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Procedure price report · Psychological and psychiatric evaluation and therapy

Added complexity during a mental health session

CPT 90785the billing code this page is about

An add-on charge used when a psychiatric or therapy session requires extra communication work, such as using an interpreter, play equipment, or managing conflict; billed along with the main session.

Hospitals typically charge $37 cash for this outpatient procedure — the median across 1,009 hospitals that filed a usable cash price; the average of the middle 60% is $43. Most fall between $18 and $100 (20th–80th percentile).

Hospitals
1,009
States
49
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,009 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$11$21$37$91$189

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($11 vs $189).

How the prices are spread

$7 – $10: 44 hospitals$7$10 – $15: 53 hospitals$15 – $23: 132 hospitals$15$23 – $34: 184 hospitals$34 – $51: 189 hospitals$34$51 – $75: 81 hospitals$75 – $111: 105 hospitals$75$111 – $165: 46 hospitals$165 – $245: 60 hospitals$165$245 – $364: 18 hospitals$245median $37price bands are equal on a log scale
Hospitals per price band (912 of 1,009 — the bands cover the 5th to 95th percentile)
FromToHospitals
$7$1044
$10$1553
$15$23132
$23$34184
$34$51189
$51$7581
$75$111105
$111$16546
$165$24560
$245$36418

By state

The median cash price in each state, against the national median of $37.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $16 across 12 hospitalsME$16Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $17 across 12 hospitalsNH$17Washington: median $36 across 28 hospitalsWA$36Idaho: median $26 across 10 hospitalsID$26Montana: median $24 across 13 hospitalsMT$24North Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $31 across 42 hospitalsMN$31Illinois: median $41 across 55 hospitalsIL$41Wisconsin: median $28 across 56 hospitalsWI$28Michigan: median $16 across 41 hospitalsMI$16New York: median $38 across 40 hospitalsNY$38Massachusetts: median $43 across 23 hospitalsMA$43Oregon: median $29 across 32 hospitalsOR$29Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $29 across 32 hospitalsIA$29Indiana: median $68 across 41 hospitalsIN$68Ohio: median $54 across 66 hospitalsOH$54Pennsylvania: median $17 across 35 hospitalsPA$17New Jersey: median $167 across 23 hospitalsNJ$167Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $48 across 69 hospitalsCA$48Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $30 across 14 hospitalsNE$30Missouri: median $26 across 18 hospitalsMO$26Kentucky: median $37 across 16 hospitalsKY$37West Virginia: median $35 across 13 hospitalsWV$35Virginia: median $21 across 22 hospitalsVA$21Maryland: median $42 across 11 hospitalsMD$42Delaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $18 across 11 hospitalsKS$18Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $24 across 28 hospitalsNC$24South Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $25 across 11 hospitalsOK$25Louisiana: median $45 across 16 hospitalsLA$45Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $203 across 32 hospitalsGA$203Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $163 across 65 hospitalsTX$163Florida: median $94 across 25 hospitalsFL$94
Cash price by state, most expensive first. National median $37. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA32$203+450%$50 – $374
New Jersey NJ23$167+351%$34 – $214
Texas TX65$163+341%$40 – $364
Florida FL25$94+155%$27 – $469
Indiana IN41$68+84%$13 – $97
Ohio OH66$54+46%$33 – $99
California CA69$48+29%$27 – $111
Louisiana LA16$45+22%$25 – $89
Massachusetts MA23$43+17%$21 – $63
Maryland MD11$42+13%$30 – $100
Illinois IL55$41+10%$23 – $74
New York NY40$38+4%$16 – $98
Kentucky KY16$37−1%$18 – $418
Washington WA28$36−3%$22 – $96
West Virginia WV13$35−5%$18 – $121
Minnesota MN42$31−15%$16 – $39
Nebraska NE14$30−19%$20 – $38
Oregon OR32$29−21%$23 – $37
Iowa IA32$29−23%$18 – $35
Wisconsin WI56$28−25%$25 – $50
Missouri MO18$26−29%$18 – $74
Idaho ID10$26−29%$19 – $104
Oklahoma OK11$25−34%$25 – $25
North Carolina NC28$24−35%$23 – $86
Montana MT13$24−35%$18 – $63
Virginia VA22$21−43%$18 – $38
Kansas KS11$18−51%$14 – $28
Pennsylvania PA35$17−53%$8 – $32
New Hampshire NH12$17−54%$11 – $65
Michigan MI41$16−56%$5 – $37
Maine ME12$16−58%$8 – $103
Colorado CO9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $37.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care729$40$19 – $111
Children’s38$51$18 – $99
Critical access237$28$18 – $51
Ownership
For-profit55$54$18 – $266
Government172$29$17 – $69
Non-profit777$37$18 – $100
System affiliation
Part of a system824$38$18 – $111
Independent185$30$16 – $54

Cash price vs list price

Median list price (chargemaster)$52
Median cash price$37
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

725 hospitals filed a usable inpatient cash price for this code. The median is $37 and the average of the middle 60% is $47; most fall between $18 and $111.

Cash price percentiles, inpatient, across 725 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$12$21$37$98$191

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($12 vs $191).

Of the 760 hospitals that filed this code inpatient, 725 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

1,009 of the 3,956 hospitals with a price file in our corpus (26%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,097 hospitals that filed this code at all gave us
Usable cash price — counted1,009
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded56
Hospitals that filed this code1,097

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Psychological and psychiatric evaluation and therapy family.

Hospitals file this code under descriptions such as Psychotherapy Complex Interactive.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Added complexity during a mental health session (CPT 90785) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90785-added-complexity-during-a-mental-health-session