curious: are you based in the US? Would it not be covered by insurance? $400/shot is a lot for Ketamine.
The $400 must be the clinic charge. I'm not sure what administration looks like, but a regular doctor's visit is $100-$150 and if the patient needs to stay for a longer period of time until it's safe to release them, $400 doesn't seem that far off of what you'd expect.
Medical clinic in USA? Signs point to "yes".