✓ Last verified: March 27, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff
Known For: Led by Dr. Randall Malchow, a Vanderbilt associate professor and retired Army colonel who was the first Vanderbilt physician to offer intensive ketamine infusion therapy (2014). Over 4,000 infusions completed with physician on-site 100% of the time.
IV Ketamine Infusions, Intramuscular (IM) Ketamine, Spravato (Esketamine)
Conditions Treated
Depression, PTSD, OCD, Anxiety, Alcohol Use Disorder, Chronic Pain
Cost
Contact for IV ketamine pricing; Spravato covered by insurance
Insurance
Spravato in-network: Aetna, BCBS TN, Medicaid (TN), UHC, Complete Care Support Plan
KAP Available?
No (private treatment rooms with continuous monitoring; supplements existing care)
Clinical Lead
Dr. Randall Malchow, MD — Board-Certified Anesthesiologist, Vanderbilt Associate Professor, Retired US Army Colonel (25 yrs)
HealingMaps Take: Dr. Randall Malchow brings credentials that are essentially unmatched in the Nashville ketamine market: Vanderbilt associate professor, retired US Army colonel with 25 years of military medical service, pioneer of ketamine therapy at Vanderbilt (first to offer it there in 2014), and author of 20+ peer-reviewed publications on the topic. With 4,000+ infusions completed and a physician on-site for 100% of sessions, this is the most clinically rigorous ketamine practice in Middle Tennessee. The addition of Spravato with in-network insurance coverage makes treatment accessible for patients with qualifying plans.
Market Position: Tennessee Ketamine Wellness is a Spravato-certified clinic in the Nashville metro. Spravato (esketamine) is the FDA-approved ketamine treatment that most commercial insurance plans cover after prior authorization — unlike cash-pay IV ketamine.
Is Tennessee Ketamine Wellness Right for You?
✓ Choose Tennessee Ketamine Wellness if:
You have commercial insurance and a documented treatment-resistant depression diagnosis (Spravato pathway)
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 want ketamine-assisted psychotherapy (KAP) with integrated talk therapy
You need same-week appointments — Spravato prior authorization typically takes 1–3 weeks
Estimate your out-of-pocket range based on patient-reported pricing and HealingMaps proprietary clinic data.
Estimated per session
$380–$651
Range: $326–$1,086/session
Estimated total program
$2,280–$3,908
Range: $1,954–$6,514/6-session series
Your estimate vs. national patient-reported medianBased on national tracking, adjusted for Nashville, TN market
Select a treatment type to see pricing context.
Get matched to verified clinics
A HealingMaps specialist will follow up within one business day with providers that match your estimate, protocol, and insurance situation.
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A HealingMaps specialist will reach out within one business day with clinic matches based on your estimate. In the meantime, review the verified providers below.
Ketamine Protocols Compared — What’s Offered at Tennessee Ketamine Wellness
Industry pricing reference. Tennessee Ketamine Wellness 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)
✓ Yes
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 Tennessee Ketamine Wellness Appointment
Initial intake call — Insurance verification, prior authorization workflow (Spravato requires documentation of failure on at least two antidepressant trials), and clinical eligibility check. Call (615) 813-5006 to schedule.
Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the Tennessee Ketamine Wellness 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 1909 Mallory Lane, Suite 300, Franklin, TN 37067. 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 Tennessee Ketamine Wellness Consult Call
How long has the Tennessee Ketamine Wellness clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
Walk me through Tennessee Ketamine Wellness’s Spravato prior authorization process versus your IV ketamine cash-pay or superbill workflow — which is the better fit for my insurance situation?
How do you handle BCBS Tennessee, Cigna, and Aetna Spravato authorizations — and what’s the typical PA approval timeline?
What does Tennessee Ketamine Wellness recommend for patients who don’t respond to the standard 6-session acute series?
Patient Questions about Tennessee Ketamine Wellness
This 6-question summary is matched to the protocols and conditions Tennessee Ketamine Wellness treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
What ketamine protocols does Tennessee Ketamine Wellness offer?
Tennessee Ketamine Wellness offers Spravato, IV ketamine and IM ketamine — a 3-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.
Does Tennessee Ketamine Wellness offer Spravato (esketamine)?
Yes — Tennessee Ketamine Wellness offers Spravato, which means they’re FDA REMS-certified and maintain the required two-hour in-office monitoring window after each dose. Spravato is the primary insurance-covered ketamine option for treatment-resistant depression. Worth confirming the prior-authorization timeline before booking your first session.
Is Tennessee Ketamine Wellness suited for treatment-resistant depression?
Tennessee Ketamine Wellness treats depression via Spravato (FDA-approved for TRD), and IV ketamine (off-label, evidence-based). The Spravato pathway is the most likely to obtain commercial insurance coverage. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates here.
Does Tennessee Ketamine Wellness treat chronic pain conditions?
Yes — Tennessee Ketamine Wellness 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 Tennessee Ketamine Wellness treat PTSD?
Yes — Tennessee Ketamine Wellness treats PTSD. Both Spravato and IV ketamine can be used for trauma. 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 Tennessee Ketamine Wellness help with anxiety disorders?
Yes — Tennessee Ketamine Wellness 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.
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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