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Procedure price report · Psychological and psychiatric evaluation and therapy

Crisis psychotherapy, first 60 minutes

CPT 90839the billing code this page is about

Urgent talk therapy for a person in acute emotional distress, covering the first 30 to 74 minutes of the encounter.

Hospitals typically charge $246 cash for this outpatient procedure — the median across 1,204 hospitals that filed a usable cash price; the average of the middle 60% is $252. Most fall between $136 and $392 (20th–80th percentile).

Hospitals
1,204
States
49
Filings dated
Dec 2023 – 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 1,204 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$246$354$554

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($101 vs $554).

How the prices are spread

$73 – $91: 31 hospitals$73$91 – $114: 103 hospitals$114 – $142: 59 hospitals$114$142 – $177: 110 hospitals$177 – $221: 158 hospitals$177$221 – $277: 173 hospitals$277 – $346: 185 hospitals$277$346 – $432: 131 hospitals$432 – $540: 68 hospitals$432$540 – $674: 66 hospitals$540median $246price bands are equal on a log scale
Hospitals per price band (1,084 of 1,204 — the bands cover the 5th to 95th percentile)
FromToHospitals
$73$9131
$91$114103
$114$14259
$142$177110
$177$221158
$221$277173
$277$346185
$346$432131
$432$54068
$540$67466

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$246
Cash as a multiple of Medicare1.35×

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 $246.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $221 across 15 hospitalsME$221Vermont: 7 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $300 across 38 hospitalsWA$300Idaho: median $328 across 11 hospitalsID$328Montana: median $206 across 18 hospitalsMT$206North Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $250 across 45 hospitalsMN$250Illinois: median $240 across 58 hospitalsIL$240Wisconsin: median $263 across 62 hospitalsWI$263Michigan: median $187 across 40 hospitalsMI$187New York: median $306 across 79 hospitalsNY$306Massachusetts: median $472 across 28 hospitalsMA$472Oregon: median $298 across 36 hospitalsOR$298Nevada: median $322 across 10 hospitalsNV$322Wyoming: 8 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 $230 across 32 hospitalsIA$230Indiana: median $152 across 32 hospitalsIN$152Ohio: median $313 across 66 hospitalsOH$313Pennsylvania: median $181 across 42 hospitalsPA$181New Jersey: median $205 across 34 hospitalsNJ$205Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $342 across 75 hospitalsCA$342Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $297 across 21 hospitalsCO$297Nebraska: median $230 across 24 hospitalsNE$230Missouri: median $195 across 31 hospitalsMO$195Kentucky: median $193 across 23 hospitalsKY$193West Virginia: median $186 across 17 hospitalsWV$186Virginia: median $199 across 22 hospitalsVA$199Maryland: median $217 across 17 hospitalsMD$217Delaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $172 across 16 hospitalsKS$172Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $97 across 10 hospitalsTN$97North Carolina: median $121 across 35 hospitalsNC$121South Carolina: median $348 across 12 hospitalsSC$348Oklahoma: median $246 across 16 hospitalsOK$246Louisiana: median $80 across 16 hospitalsLA$80Mississippi: median $137 across 18 hospitalsMS$137Alabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $388 across 25 hospitalsGA$388Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $326 across 65 hospitalsTX$326Florida: median $392 across 23 hospitalsFL$392
Cash price by state, most expensive first. National median $246. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA28$472+92%$247 – $703
Florida FL23$392+60%$156 – $893
Georgia GA25$388+58%$146 – $536
South Carolina SC12$348+42%$155 – $361
California CA75$342+39%$227 – $594
Idaho ID11$328+33%$149 – $466
Texas TX65$326+33%$111 – $349
Nevada NV10$322+31%$193 – $565
Ohio OH66$313+28%$258 – $567
New York NY79$306+24%$171 – $490
Washington WA38$300+22%$189 – $342
Oregon OR36$298+21%$131 – $362
Colorado CO21$297+21%$194 – $778
Wisconsin WI62$263+7%$188 – $324
Minnesota MN45$250+2%$138 – $422
Oklahoma OK16$2460%$246 – $304
Illinois IL58$240−2%$151 – $414
Nebraska NE24$230−6%$134 – $304
Iowa IA32$230−7%$153 – $327
Maine ME15$221−10%$83 – $397
Maryland MD17$217−12%$83 – $362
Montana MT18$206−16%$146 – $252
New Jersey NJ34$205−17%$159 – $573
Virginia VA22$199−19%$73 – $604
Missouri MO31$195−21%$134 – $213
Kentucky KY23$193−22%$111 – $609
Michigan MI40$187−24%$102 – $244
West Virginia WV17$186−25%$148 – $255
Pennsylvania PA42$181−26%$88 – $297
Kansas KS16$172−30%$78 – $234
Indiana IN32$152−38%$103 – $239
Mississippi MS18$137−44%$99 – $239
North Carolina NC35$121−51%$110 – $184
Tennessee TN10$97−60%$84 – $181
Louisiana LA16$80−68%$43 – $208
North Dakota ND9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Utah UT3not 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 $246.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care849$246$133 – $406
Children’s39$250$173 – $565
Critical access313$235$144 – $354
Ownership
For-profit67$280$152 – $477
Government227$191$117 – $333
Non-profit907$250$139 – $400
System affiliation
Part of a system971$246$139 – $397
Independent233$223$131 – $355

Cash price vs list price

Median list price (chargemaster)$397
Median cash price$246
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

795 hospitals filed a usable inpatient cash price for this code. The median is $261 and the average of the middle 60% is $268; most fall between $146 and $408.

Cash price percentiles, inpatient, across 795 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
$102$167$261$366$567

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($102 vs $567).

Of the 844 hospitals that filed this code inpatient, 795 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 33 a list price only.

How complete is this

1,204 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,275 hospitals that filed this code at all gave us
Usable cash price — counted1,204
Cash price carrying a plausibility flag — shown on the compare tool, excluded here29
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 — excluded42
Hospitals that filed this code1,275

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 for Crisis Initial 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, “Crisis psychotherapy, first 60 minutes (CPT 90839) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90839-crisis-psychotherapy-first-60-minutes