Painting of woman in red dress reclining.
Friday Leisure (detail), Kim Frohsin © 1998. Used with permission of the artist

Dr. Palmer sees patients age 18 and over in her private practice. For patients under 18, please see the Resources page for clinical resources at Johns Hopkins.


Dr. Palmer does not participate with any insurance plans. She will provide a statement for fees paid at each visit that you can submit to your insurer for reimbursement.


Payment of fees is due at the time of service by check or credit card. A valid credit card number is required to hold first and one-time appointments. For security reasons, credit card numbers are not kept on file and credit card payments are best made using the physical card. A processing fee of approximately 3% will be added for manually entered charges.

Appointment Fees

First appointment, approximately 2 hours: $595

One-time consultation, approximately 2 hours with records review and typed report (to be sent to your referring physician): $765

Traditional appointments with medication management and psychotherapy:

  • 30 minutes: $170
  • 50 minutes: $255

Extended appointments, generally for crisis or family sessions:

  • 75 minutes: $340
  • 90 minutes: $425

Telepsychiatry Fees

Telepsychiatry (telephone or video) sessions are sometimes offered in place of office visits at Dr. Palmer’s discretion. Fees may also apply to telephone conversations with family members, therapists and other doctors. There is no charge for emergent calls or discussions about routine matters such as appointment scheduling. Matters requiring more than 30 minutes require face-to-face discussion. These may be offered by video as appropriate. Please note that while there are billing codes for these sessions, most insurers do not honor them.

  • Under 15 minutes: $85
  • 15-30 minutes (with or without Rx order): $170
  • 35-40 minutes (video session, without Rx order): $170
  • 35-40 minutes (video session, with Rx order): $255
  • 45-50 minutes (video session, with or without Rx order): $255

Please note that a 3% charge for remote credit card processing will be added to telepsychiatry fees.

Administrative Fees

Dr. Palmer is a solo practitioner and does not employ staff for tasks such as billing, obtaining pre-authorizations and calling in refills. Therefore, she may need to spend a significant amount of time between visits attending to these matters on your behalf.

  • Reprinting receipts: $25
  • Billing for appointment fees not paid at the time of service: $25
  • Returned checks (includes bank fees): $85
  • Calling in refills between sessions: $85
  • Copying and faxing (rates for copying medical records as endorsed by The Maryland Board of Physicians): $0.76 per page, plus postage if mailed. A handling fee of $22.88 will be added for documents sent to a third party. These rates are updated periodically and therefore subject to change.
  • Authorizations and paperwork: In most cases, Dr. Palmer prefers to obtain insurance authorizations, write letters and fill out paperwork during appointments when you are present to answer questions. However, when it is necessary or preferable to perform these tasks between visits, the time will be billed in 20-minute increments at the hourly rate of $255, with a minimum charge of $85 payable in advance.

Late Arrivals and Missed Appointments

If you arrive late for an appointment, you will be seen for the remaining time and charged for the full session as scheduled. You will be charged the full fee for appointments that you miss or cancel with less than 48 hours (2 business days) notice. This means that Monday appointments must be cancelled by the previous Thursday. National holidays that fall on weekdays are not considered business days. The fee for a missed first appointment is $255.


Office visits are required for all new prescriptions. You are responsible for keeping track of remaining refills and scheduling appointments accordingly. As noted above, an $85 fee will be charged for refills called in between sessions.


If you experience an emergency, call Dr. Palmer at 410-929-1311. If she is not available to speak with you immediately, especially after hours and on weekends and holidays, leave a detailed message and call 911 or go to the nearest emergency room.