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Procedure price report · Psychological and psychiatric evaluation and therapy

Added 60-minute psychotherapy during a medical visit

CPT 90838the billing code this page is about

An add-on charge for 60 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 $190 cash for this outpatient procedure — the median across 875 hospitals that filed a usable cash price; the average of the middle 60% is $193. Most fall between $108 and $311 (20th–80th percentile).

Hospitals
875
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 875 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
$74$116$190$281$450

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($74 vs $450).

How the prices are spread

$55 – $69: 40 hospitals$55$69 – $87: 62 hospitals$87 – $109: 51 hospitals$87$109 – $137: 102 hospitals$137 – $172: 104 hospitals$137$172 – $216: 107 hospitals$216 – $271: 140 hospitals$216$271 – $340: 79 hospitals$340 – $426: 51 hospitals$340$426 – $535: 61 hospitals$426median $190price bands are equal on a log scale
Hospitals per price band (797 of 875 — the bands cover the 5th to 95th percentile)
FromToHospitals
$55$6940
$69$8762
$87$10951
$109$137102
$137$172104
$172$216107
$216$271140
$271$34079
$340$42651
$426$53561

By state

The median cash price in each state, against the national median of $190.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $116 across 13 hospitalsME$116Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $165 across 29 hospitalsWA$165Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $174 across 11 hospitalsMT$174North Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $260 across 30 hospitalsMN$260Illinois: median $235 across 38 hospitalsIL$235Wisconsin: median $172 across 40 hospitalsWI$172Michigan: median $109 across 31 hospitalsMI$109New York: median $299 across 59 hospitalsNY$299Massachusetts: median $239 across 24 hospitalsMA$239Oregon: median $159 across 18 hospitalsOR$159Nevada: 7 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 $184 across 36 hospitalsIA$184Indiana: median $138 across 28 hospitalsIN$138Ohio: median $213 across 41 hospitalsOH$213Pennsylvania: median $83 across 25 hospitalsPA$83New Jersey: median $115 across 21 hospitalsNJ$115Connecticut: median $219 across 13 hospitalsCT$219Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $239 across 61 hospitalsCA$239Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $278 across 17 hospitalsCO$278Nebraska: median $176 across 21 hospitalsNE$176Missouri: median $178 across 10 hospitalsMO$178Kentucky: 8 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $201 across 23 hospitalsWV$201Virginia: median $77 across 15 hospitalsVA$77Maryland: median $217 across 12 hospitalsMD$217Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 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 $147 across 23 hospitalsKS$147Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $110 across 23 hospitalsNC$110South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $204 across 11 hospitalsOK$204Louisiana: median $79 across 14 hospitalsLA$79Mississippi: median $126 across 10 hospitalsMS$126Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $96 across 24 hospitalsGA$96Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $242 across 31 hospitalsTX$242Florida: median $209 across 10 hospitalsFL$209
Cash price by state, most expensive first. National median $190. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY59$299+57%$126 – $450
Colorado CO17$278+46%$169 – $294
Minnesota MN30$260+37%$78 – $535
Texas TX31$242+27%$126 – $242
Massachusetts MA24$239+26%$131 – $366
California CA61$239+26%$236 – $340
Illinois IL38$235+24%$122 – $365
South Dakota SD10$233+23%$174 – $233
Connecticut CT13$219+15%$173 – $430
Maryland MD12$217+14%$69 – $466
Ohio OH41$213+12%$128 – $492
Florida FL10$209+10%$81 – $712
Oklahoma OK11$204+8%$204 – $204
West Virginia WV23$201+6%$127 – $315
Iowa IA36$184−3%$152 – $268
Missouri MO10$178−6%$95 – $189
Nebraska NE21$176−8%$83 – $259
Montana MT11$174−9%$130 – $237
Wisconsin WI40$172−10%$118 – $277
Washington WA29$165−13%$138 – $258
Oregon OR18$159−16%$65 – $239
Kansas KS23$147−23%$87 – $206
Indiana IN28$138−27%$103 – $196
Mississippi MS10$126−34%$91 – $134
Maine ME13$116−39%$67 – $283
New Jersey NJ21$115−40%$87 – $255
North Carolina NC23$110−42%$68 – $115
Michigan MI31$109−43%$108 – $172
Georgia GA24$96−49%$55 – $554
Pennsylvania PA25$83−56%$58 – $288
Louisiana LA14$79−58%$57 – $203
Virginia VA15$77−59%$49 – $577
Alaska AK8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Kentucky KY8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Tennessee TN7not 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
Arizona AZ6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Arkansas AR3not 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 $190.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care591$190$106 – $315
Children’s28$251$128 – $492
Critical access253$186$108 – $291
Ownership
For-profit46$204$85 – $443
Government164$161$101 – $255
Non-profit662$196$108 – $335
System affiliation
Part of a system696$184$106 – $305
Independent179$206$109 – $329

Cash price vs list price

Median list price (chargemaster)$299
Median cash price$190
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

557 hospitals filed a usable inpatient cash price for this code. The median is $203 and the average of the middle 60% is $200; most fall between $110 and $309.

Cash price percentiles, inpatient, across 557 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
$77$127$203$283$477

The most expensive tenth of hospitals charges at least 6.2× what the cheapest tenth charges ($77 vs $477).

Of the 593 hospitals that filed this code inpatient, 557 gave a usable cash price; 17 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 18 a list price only.

How complete is this

875 of the 3,956 hospitals with a price file in our corpus (22%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 961 hospitals that filed this code at all gave us
Usable cash price — counted875
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded53
Hospitals that filed this code961

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 60 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 60-minute psychotherapy during a medical visit (CPT 90838) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90838-added-60-minute-psychotherapy-during-a-medical-visit