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✓ Last verified: January 21, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff
Known For: East County San Diego’s comprehensive brain health center offering IV ketamine, Spravato, TMS, and genetic testing under physician direction.
| Review Scores | Active Yelp listing (updated March 2026) |
| Location | La Mesa, CA |
| Address | 8851 Center Drive, Suite 200, La Mesa, CA 91942 |
| Phone | (619) 303-3949 |
| Website | tmssandiego.com |
| Treatments | IV Ketamine, Spravato (Esketamine), TMS, GeneSight Genetic Testing |
| Conditions Treated | Major Depressive Disorder, Bipolar Disorder, PTSD, Chronic Pain, Migraines, Tinnitus, Schizophrenia, Addiction |
| Cost | Contact clinic for pricing |
| Insurance | Accepts insurance; contact clinic for specific plans |
| Clinical Lead | Dr. Brian Miller, MD (Medical Director) |
💡 No clinic-specific pricing posted? See our ketamine therapy cost guide for typical pricing ranges by treatment type and insurance pathways.
HealingMaps Take: TMS Therapeutics fills an important geographic gap in the San Diego ketamine market. While most ketamine clinics cluster in central San Diego, Mission Valley, or North County, this La Mesa practice serves the entire East County population — from El Cajon and Santee to Spring Valley and Lemon Grove. Under Medical Director Dr. Brian Miller, the clinic offers the full spectrum of neuromodulation treatments: IV ketamine, Spravato, TMS, and GeneSight genetic testing. This combination allows Dr. Miller to tailor treatment to each patient’s genetics and symptom profile.
Market Position: TMS Therapeutics is a Spravato-certified clinic in the Mesa metro. Spravato (esketamine) is the FDA-approved ketamine treatment that most commercial insurance plans cover after prior authorization — unlike cash-pay IV ketamine.
Is TMS Therapeutics Right for You?
✓ Choose TMS Therapeutics if:
- You have commercial insurance and a documented treatment-resistant depression diagnosis (Spravato pathway)
- You want supervised IV ketamine with real-time medical monitoring
✗ 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
TMS Therapeutics 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 TMS Therapeutics
Industry pricing reference. TMS Therapeutics 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 | — |
| KAP (with therapist) | $400–$1,200/session | — |
| At-home troches | $150–$300/month | — |
What to Expect at Your First TMS Therapeutics 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 (619) 303-3949 to schedule.
- Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the TMS Therapeutics 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 8851 Center Drive, Suite 200, La Mesa, CA 91942. 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 TMS Therapeutics Consult Call
- How long has the TMS Therapeutics clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
- Walk me through TMS Therapeutics’s Spravato prior authorization process versus your IV ketamine cash-pay or superbill workflow — which is the better fit for my insurance situation?
- 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 TMS Therapeutics recommend for patients who don’t respond to the standard 6-session acute series?
Patient Questions about TMS Therapeutics
This 4-question summary is matched to the protocols and conditions TMS Therapeutics treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
What ketamine protocols does TMS Therapeutics offer?
TMS Therapeutics offers Spravato and IV 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.
Does TMS Therapeutics offer Spravato (esketamine)?
Yes — TMS Therapeutics 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.
Does TMS Therapeutics treat chronic pain conditions?
Yes — TMS Therapeutics 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 TMS Therapeutics treat PTSD?
Yes — TMS Therapeutics 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.
View all REMS-certified Spravato clinics in California and across the United States.
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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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