HRHospitalRates.comCompare prices

Procedure price report · Psychological and psychiatric evaluation and therapy

Psychotherapy session, 60 minutes

CPT 90837the billing code this page is about

One individual talk-therapy session of about 60 minutes with the patient present.

Hospitals typically charge $235 cash for this outpatient procedure — the median across 1,942 hospitals that filed a usable cash price; the average of the middle 60% is $246. Most fall between $140 and $392 (20th–80th percentile).

Hospitals
1,942
States
50
Filings dated
Aug 2022 – 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 1,942 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
$101$157$235$350$552

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($101 vs $552).

How the prices are spread

$73 – $92: 62 hospitals$73$92 – $115: 127 hospitals$115 – $145: 132 hospitals$115$145 – $183: 236 hospitals$183 – $230: 286 hospitals$183$230 – $290: 279 hospitals$290 – $365: 274 hospitals$290$365 – $459: 166 hospitals$459 – $578: 110 hospitals$459$578 – $728: 76 hospitals$578median $235price bands are equal on a log scale
Hospitals per price band (1,748 of 1,942 — the bands cover the 5th to 95th percentile)
FromToHospitals
$73$9262
$92$115127
$115$145132
$145$183236
$183$230286
$230$290279
$290$365274
$365$459166
$459$578110
$578$72876

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$235
Cash as a multiple of Medicare1.30×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $235.

Alaska: median $247 across 12 hospitalsAK$247Maine: median $217 across 19 hospitalsME$217Vermont: median $226 across 10 hospitalsVT$226New Hampshire: median $162 across 15 hospitalsNH$162Washington: median $276 across 49 hospitalsWA$276Idaho: median $263 across 12 hospitalsID$263Montana: median $172 across 22 hospitalsMT$172North Dakota: median $374 across 16 hospitalsND$374Minnesota: median $186 across 69 hospitalsMN$186Illinois: median $240 across 84 hospitalsIL$240Wisconsin: median $213 across 71 hospitalsWI$213Michigan: median $192 across 72 hospitalsMI$192New York: median $294 across 96 hospitalsNY$294Massachusetts: median $332 across 39 hospitalsMA$332Oregon: median $226 across 40 hospitalsOR$226Nevada: median $459 across 14 hospitalsNV$459Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $243 across 14 hospitalsSD$243Iowa: median $250 across 68 hospitalsIA$250Indiana: median $221 across 67 hospitalsIN$221Ohio: median $313 across 86 hospitalsOH$313Pennsylvania: median $210 across 73 hospitalsPA$210New Jersey: median $189 across 46 hospitalsNJ$189Connecticut: median $245 across 18 hospitalsCT$245Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $342 across 121 hospitalsCA$342Utah: median $297 across 19 hospitalsUT$297Colorado: median $294 across 35 hospitalsCO$294Nebraska: median $267 across 49 hospitalsNE$267Missouri: median $221 across 39 hospitalsMO$221Kentucky: median $190 across 38 hospitalsKY$190West Virginia: median $193 across 29 hospitalsWV$193Virginia: median $220 across 43 hospitalsVA$220Maryland: median $320 across 23 hospitalsMD$320Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $218 across 13 hospitalsAZ$218New Mexico: median $238 across 11 hospitalsNM$238Kansas: median $172 across 39 hospitalsKS$172Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $94 across 26 hospitalsTN$94North Carolina: median $139 across 46 hospitalsNC$139South Carolina: median $309 across 26 hospitalsSC$309Oklahoma: median $236 across 32 hospitalsOK$236Louisiana: median $118 across 27 hospitalsLA$118Mississippi: median $105 across 34 hospitalsMS$105Alabama: median $228 across 15 hospitalsAL$228Georgia: median $457 across 42 hospitalsGA$457Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $274 across 114 hospitalsTX$274Florida: median $390 across 76 hospitalsFL$390
Cash price by state, most expensive first. National median $235. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Nevada NV14$459+95%$193 – $1,177
Georgia GA42$457+94%$155 – $759
Florida FL76$390+66%$197 – $893
North Dakota ND16$374+59%$165 – $616
California CA121$342+45%$215 – $408
Massachusetts MA39$332+41%$223 – $415
Maryland MD23$320+36%$167 – $553
Ohio OH86$313+33%$240 – $329
South Carolina SC26$309+32%$221 – $309
Utah UT19$297+26%$236 – $301
Colorado CO35$294+25%$106 – $388
New York NY96$294+25%$181 – $450
Washington WA49$276+17%$160 – $320
Texas TX114$274+17%$152 – $488
Nebraska NE49$267+14%$184 – $350
Idaho ID12$263+12%$128 – $466
Iowa IA68$250+6%$145 – $474
Alaska AK12$247+5%$169 – $418
Connecticut CT18$245+4%$214 – $802
South Dakota SD14$243+3%$145 – $368
Illinois IL84$240+2%$160 – $431
New Mexico NM11$238+1%$152 – $333
Oklahoma OK32$2360%$235 – $328
Alabama AL15$228−3%$93 – $436
Oregon OR40$226−4%$84 – $346
Vermont VT10$226−4%$179 – $351
Indiana IN67$221−6%$129 – $314
Missouri MO39$221−6%$146 – $242
Virginia VA43$220−7%$152 – $396
Arizona AZ13$218−7%$157 – $362
Maine ME19$217−8%$81 – $286
Wisconsin WI71$213−10%$146 – $284
Pennsylvania PA73$210−11%$106 – $334
West Virginia WV29$193−18%$145 – $284
Michigan MI72$192−18%$107 – $260
Kentucky KY38$190−19%$131 – $560
New Jersey NJ46$189−20%$121 – $230
Minnesota MN69$186−21%$110 – $349
Kansas KS39$172−27%$108 – $300
Montana MT22$172−27%$102 – $241
New Hampshire NH15$162−31%$128 – $179
North Carolina NC46$139−41%$110 – $224
Louisiana LA27$118−50%$68 – $202
Mississippi MS34$105−55%$93 – $153
Tennessee TN26$94−60%$50 – $189
Wyoming WY9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE1not 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 $235.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,331$240$140 – $398
Children’s42$240$152 – $509
Critical access565$225$142 – $372
Ownership
For-profit151$287$154 – $674
Government383$221$133 – $347
Non-profit1,404$235$142 – $381
System affiliation
Part of a system1,586$239$144 – $403
Independent356$221$133 – $353

Cash price vs list price

Median list price (chargemaster)$397
Median cash price$235
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

1,300 hospitals filed a usable inpatient cash price for this code. The median is $249 and the average of the middle 60% is $254; most fall between $146 and $396.

Cash price percentiles, inpatient, across 1,300 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
$106$164$249$348$525

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($106 vs $525).

Of the 1,374 hospitals that filed this code inpatient, 1,300 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 54 a list price only.

How complete is this

1,942 of the 3,956 hospitals with a price file in our corpus (49%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,047 hospitals that filed this code at all gave us
Usable cash price — counted1,942
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded67
Hospitals that filed this code2,047

Sections not shown for this setting

  • 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 60 Minutes.

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, “Psychotherapy session, 60 minutes (CPT 90837) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90837-psychotherapy-session-60-minutes