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Procedure price report · Psychological and psychiatric evaluation and therapy

Added 45-minute psychotherapy during a medical visit

CPT 90836the billing code this page is about

An add-on charge for 45 minutes of psychotherapy provided at the same visit as a medical evaluation and management service; it is billed in addition to the office visit charge.

Hospitals typically charge $151 cash for this outpatient procedure — the median across 961 hospitals that filed a usable cash price; the average of the middle 60% is $156. Most fall between $84 and $242 (20th–80th percentile).

Hospitals
961
States
50
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 961 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
$59$96$151$224$333

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($59 vs $333).

How the prices are spread

$49 – $60: 53 hospitals$49$60 – $74: 58 hospitals$74 – $91: 56 hospitals$74$91 – $113: 92 hospitals$113 – $139: 140 hospitals$113$139 – $172: 111 hospitals$172 – $212: 123 hospitals$172$212 – $262: 126 hospitals$262 – $323: 55 hospitals$262$323 – $399: 53 hospitals$323median $151price bands are equal on a log scale
Hospitals per price band (867 of 961 — the bands cover the 5th to 95th percentile)
FromToHospitals
$49$6053
$60$7458
$74$9156
$91$11392
$113$139140
$139$172111
$172$212123
$212$262126
$262$32355
$323$39953

By state

The median cash price in each state, against the national median of $151.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $98 across 12 hospitalsME$98Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $90 across 10 hospitalsNH$90Washington: median $143 across 30 hospitalsWA$143Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $131 across 10 hospitalsMT$131North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $208 across 38 hospitalsMN$208Illinois: median $163 across 43 hospitalsIL$163Wisconsin: median $139 across 50 hospitalsWI$139Michigan: median $82 across 35 hospitalsMI$82New York: median $180 across 70 hospitalsNY$180Massachusetts: median $193 across 30 hospitalsMA$193Oregon: median $189 across 19 hospitalsOR$189Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $233 across 10 hospitalsSD$233Iowa: median $161 across 38 hospitalsIA$161Indiana: median $82 across 37 hospitalsIN$82Ohio: median $183 across 41 hospitalsOH$183Pennsylvania: median $126 across 23 hospitalsPA$126New Jersey: median $115 across 21 hospitalsNJ$115Connecticut: median $214 across 13 hospitalsCT$214Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $212 across 64 hospitalsCA$212Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $242 across 17 hospitalsCO$242Nebraska: median $157 across 17 hospitalsNE$157Missouri: median $114 across 10 hospitalsMO$114Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $134 across 21 hospitalsWV$134Virginia: median $58 across 16 hospitalsVA$58Maryland: median $168 across 12 hospitalsMD$168Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $110 across 25 hospitalsKS$110Arkansas: 4 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 $94 across 19 hospitalsNC$94South Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $155 across 11 hospitalsOK$155Louisiana: median $123 across 15 hospitalsLA$123Mississippi: median $93 across 13 hospitalsMS$93Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $78 across 26 hospitalsGA$78Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $195 across 40 hospitalsTX$195Florida: median $347 across 17 hospitalsFL$347
Cash price by state, most expensive first. National median $151. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL17$347+129%$51 – $541
Colorado CO17$242+60%$130 – $280
South Dakota SD10$233+54%$145 – $242
Connecticut CT13$214+41%$131 – $320
California CA64$212+40%$184 – $273
Minnesota MN38$208+38%$78 – $304
Texas TX40$195+29%$108 – $207
Massachusetts MA30$193+27%$151 – $263
Oregon OR19$189+25%$129 – $225
Ohio OH41$183+21%$123 – $399
New York NY70$180+19%$102 – $343
Maryland MD12$168+11%$69 – $318
Illinois IL43$163+8%$100 – $249
Iowa IA38$161+7%$109 – $204
Nebraska NE17$157+4%$133 – $186
Oklahoma OK11$155+3%$155 – $155
Washington WA30$143−6%$115 – $203
Wisconsin WI50$139−8%$95 – $171
West Virginia WV21$134−12%$96 – $210
Montana MT10$131−13%$95 – $180
Pennsylvania PA23$126−17%$55 – $334
Louisiana LA15$123−19%$39 – $207
New Jersey NJ21$115−24%$80 – $236
Missouri MO10$114−24%$92 – $149
Kansas KS25$110−27%$64 – $166
Maine ME12$98−36%$51 – $277
North Carolina NC19$94−38%$65 – $107
Mississippi MS13$93−39%$59 – $105
New Hampshire NH10$90−41%$84 – $195
Michigan MI35$82−46%$67 – $128
Indiana IN37$82−46%$58 – $137
Georgia GA26$78−48%$55 – $364
Virginia VA16$58−61%$49 – $203
Alaska AK9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Utah UT1not 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 $151.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care653$153$83 – $254
Children’s30$183$68 – $326
Critical access275$144$87 – $218
Ownership
For-profit51$134$69 – $364
Government184$123$87 – $213
Non-profit723$155$88 – $247
System affiliation
Part of a system766$145$83 – $242
Independent195$159$91 – $249

Cash price vs list price

Median list price (chargemaster)$234
Median cash price$151
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

623 hospitals filed a usable inpatient cash price for this code. The median is $155 and the average of the middle 60% is $159; most fall between $94 and $253.

Cash price percentiles, inpatient, across 623 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
$62$102$155$221$355

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($62 vs $355).

Of the 665 hospitals that filed this code inpatient, 623 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

961 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,057 hospitals that filed this code at all gave us
Usable cash price — counted961
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded61
Hospitals that filed this code1,057

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 W/Patient W/E&M Srvcs 45 Min.

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 45-minute psychotherapy during a medical visit (CPT 90836) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90836-added-45-minute-psychotherapy-during-a-medical-visit