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✓ Last verified: April 20, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff

Known For: Rune Vitality in San Marcos (serving the Escondido area) is led by Robert Knipper, CRNA. The clinic specializes in IV ketamine, lidocaine, and nutritional infusions for treatment-resistant mood and pain disorders. Their standard protocol consists of six treatment sessions over three weeks, with particular expertise in CRPS, fibromyalgia, and neuropathic pain alongside depression and anxiety.

Review Scores⭐ 4.8 (Based on Google Reviews)
LocationSan Marcos / Escondido, California
Address334 Via Vera Cruz, Suite 205, San Marcos, CA 92078
Phone(760) 276-3323
Websiterunevitality.com
TreatmentsIV Ketamine, Lidocaine Infusions, Nutritional IV Therapy
Conditions TreatedDepression, Anxiety, PTSD, OCD, CRPS, Fibromyalgia, Chronic Pain
CostContact clinic for current pricing
InsuranceContact clinic for insurance details
KAP Available?No
Clinical LeadRobert Knipper, CRNA

💡 No clinic-specific pricing posted? See our ketamine therapy cost guide for typical pricing ranges by treatment type and insurance pathways.

HealingMaps Take: Rune Vitality’s multi-modality infusion approach — combining ketamine with lidocaine and nutritional therapies — makes them a particularly strong option for patients with complex pain conditions alongside mood disorders. The North County San Diego inland location in San Marcos serves Escondido, Vista, and surrounding communities that are underserved by coastal-focused clinics. Their high Google ratings reflect consistent patient satisfaction.

Market Position: Rune Vitality treats both depression and PTSD — the two most common ketamine therapy indications, accounting for 34% of HealingMaps patient inquiries.

Is Rune Vitality Right for You?

✓ Choose Rune Vitality if:

  • You’re treating co-occurring depression and PTSD

✗ Look elsewhere if:

  • You want ketamine-assisted psychotherapy (KAP) with integrated talk therapy

Rune Vitality 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
Your estimate vs. national patient-reported median Based on national tracking, adjusted for San Diego, CA market
Select a treatment type to see pricing context.

Ketamine Protocols Compared — What’s Offered at Rune Vitality

Industry pricing reference. Rune Vitality 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.

ProtocolTypical Industry CostOffered Here
IV Ketamine Infusion$350–$650/session
Spravato (esketamine)$0–$250 copay (insured)
IM Ketamine$250–$400/injection
KAP (with integrated talk therapy)$400–$1,200/session
At-home oral troches$150–$300/month

What to Expect at Your First Rune Vitality Appointment

  1. Initial intake call — Medical history review and clinical eligibility check. Call (760) 276-3323 to schedule.
  2. Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the Rune Vitality clinical team.
  3. First treatment session — supervised ketamine therapy session in a private treatment room, lasting approximately 60–90 minutes. Sessions are held at 334 Via Vera Cruz, Suite 205, San Marcos, CA 92078. You’ll have a comfortable chair or recliner, dim lighting, and direct medical monitoring throughout.
  4. 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 ketamine session.

What to Ask on Your Rune Vitality Consult Call

  • How long has the Rune Vitality clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
  • What’s a typical 6-session total cost at Rune Vitality, and do you offer payment plans, HSA/FSA-eligible billing, or sliding-scale pricing?
  • California’s psychedelic-therapy regulatory landscape is evolving — do you stay current with state Department of Public Health and Medical Board guidance on ketamine prescribing?
  • What does Rune Vitality recommend for patients who don’t respond to the standard 6-session acute series?

Patient Questions about Rune Vitality

This 4-question summary is matched to the protocols and conditions Rune Vitality treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.

Is Rune Vitality suited for treatment-resistant depression?

Rune Vitality 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 Rune Vitality treat chronic pain conditions?

Yes — Rune Vitality 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 Rune Vitality treat PTSD?

Yes — Rune Vitality 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 Rune Vitality help with anxiety disorders?

Yes — Rune Vitality 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

Healing Maps Editorial Staff

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The 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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