SUMMARY: HOW MUCH DOES PSILOCYBIN THERAPY COST IN OREGON IN 2025?

Oregon psilocybin therapy represents a significant investment in your mental health and personal growth. Understanding the cost structure, what's included, and expected benefit compared to other treatment options helps clients make an informed decision about this innovative therapy. Unlike traditional ongoing treatments, most psilocybin therapy clients achieve lasting benefits from a single session, fundamentally changing how to evaluate the investment.

The comprehensive cost covers multiple components: time with your licensed facilitator throughout the program including before and after your administration session, private all-day room rental at licensed facility, support staff, compliance and safety protocols, and typical costs of doing business (software, insurance etc).

Oregon pricing varies broadly, from 'bare bones' services of $1000-1500 (usually including just one preparation session plus one administration session), up to $10K for onsite, overnight retreat 1:1 type programs or multi-month programs involving multiple administration session bundles with ongoing coaching and support.

The AVERAGE cost for two preparation sessions, one full-dose administration session and one integration session is around $2500 to $3000.

Payment plans are typically available, and while traditional insurance doesn't currently cover treatment, HSA funds can often be used for this therapeutic service and credit cards are accepted at most places.

Psilocybin medicine MUST be paid separately with cash and ranges from $3-10/mg.

Understanding Oregon's Program Cost Structure

What's Included in Program Pricing
Oregon psilocybin therapy is priced as comprehensive packages rather than individual session fees because the treatment model requires integrated support across multiple phases:

Preparation Phase (1-3 sessions): Individual facilitator time for screening, intention setting, education, and building rapport. This crucial phase ensures you're properly prepared for the therapeutic experience.

Administration Session (4-8 hours): The full-day psilocybin experience including private room rental, facilitator supervision, safety monitoring, tested psilocybin medicine, and any necessary support materials.

Integration Support (1-2 sessions): Follow-up facilitator time to process insights, develop implementation strategies, and ensure optimal therapeutic outcomes.
Facility and Safety Costs: Licensed service center rental, security protocols, emergency procedures, regulatory compliance, and professional liability insurance.

Why Upfront Investment Is Necessary
The upfront cost structure reflects the unique nature of psilocybin therapy compared to other mental health treatments:

Administration-Heavy Model: Unlike talk therapy's distributed weekly costs, 60-70% of psilocybin therapy expense comes from the intensive, all-day administration session. This requires significant facilitator time, facility resources & support staff concentrated into a single day.

Comprehensive Preparation: Proper preparation cannot be rushed or skipped. The upfront investment ensures adequate time for thorough screening, education, and readiness building that directly impacts safety and outcomes.

Integration Commitment: Including integration support in the package price encourages clients to complete the full therapeutic process rather than considering their treatment 'over' after the administration session. Integration is the last phase of healing and is an ongoing process - some say it is where the real work and healing begins, for lasting change.

Investment Analysis and Cost Comparisons FOR PSILOCYBIN THERAPY VS OTHER OPTIONS

Long-Term Value Proposition
Most psilocybin therapy clients report sustained benefits lasting 6-12 months, or even longer, from a single session. This changes the cost-benefit analysis compared to ongoing treatments.

Annualized Cost Comparison:

Psilocybin therapy: Average $2,500 cost for a typical 6-12+ months of benefit = $208-$416 per month

Weekly talk therapy: $150-$200 per session × 4 sessions monthly = $600-$800 per month (some insurance covers, some does not)

Ketamine therapy: $400-$1300 per session × 6-8 sessions = $2,400-$10,400 for initial treatment series and often requires monthly 'maintenance'


Additional Considerations with Psilocybin Therapy

It is time-efficient: One day administration session with a couple of zoom/virtual preparation and integration session, vs. 26-52+ therapy appointments annually or monthly ketamine

It minimizes time away from work for the same reason: Psilocybin requires two days off work (the administration session day and the day afterward), and many clients choose to hold their sessions on a weekend. Compare this to regular appointment scheduling with talk therapy or ketamine.

Medication costs: Many clients are able to reduce or even eliminate some or all of their psychiatric medications after psilocybin therapy - with proper support systems and lifestyle changes in place (note this is not a guarantee or claim).

Travel Budget Planning: For out of town clients, you'll need to factor in Oregon travel costs (flights, lodging, meals) in the total budget. Three to four days in Portland is typically fine, a full week is not needed unless combining with vacation time and desire to sight-see.


Payment Options and Financial Accessibility

Payment Plans: Most providers require full payment up front or before the administration session. However, some providers such as Fractal Health offer 3-4 month payment plans, even if some of those payments fall after the administration session (they will usually require a card on file which will auto-charge each month until balance is paid).

HSA/FSA Eligibility: Health Savings Account and Flexible Spending Account funds can often be used for psilocybin therapy program fees (not psilocybin product) as it's considered therapeutic treatment and often falls under alternative wellness.

Insurance Status: Psilocybin therapy is currently not covered by traditional insurance, with a few caveats. Facilitators who hold dual licenses in medical or therapy fields who accept insurance may potentially bill insurance for preparation or integration sessions, usually only in the state they are licensed in. As discussed, this is usually only a small portion of the total price (~$200-400). Additionally, psychedelic-focused private insurance brokers such as Enthea are working on getting major employers on board to offer psychedelic therapy as a wellness benefit to employees. Some providers such as Fractal Health also offer direct corporate programs, cutting out the 'middle man'.

Sliding Scale: All Oregon facilitators and service centers are required to have Equity Plans and to report on the status of those plans each year as part of license renewal. As such, limited sliding scale or reduced price services may be available for low-income individuals, though due to the high cost of the work, these slots tend to be very limited and reserved for very low income/most at need individuals without severe risk factors which would warrant greater time/support. 


Logistics and Accommodation Planning

Oregon Centers Are Not Retreat Facilities

Most Oregon psilocybin service centers (see exceptions below) operate as day-treatment facilities rather than overnight retreats. Clients will arrive for their administration session in the morning typically around 9-10am, and will leave the same afternoon once effects have sufficiently diminished (typically 4-6 hours, sometimes extending into 7-8 hours though this is rare). Typical release time is around 4pm, give or take an hour.

Accommodation Responsibility: In Oregon's model, most out of town clients will arrange their own lodging at nearby hotels or Airbnb properties, or stay with friends and family. Service centers don't provide overnight stays (see exceptions below). Most providers will offer lodging recommendations nearby the center to minimize travel time to and from. Many lodging recommendations are mere blocks from the center, allowing for healthy clients to walk to and from, pending weather.

Transportation Requirements: It is important to know that while you could technically drive to your session, you cannot legally drive after your session. Please plan for ride-sharing, public transit, walking distance to accommodation, or having someone pick you up after your administration session.

Minimum Stay: Most out-of-state clients plan 3-4 days in Oregon - arrival day, session day, recovery day, and departure day.

Recovery Planning: Many clients prefer an extra day in Oregon to integrate insights and avoid rushing back to normal activities immediately. A typical schedule is, fly/drive in on Thursday, hold administration session on Friday, enjoy sight-seeing and downtime on Saturday, and fly/drive back on Sunday - though many clients within driving distance are eager to return home and opt to drive back the next day.


Oregon Services Operating as True 'Retreats':

1) Fernlove is a licensed service center in Gaston, Oregon (an hour from Portland) that offers limited overnight accommodation and focuses more on group sessions. Many Portland area facilitators create retreats with client groups who stay for 2-4 days at Fernlove including acommodation and food.

2) Odyssey is a non-Oregon company (it is headquartered in the Bay Area, CA), not licensed to provide psilocybin services in Oregon, who simply pairs incoming clients with facilitators, service centers and overnight AirBNB style large lodges and other accommodations, thus putting together its own 'retreat' packages. This is not illegal but it is important to know that Odyssey management itself is not licensed for psilocybin services by Oregon Health Authority and has not completed Oregon-required training programs. It acts essentially as a retreat creation and matching service.

BOOKING TIMELINE & PROCESS

Scheduling Flexibility

Oregon does not in general have a 'waiting list' for psilocybin therapy clients. This was true only in early 2023, when the first and only service center became licensed and was not yet ready for operations. It was reported in the news they had a 5K+ waiting list, most of whom turned out to be not serious inquiries. The State now has dozens of service centers and hundreds of facilitators, allowing for a robust industry offering to adults around the world.

Urgent Bookings: For straightforward, lower-risk clients, some providers can accommodate sessions within 1 week if absolutely necessary, though this isn't ideal for proper preparation. We strongly urge clients not to choose providers who claim they can schedule administration sessions <3 days from first meeting. This is a risky business practice and in some cases is unethical.

Preferred Timeline: 2-3 weeks between onboarding and administration session allows for adequate time for intake processing, preparation sessions, and mental/emotional readiness.

Typical Booking Window: Most clients schedule between 2-5 weeks in advance, providing optimal preparation time without excessive waiting.

Advance Planning: Sessions can be booked up to 6 months ahead for those who prefer long-term planning or need specific dates around work/life commitments.

Return Clients: Clients who have worked with a facilitator/provider before and had a successful prior experience typically have a streamlined return process, can get in sooner and have less intake and preparation to do. The focus of the conversation for return clients is around what has changed in their lives (or with medications), what their new intention is, and whether they wish to change their dosing plan from the first journey.


Step-by-Step Booking Process & Timeline

Initial Contact: Interested new clients should begin with a consultation call and/or application form to assess basic eligibility and answer initial questions. Some providers such as Fractal Health include an 'application' form directly on their website, which is helpful to have going in to a consultation to help get to know clients, but is not strictly necessary and consults can also be scheduled directly from the site. The same screening information will need to be covered during the consult for those who do not fill out the application form, which only takes a few minutes.

Facilitator Selection: For multi-provider companies, clients are encouraged to pick their own facilitator based on photos/bios online. For clients who desire guidance, the person conducting the initial consult can provide recommendations. Clients are urged to stay away from companies who 'auto assign' facilitators without regard to matching or suitability criteria or client preference.

Intake and Deposit: Complete comprehensive, State-required intake & preparation forms (most providers have these digitized) and submit deposit payment (typically $500-$1,000) to secure your placement in the program with a particular facilitator, and session date when you know it.

Preparation Phase: You'll begin the preparation and planning phase with your facilitator, both in zoom calls together as well as self-led in daily life. This is highly customized to each client based on needs and intention.

Final Coordination: Session logistics, further payments if needed, medicine cost in cash to bring, transportation planning, and any last-minute questions addressed.

Administration Day: Arrival at the Center (usually in the morning around 9-10am), final check-in, medicine consumption, 4-6 hour therapeutic experience, and safe departure coordination. Facilitators must approve client release and there are State minimum session durations based on total dose taken.

Integration support begins immediately after the administration session and many providers prefer to hold the integration 1:1 session 3-5 days after the administration session, to allow time for things to settle and the client to process and unpack the journey on their own time. Some facilitators however prefer to hold integration sessions within 1-2 days.

How to choose a high quality psilocybin therapy provider

SPECIFIC RED FLAGS

Good Facilitator and Center Qualities

It can be overwhelming to attempt to assess every facilitator and service center in Oregon for the best fit. Some clients prefer to find a Center they like, and select from the facilitators who practice there. Other clients do the opposite: they find a facilitator they like, and then select from the service centers that facilitator practices at (many facilitators practice at only one center, a few practice at multiple).

Price alone doesn't determine quality. Facilitators by and large set their own pricing with the exception of facilitator groups such as Fractal Health and Radiant Heart Consulting, which impose consistent pricing and standards across facilitator teams. Many service centers with listed 'teams' are actually just a directory of independent facilitators with their own pricing models and packages. Be aware that some facilitators go for quantity and are typically priced low, they make a livable wage through volume. Other facilitators price themselves high because they simply wish to work less, and this is not always an indicator of their quality or expertise.

When selecting a facilitator or Center to work with, look for these positive indicators:

Professional Background: Licensed facilitators with prior professional-level careers in any field - from medical and mental health to business etc - in general have a higher quality work ethic, communication style etc than those who have never held professional jobs or have relied on gig-style work for their primary incomes.

Comprehensive Intake: There should be a fairly thorough screening and 'getting to know you' process that takes safety seriously and doesn't rush anyone into booking. Be cognizant during an initial consult whether the provider truly seems curious about you and your intentions, or seems eager to rush to logistics and booking.

Clear Communication: All providers should be transparent about costs, process, expectations, and potential risks. They should answer questions thoroughly and honestly, and not bad-mouth other providers during intake.

Preparation Emphasis: An ethical provider will insist on adequate preparation time and won't accommodate unrealistic rush requests, in particular with high-risk clients.

Center Environment and Room: Ask to see pictures of specific administration rooms. Look for rooms with solid walls (not just curtains), that have neutral and comforting decor and look to be well-stocked with supplies. You'll need a room with somewhere to lay comfortably, not just sit, so pay attention to furniture size and quality. Ask where the restroom is that you'll be using and how close it is to your room. Ask if there are stairs. Ask about the area of town and whether it feels safe. Feel free to also ask about dosing protocols and whether the center has whole or powdered mushroom products.

Outlier Pricing: Beware of extremely cheap, or outlandishly expensive, facilitators or service centers. They may have predatory pricing models and unfortunately, pricing is something not regulated by Oregon Health Authority at all (there are zero guidelines or regulations on pricing in the Administrative Rule).

Outlandish Claims: Some facilitators, unfortunately, fancy themselves a sort of celebrity, guru, shaman etc. Be aware of power dynamics at play in the psychedelic arena. Also beware of any boasting around high dosing, etc that a facilitator makes. A skilled and ethical facilitator will make your program and session about you, not about them. Facilitators who push certain ceremonial aspects or want to perform during the administration session may not be the best therapeutic fit for a private session (such things are more common in group sessions which can have a more ceremonial aspect).

Concurrent or Prior 'Underground' Involvement: Though Oregon Health Authority prohibits facilitators from operating outside their license by facilitating outside a licensed service center, many still do. Those with extensive underground backgrounds sometimes struggle to differentiate between underground culture and acceptable practices, and professional, licensed services. Some view their licensure simply as a way to practice underground legally, showing little respect for Oregon regulations. Not all facilitators are like this, but feel free to ask them point blank if they have experience facilitating underground, and if so, how they differentiate their practice from legal services. Beware of facilitators who seem dismissive of Oregon law or compliance.

Dosing Bravado: Any reputable, ethical provider will teach clients that 'more is not better'. Avoid providers who seem cavalier about dosing, place emphasis on high doses, or allow for state maximum dosing (50mg) without rationale. Also avoid providers who seem willing to take anyone or who focus on 'having a good time'. Such attitudes and practices can backfire and are more likely to lead to adverse experiences.


Typical Results →

continue to the next section to read about typical, real-world client results:

There is no waiting list - most Oregon psilocybin therapy providers are taking new clients and in fact up to 98% of a provider's client base are new clients, simply because psilocybin therapy works so well. It is not the same as talk therapy where a therapist may have an ongoing 'client base'. Our industry relies on new clients, which is a good thing. Even in severe cases, it is rare for a client to need more than three sessions.

6. Is psilocybin therapy expensive?

5. Can I bring a family member or support person with me to the session?

4. What does the day-of administration session timeline look like for psilocybin therapy?

3. How far in advance do I need to book a psilocybin therapy session?

2. How long do I need to be in Portland/Oregon for psilocybin therapy? Do I need time off work?
1. Does Oregon have a waiting list for accessing psilocybin therapy services?

A

Q

It is important to recognize that you do not need to be in Portland for the duration of a program including preparation and integration. Those are typically handled virtually via video conferencing.

Usually, clients will arrive in Oregon the day before their administration session, allowing for time to settle in and have a nice dinner. Then they will leave either late afternoon the next day, or sometime the 2nd day after their administration session. For example, flying Thursday and Sunday for a Friday administration session.

Though it is technically feasible to return to work the day after a session, we recommend taking 1-2 days for rest, relaxation, reflection and self-care. Avoid stress and heavy to-do lists during this time! Be aware the full neuro-plastic window is about 3 weeks. This is the amount of time it takes the brain to re-organize itself after a positively disruptive psilocybin session.

6. Is psilocybin therapy expensive?

5. Can I bring a family member or support person with me to the session?

4. What does the day-of administration session timeline look like for psilocybin therapy?

3. How far in advance do I need to book a psilocybin therapy session?

2. How long do I need to be in Portland/Oregon for psilocybin therapy? Do I need time off work?
1. Does Oregon have a waiting list for accessing psilocybin therapy services?

A

Q

We encourage client not to book a psilocybin therapy session like they would a massage, with little thought given to preparation or readiness. 

Most clients book about 2 to 4 weeks out. Low-risk clients can be accommodated within 1 week if absolutely necessary, and clients are also welcome to book out as far as six months if they have specific life or work situations to plan around (or are traveling with better weather etc). 

Be aware that preparation with a facilitator generally needs to happen within 90 days to ensure information discussed remains fresh and relevant. Clients are still welcome to place deposits for administration session dates further out.

6. Is psilocybin therapy expensive?

5. Can I bring a family member or support person with me to the session?

4. What does the day-of administration session timeline look like for psilocybin therapy?

3. How far in advance do I need to book a psilocybin therapy session?

2. How long do I need to be in Portland/Oregon for psilocybin therapy? Do I need time off work?
1. Does Oregon have a waiting list for accessing psilocybin therapy services?

A

Q

Clients will generally arrive at the Center and greet their facilitator (often meeting in person for the first time) around 9-10am. They should eat a nourishing high-protein breakfast if at all possible, to sustain them through the day. They will get settled into the room, gather any supplies to do any setup as needed, get some music going, and do any pre-dosing discussion they wish with their facilitator. 

By around 10am, clients are usually consuming their dose. The easiest dosing mechanism is with products that have already been finely powdered, allowing for easy stir into a drink of choice (tea, cocoa, or even orange juice). Some Centers only offer whole dried mushrooms and clients must eat or grind them themselves. Feel free to ask during intake if this matters to you. 

Sessions will usually last 4 to 6 hours. Most clients feel ready to leave sometime between 3pm and 4:30pm. While most Centers close at 5pm, they will of course stay open later for clients who are not safe to leave the Center. Substantial extra staffing time may require additional client payment. Clients return to their lodging to relax, nourish themselves, shower etc that evening.

6. Is psilocybin therapy expensive?

5. Can I bring a family member or support person with me to the session?

4. What does the day-of administration session timeline look like for psilocybin therapy?

3. How far in advance do I need to book a psilocybin therapy session?

2. How long do I need to be in Portland/Oregon for psilocybin therapy? Do I need time off work?
1. Does Oregon have a waiting list for accessing psilocybin therapy services?

A

Q

Oregon law does allow for this, but it must be approved with your facilitator and discussed ahead of time. Client support persons may not interfere with an administration session and are limited to supportive touch the same way a facilitator is, even if they are a romantic partner etc. 

The client and support person will also need to consent in writing to the presence of the additional person.

There are pros and cons to having a family member or friend in the room which should be discussed carefully. 

6. Is psilocybin therapy expensive?

5. Can I bring a family member or support person with me to the session?

4. What does the day-of administration session timeline look like for psilocybin therapy?

3. How far in advance do I need to book a psilocybin therapy session?

2. How long do I need to be in Portland/Oregon for psilocybin therapy? Do I need time off work?
1. Does Oregon have a waiting list for accessing psilocybin therapy services?

A

Q

Psilocybin therapy sometimes has a perception of being 'expensive' for a few different reasons.

The first reason is that some people compare it to simply growing mushrooms or buying them from illegal sources. It is true that mushrooms themselves are not expensive. However, the cost of psilocybin therapy is almost entirely a payment for services, not for mushroom product. It is the cost of professional time and skill, licensing, compliance, safety protocols, physical space to conduct the journey, support staff, etc.Thus comparing the service of psilocybin therapy to buying mushrooms and hosting a DIY journey at home is really comparing apples to oranges. Many 'underground' facilitators charge comparable rates to legal, licensed facilitators - this is a service charge, not a product charge.

The second reason is because psilocybin therapy must be paid as a bundle of hours, given its nature. In terms of cost, a psilocybin therapy program is roughly equivalent to pre-paying for a bundle of 8 to 10, one-hour therapy appointments with a licensed counselor. In terms of cost effectiveness, however, the majority of psilocybin therapy clients make statements such as 'I feel like one afternoon was equivalent to five years of talk therapy'. Psilocybin therapy is highly effective with proper commitment and participation by clients.

6. Is psilocybin therapy expensive?

5. Can I bring a family member or support person with me to the session?

4. What does the day-of administration session timeline look like for psilocybin therapy?

3. How far in advance do I need to book a psilocybin therapy session?

2. How long do I need to be in Portland/Oregon for psilocybin therapy? Do I need time off work?
1. Does Oregon have a waiting list for accessing psilocybin therapy services?

A

Q

kat thompson, lead educator

Kat Thompson leads Fractal Soul and Fractal Health with over 20 years of strategic and operational experience from Fortune 500 companies including Nike, Twitter, and Intel. After discovering how psilocybin therapy transformed her own mental health—addressing chronic anxiety, childhood trauma, and executive burnout that traditional approaches couldn't reach—Kat pivoted her career to bring this breakthrough treatment to the public.

As a licensed facilitator who has personally guided dozens of clients through transformative sessions, Kat combines deep personal experience with professional expertise to create Oregon's leading psilocybin therapy programs. Her unique background in corporate strategy and lived experience with psychedelic healing allows her to design services specifically for busy professionals and others who need results-driven mental health solutions.

Kat is a sought-after public speaker and educator, passionate about bringing science-based psychedelic therapy into mainstream professional wellness. She regularly presents to corporate audiences, healthcare organizations, and industry conferences, helping to destigmatize and democratize access to legal psilocybin therapy. When she's not facilitating breakthroughs for clients, Kat enjoys traveling, parenting, cooking, and continuing her own journey of growth and healing.

education

Bachelor's of Computer Science, Master's of Science in Tech & Healthcare Business Mgmt

specialties

Relationship Grief & Loss, Single Parenting, Alcohol Use, Generalized Anxiety & Burnout

AVAILABILITY

Available for complementary public speaking & workshops globally.
Taking limited facilitation clients in 2025 - also manages a wonderful team of highly skilled facilitators.