✓ 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) |
| Location | San Marcos / Escondido, California |
| Address | 334 Via Vera Cruz, Suite 205, San Marcos, CA 92078 |
| Phone | (760) 276-3323 |
| Website | runevitality.com |
| Treatments | IV Ketamine, Lidocaine Infusions, Nutritional IV Therapy |
| Conditions Treated | Depression, Anxiety, PTSD, OCD, CRPS, Fibromyalgia, Chronic Pain |
| Cost | Contact clinic for current pricing |
| Insurance | Contact clinic for insurance details |
| KAP Available? | No |
| Clinical Lead | Robert 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.
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.
| Protocol | Typical Industry Cost | Offered 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 | — |
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.
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.
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.
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.
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.
Leave a Reply