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✓ Last verified: February 23, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff
Known For: A boutique CRNA-run IV ketamine practice in North Raleigh focused on depression, PTSD, and chronic pain.
| Review Scores | Google: 5.0 (20+ reviews) |
| Location | Raleigh, North Carolina |
| Address | 811 Spring Forest Rd, Ste 1400, Raleigh, NC 27609 |
| Phone | (919) 999-6793 |
| Website | freshstartketaminetherapy.com |
| Treatments | IV Ketamine, IM Ketamine |
| Conditions Treated | Depression, Anxiety, PTSD, OCD, Chronic Pain |
| Cost | Contact clinic for pricing |
| Insurance | Cash-pay; superbill provided for out-of-network reimbursement |
| KAP Available? | No |
| Clinical Lead | CRNA-led IV ketamine therapy |
HealingMaps Take: Fresh Start Ketamine is a smaller, relationship-driven clinic — patients consistently praise the one-on-one attention and personalized dosing protocols that can be harder to find at larger operations.
Market Position: Fresh Start Ketamine is an IV-ketamine-focused clinic in the Raleigh metro — the most common cash-pay protocol in the HealingMaps verified directory.
Is Fresh Start Ketamine Right for You?
✓ Choose Fresh Start Ketamine if:
- You want supervised IV ketamine with real-time medical monitoring
- You prefer the shorter, lower-cost IM ketamine protocol
- You’re treating co-occurring depression and PTSD
✗ Look elsewhere if:
- You need Spravato (FDA-approved esketamine) covered by your insurance
- You want ketamine-assisted psychotherapy (KAP) with integrated talk therapy
- You need insurance billing for treatment (this clinic is cash-pay)
Ketamine Cost Calculator
How Much Will Ketamine Therapy Cost?
Estimate your out-of-pocket range based on patient-reported pricing and HealingMaps proprietary clinic data.
Estimated per session
$525–$900
Range: $450–$1,500/session
Estimated total program
$3,150–$5,400
Range: $2,700–$9,000/6-session series
Select a treatment type to see pricing context.
Ketamine Protocols Compared — What’s Offered at Fresh Start Ketamine
Industry pricing reference. Fresh Start Ketamine has not published specific per-session pricing — contact the clinic directly for a quote. The calculator above shows typical metro-level cost estimates across protocols, not this clinic’s specific prices.
| Protocol | Typical Industry Cost | Offered Here |
|---|---|---|
| IV Ketamine | $350–$650/session | ✓ Yes |
| Spravato (esketamine) | $0–$250 copay (insured) | — |
| IM Ketamine | $250–$400/injection | ✓ Yes |
| KAP (with therapist) | $400–$1,200/session | — |
| At-home troches | $150–$300/month | — |
What to Expect at Your First Appointment
- Initial intake call — Brief medical history review, depression and anxiety screening, and medical clearance for IV ketamine. Call (919) 999-6793 to schedule.
- Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the Fresh Start Ketamine clinical team.
- First treatment session — supervised IV ketamine infusion in a private treatment room, lasting approximately 60–90 minutes (40-minute infusion + recovery). Sessions are held at 811 Spring Forest Rd, Ste 1400, Raleigh, NC 27609. You’ll have a comfortable chair or recliner, dim lighting, and direct medical monitoring throughout.
- Recovery and follow-up — observation period after dosing, mood check-in with the clinical team, and scheduling your next session. Arrange for a ride home; do not drive for 24 hours after your IV session.
What to Ask on Your Consult Call
- How long has the Fresh Start Ketamine clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
- Does Fresh Start Ketamine provide a superbill for out-of-network insurance reimbursement, and what’s a typical 6-session total cost including any follow-up?
- What does Fresh Start Ketamine recommend for patients who don’t respond to the standard 6-session acute series?
Raleigh Ketamine Market Snapshot
Sources: CDC PLACES 2023 (Wake County, NC, crude prevalence) · U.S. Census ACS 5 Year · HealingMaps proprietary patient inquiry data.
- Adult depression in Wake County, NC: 23.1%
- Frequent mental distress (14+ days per month): 14.7%
- Adults lacking health insurance: 7.9%
- Wake County population: 1,132,103 · median household income $96,734
- Recent Raleigh-area inquiries to HealingMaps: A growing stream of North Carolina residents have recently contacted us seeking ketamine care
Behind this data: HealingMaps has analyzed 23,496 patient inquiries (Oct 2022 – Mar 2026), mapped 1,473 verified clinics across 3,142 counties, scraped 132 clinic pricing pages, and collected 658 practitioner survey responses. This snapshot reflects our multi-source methodology.
From the 2026 Ketamine Industry Report
Telehealth ketamine programs undercut in-clinic pricing by 40–60%, but 64.8% of surveyed patients still prefer supervised in-clinic treatment — a clear cost-vs-safety tradeoff patients should weigh before choosing an at-home program. Source: HealingMaps 2026 Ketamine Clinic Intelligence Report — drawn from 23,496 patient inquiries and 132 clinic website analyses.
Patient Questions
This 5-question summary is matched to the protocols and conditions Fresh Start Ketamine treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
What ketamine protocols does Fresh Start Ketamine offer?
Fresh Start Ketamine offers IV ketamine and IM ketamine — a 2-protocol practice. Patients can switch between or combine modalities without changing providers. Confirm specific dosing schedules and which protocols are recommended for your condition during your consult.
Is Fresh Start Ketamine suited for treatment-resistant depression?
Fresh Start Ketamine treats depression via IV ketamine (off-label, evidence-based). Insurance coverage is rare for IV/KAP — most patients pay out of pocket. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates here.
Does Fresh Start Ketamine treat chronic pain conditions?
Yes — Fresh Start Ketamine treats chronic pain. They use IV ketamine for pain, which typically means longer infusion times and higher cumulative doses than mental-health protocols. Common indications include complex regional pain syndrome (CRPS), fibromyalgia, and certain neuropathic pain syndromes. Pain pricing varies significantly by structure: per-infusion vs. multi-day inpatient packages — verify how this clinic structures their billing.
Does Fresh Start Ketamine treat PTSD?
Yes — Fresh Start Ketamine treats PTSD. Ketamine for trauma differs from depression treatment: dosing is often lower per session, and pairing the protocol with trauma-focused therapy between sessions is common. A reasonable consult question: whether PTSD patients here typically use ketamine alone or alongside an outside therapist.
Can Fresh Start Ketamine help with anxiety disorders?
Yes — Fresh Start Ketamine treats anxiety, including generalized anxiety, social anxiety, and panic disorder. The evidence base for ketamine in anxiety is less robust than for depression, but it can be a meaningful option for patients who haven’t responded to SSRIs or benzodiazepines. Worth asking which of their protocols they typically recommend for anxiety-primary patients.
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Healing Maps Editorial Staff
View all posts by Healing Maps Editorial StaffThe Healing Maps Editorial Team has decades of experience across all facets of the psychedelic industry. From assessing studies and clinic research, to working with clinician's and clinics, we help provide data-backed information to psychedelic-curious individuals across the globe.
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