Fees
We believe in transparent pricing. The following are our standard rates for self-pay and out-of-network patients. Patients seen through in-network insurance plans pay the copay, coinsurance, or deductible specified by their plan. We accept HSA and FSA cards.
Shafi Lodhi, MD
Founder and Medical Director
Fellowship-trained in forensic psychiatry and neuropsychiatry (Stanford). Former Harvard Medical School faculty.
- Initial evaluation (60 min)
- $1,000
- Follow-up visit (30 min)
- $500
Rohan Patel, DO and Sarah Staley, MD
Neuropsychiatrist and Consultation-Liaison Psychiatrist
Dr. Patel completed his Neuropsychiatry Fellowship at Stanford. Dr. Staley is double board-certified by the American Board of Psychiatry and Neurology in psychiatry and consultation-liaison psychiatry, with a focus on perinatal, reproductive, and perimenopausal psychiatry.
- Initial evaluation (60 min)
- $700
- Follow-up visit (30 min)
- $350
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost
Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
- You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
- If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
To ask us for a Good Faith Estimate, call (650) 248-2467 or email office@bayareaneuropsychiatry.com. More about Good Faith Estimates
Network Gap Exceptions
If your insurance plan is not listed above, or if your preferred physician is not in-network with your payer, you may be entitled to see us at in-network rates through a Network Gap Exception. This is a process in which your insurer authorizes coverage for an out-of-network physician at in-network cost-sharing levels because their network cannot provide a specialist with equivalent qualifications.
Because perinatal psychiatrists and fellowship-trained neuropsychiatrists are exceptionally scarce, most insurance networks in California cannot meet the timely access and geographic proximity standards required by state law. This applies across our practice’s subspecialties: neuropsychiatry (Dr. Lodhi and Dr. Patel, Stanford Neuropsychiatry Fellowship), consultation-liaison and perinatal psychiatry (Dr. Staley), and forensic psychiatry (Dr. Lodhi). If your insurer does not have a physician with equivalent subspecialty qualifications available to you within a reasonable time frame and distance, they may be required to cover your visits with us as though we were in-network.
How to request a Network Gap Exception
You can request a Network Gap Exception directly from your insurance company. The process typically involves a single phone call or letter. Below is everything you will need.
“I need to request a Network Gap Exception because I need care from a physician with subspecialty training in [neuropsychiatry / perinatal psychiatry / consultation-liaison psychiatry], and there are no in-network physicians with this training available to me within a reasonable time frame or distance.”
If you have an HMO plan, you may need a referral from your primary care physician before submitting the request. Ask your PCP for a referral specifying neuropsychiatric care.
Practice information for your insurer
Your insurer will ask for the following details. You may also find these on the template letter linked below.
| Practice name | Bay Area Neuropsychiatry (Lodhi Medical Group, PC) |
|---|---|
| Address | 870 Market Street, Suite 341, San Francisco, CA 94102 |
| Phone | (650) 248-2467 |
| Group NPI | 1689439911 |
| Dr. Lodhi NPI | 1922539337 |
| Dr. Patel NPI | 1851929731 |
| Dr. Staley NPI | 1275038275 |
| Specialties | Psychiatry, Behavioral Neurology & Neuropsychiatry, Consultation-Liaison Psychiatry, Perinatal & Reproductive Psychiatry, Forensic Psychiatry |
| CPT codes | 90792, 99205, 99215, 99214, 90833, 90836, 90837 |
Template letters
We have prepared two template letters you can customize and send to your insurer: one for neuropsychiatry, one for perinatal and women’s mental health.
If your request is denied
Ask for a written explanation of the denial. You have the right to appeal. California law requires commercial health plans to cover mental health care at parity with medical and surgical care (SB 855), and to provide non-urgent mental health appointments within 10 business days (SB 221). If your insurer cannot meet these standards for neuropsychiatric care, the denial may not be legally supportable.
If your appeal is unsuccessful, you may file a complaint with the California Department of Managed Health Care at 1-888-466-2219 or HealthHelp.ca.gov. You may also contact your state assembly member’s office for constituent services assistance.
Out-of-network reimbursement
If you prefer not to pursue a Network Gap Exception, or if you would like to begin treatment while your request is being processed, you are welcome to schedule as a self-pay patient. We provide a superbill after each visit that you can submit to your insurance company for out-of-network reimbursement.
Reimbursement varies by plan. For out-of-network care, a typical plan pays about 60% of its allowed amount after your out-of-network deductible is met, and some plans do not cover out-of-network care at all (Bureau of Labor Statistics, 2025). Contact your insurer to understand your specific benefits before your first visit.
Common questions
Can I see you even if you are not in my insurance network?
In most cases, yes. Our physicians hold subspecialty fellowship training in neuropsychiatry and consultation-liaison psychiatry, which are rare enough that most insurance networks cannot provide equivalent specialists. Dr. Staley, whose fellowship is in consultation-liaison psychiatry and who is board-certified in that subspecialty by the American Board of Psychiatry and Neurology, focuses on perinatal and reproductive psychiatry. The Network Gap Exception process described above allows many patients to receive in-network coverage for our services. Patients may also choose to see us on a self-pay basis with superbill reimbursement.
How long does a Network Gap Exception take?
Most insurers respond within two to four weeks. Some approve on the first request; others may require an appeal.
Which physicians are available through my plan?
All three of our physicians are in network with Aetna, Alameda Alliance, Cigna, Curative, and Lyra Health; Dr. Lodhi is the only one in network with Anthem Blue Cross. Tell us your plan when you request an appointment so we can match you with a physician who participates in it.
Requesting an appointment
Tell us your plan when you request an appointment so we can match you with a physician who participates in it. Our office responds to appointment requests within two business days.