Fees & Payment

Transparent rates. No surprises.

Cash-pay private practice with Nefretiri Abat, J.D., PMHNP-BC. What you see below is what you pay — billed at the time of service. Available via telehealth statewide California or in-person at Hayward and Stockton.

Effective 2026 · Updated April 2026
Standard Services

Evaluation, medication management & therapy.

Comprehensive psychiatric care across the lifespan — adolescents, adults, geriatric. All visits include thorough assessment, treatment planning, and ongoing collaboration.

Brief intake CPT 99204
30 min
$300
Standard intake CPT 99204
45–59 min
$360
Complex intake CPT 99205
60–74 min
$400
Short follow-up CPT 99214
15 min
$180
Standard follow-up CPT 99214
20–30 min
$220
Extended follow-up CPT 99215
40–50 min
$260
Psychotherapy add-on (with E/M) CPT 90833
30 min
+$100
Psychotherapy add-on (with E/M) CPT 90836
45 min
+$140
Individual psychotherapy (no E/M) CPT 90837
60 min
$230
Family / couples therapy CPT 90847
50–60 min
$250
Advanced Treatments

Spravato & TMS therapy.

Specialized care for treatment-resistant depression and other conditions where standard medications haven’t been enough. Spravato REMS-certified, TMS clinically trained.

Spravato treatment session (administration and monitoring) REMS · in-clinic Medication cost billed separately by pharmacy; not included in clinic fee.
2–2.5 hours
$725
Spravato prep / integration psychotherapy Pre & post-session
50–60 min
$325Range $300–$350
TMS session (per treatment) Self-pay
20–40 min
$250Range $225–$275
Payment & Insurance

How we handle the business side.

We’re a private cash-pay practice. Here’s what that means for you in plain language.

Payment due at time of service

All fees are billed at the time of your appointment. We accept major credit cards, debit cards, HSA, and FSA. A card is kept on file for cancellations and ongoing services.

Out-of-network superbills

We don’t bill insurance directly. On request, we provide itemized superbills you can submit to your insurance for potential out-of-network reimbursement. Coverage and rates vary by plan.

Cancellation policy

We require at least 24 hours’ notice for cancellations or rescheduling. Late cancellations and no-shows are billed at the full session rate. We understand life happens — communicate with us early.

Spravato® coverage

Spravato (esketamine) is FDA-approved for treatment-resistant depression and is often covered by insurance. Coverage is verified separately for each patient before the first dose. Speak with our team about your specific plan.

Have questions about fees or insurance?

We’re happy to walk through your options before you book. Call, text, or send us a message — same-day responses, weekdays.