in-person appointments in Portland. Clear rates, superbills, HSA/FSA accepted. Join the Quimson Behavioral Health New Patient List.

 

​Self-pay means you pay for your visits directly, with clear rates and no insurance needed.

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WHO SELF-PAY IS FOR:​

  • You don't have insurance

  • Your plan isn't one we're in network with

  • You want to keep your care outside your insurance record

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RATES: 

New Patient Appointment (60 min)                                            $600

Medication Management (30 min)                                             $200

Medication Management w. brief counseling (30-45 min)       $300

Medication Check w. therapy (60 min)                                       $400

Psychiatric Consultation (60 min)                                                $600


Out-of-network coverage

  • ​​Superbills can be provided for those with Out-of-Network (OON) Coverage

  • Health Savings Account (HSA) & Flexible Spending Account (FSA) payment cards accepted


Common Questions

Do you see patients without insurance? 

Yes, we see patients without insurance. They are considered self-pay patients.  Patients using out-of-network coverage are also considered self-pay patients in our practice. 

How much does a psychiatrist cost without insurance?

Our 60 minute intake or consultation appointment is $600. Follow-up appointments range from $200-$400 per session. Refer to our rates above. 

Can I use my HSA/FSA card?

Yes, you can use your Health Savings Account (HSA) or Flexible Spending Account (FSA) for payment.

Can I get reimbursed with a superbill? 

Yes. To use out-of-network benefits, you will pay at time of session. Our office can provide a superbill that you would submit to your insurance company for reimbursement. 

Ready to become a new patient?

We welcome new patient requests when our services, availability, and clinical focus are a good fit for your needs. Quimson Behavioral Health is primarily a virtual practice providing self-pay psychiatry for adults (18-65 years old) in Oregon and Washington via secure telehealth. We have limited in-person appointments available in Portland.

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For those considering controlled medications, keep in mind that our controlled substance policy is that patients need to be seen in-person once prior to prescribing and then on an annual basis.

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​*Please allow up to 3 business days for our office to respond. 

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Ready to become a patient?

Scheduling

1. Contact us at 503.832.9293 to leave a voicemail 

with your name, phone number, and request to join our new patient list.

You may also go to the link below. 

 

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2. You will be contacted by phone or email to schedule within 3 business days to complete an intake pre-screening. We will confirm if our services and availability are appropriate for your needs.

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3. We accept self-pay. If your insurance plan is out of network, you will be considered self-pay. We can provide a superbill for you to submit to your insurance provider for reimbursement. 

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4. Once accepted, you will be scheduled for a new

patient evaluation. You will be given access to our secure patient portal, Simple Practice, to complete practice paperwork. Please complete within 48 hours before your scheduled appointment. Otherwise, your appointment will be cancelled and/or rescheduled to a future date. 

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5. Virtual visits occur on Simple Practice. Once established, you will be offered online scheduling and HIPAA-compliant secure messaging through Simple Practice.

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6. You will also be offered access to Spruce Health, a phone app that allows for HIPAA-compliant messaging. 

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© 2026 by Quimson Behavioral Health                

 

Disclaimer:

The content at Quimson Behavioral Health’s website, including its’ blog and social media accounts, is for informational purposes only. Information is gathered and shared from reputable sources; however, Quimson Behavioral Health is not responsible for errors or omissions in reporting or explanation. No individuals, including those who are under Quimson Behavioral Health’s care, should use the information contained within for self-diagnosis or self-treat of any mental health or medical condition. This information should not be a substitute for your provider’s care or advice. 

 

As a reader, you have not entered a patient-physician relationship with me.  Therefore, I ask that you not ask me for medical advice, either in the comments or by email. I may delete such comments and accept no responsibility to respond to unsolicited email.

 

If you are experiencing a medical or psychiatric emergency, please call 911 or go to your nearest emergency room.

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