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Procedure price report · Psychological and psychiatric evaluation and therapy

Crisis psychotherapy, each extra 30 minutes

CPT 90840the billing code this page is about

An add-on charge for each additional 30 minutes of crisis therapy beyond the first hour; it is billed alongside the initial crisis session and may appear more than once.

Hospitals typically charge $121 cash for this outpatient procedure — the median across 987 hospitals that filed a usable cash price; the average of the middle 60% is $123. Most fall between $66 and $190 (20th–80th percentile).

Hospitals
987
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 987 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
$48$75$121$179$260

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($48 vs $260).

How the prices are spread

$37 – $47: 39 hospitals$37$47 – $59: 71 hospitals$59 – $75: 85 hospitals$59$75 – $95: 93 hospitals$95 – $120: 143 hospitals$95$120 – $152: 182 hospitals$152 – $192: 134 hospitals$152$192 – $242: 74 hospitals$242 – $307: 43 hospitals$242$307 – $388: 30 hospitals$307median $121price bands are equal on a log scale
Hospitals per price band (894 of 987 — the bands cover the 5th to 95th percentile)
FromToHospitals
$37$4739
$47$5971
$59$7585
$75$9593
$95$120143
$120$152182
$152$192134
$192$24274
$242$30743
$307$38830

By state

The median cash price in each state, against the national median of $121.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $137 across 14 hospitalsME$137Vermont: 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 $110 across 29 hospitalsWA$110Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $117 across 17 hospitalsMT$117North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $133 across 38 hospitalsMN$133Illinois: median $120 across 52 hospitalsIL$120Wisconsin: median $130 across 60 hospitalsWI$130Michigan: median $96 across 43 hospitalsMI$96New York: median $144 across 60 hospitalsNY$144Massachusetts: median $182 across 23 hospitalsMA$182Oregon: median $150 across 33 hospitalsOR$150Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $125 across 28 hospitalsIA$125Indiana: median $51 across 31 hospitalsIN$51Ohio: median $257 across 57 hospitalsOH$257Pennsylvania: median $46 across 28 hospitalsPA$46New Jersey: median $122 across 10 hospitalsNJ$122Connecticut: 7 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 $150 across 68 hospitalsCA$150Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $122 across 11 hospitalsCO$122Nebraska: median $94 across 20 hospitalsNE$94Missouri: median $111 across 20 hospitalsMO$111Kentucky: median $80 across 20 hospitalsKY$80West Virginia: median $82 across 15 hospitalsWV$82Virginia: median $98 across 17 hospitalsVA$98Maryland: median $168 across 17 hospitalsMD$168Delaware: no hospital in the corpus filed a usable priceDEArizona: 4 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 $88 across 13 hospitalsKS$88Arkansas: 3 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 $75 across 20 hospitalsNC$75South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $118 across 14 hospitalsOK$118Louisiana: median $93 across 13 hospitalsLA$93Mississippi: median $108 across 13 hospitalsMS$108Alabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $183 across 22 hospitalsGA$183Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $128 across 59 hospitalsTX$128Florida: median $259 across 21 hospitalsFL$259
Cash price by state, most expensive first. National median $121. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL21$259+114%$79 – $449
Ohio OH57$257+112%$104 – $388
Georgia GA22$183+51%$74 – $195
Massachusetts MA23$182+50%$92 – $211
Maryland MD17$168+39%$120 – $307
Oregon OR33$150+24%$73 – $180
California CA68$150+23%$108 – $152
New York NY60$144+19%$81 – $303
Maine ME14$137+13%$58 – $218
Minnesota MN38$133+10%$97 – $179
Wisconsin WI60$130+7%$94 – $183
Texas TX59$128+5%$66 – $137
Iowa IA28$125+4%$77 – $168
Colorado CO11$122+1%$59 – $158
New Jersey NJ10$122+1%$79 – $322
Illinois IL52$120−1%$63 – $194
Oklahoma OK14$118−2%$118 – $118
Montana MT17$117−4%$93 – $142
Missouri MO20$111−8%$66 – $130
Washington WA29$110−10%$90 – $143
Mississippi MS13$108−11%$68 – $108
Virginia VA17$98−19%$38 – $579
Michigan MI43$96−21%$63 – $183
Nebraska NE20$94−22%$48 – $143
Louisiana LA13$93−24%$40 – $102
Kansas KS13$88−27%$58 – $126
West Virginia WV15$82−32%$70 – $116
Kentucky KY20$80−34%$51 – $305
North Carolina NC20$75−38%$71 – $98
Indiana IN31$51−58%$36 – $66
Pennsylvania PA28$46−62%$35 – $91
New Hampshire NH9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Vermont VT7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
South Dakota SD2not 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 $121.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care692$124$65 – $195
Children’s37$119$92 – $237
Critical access255$114$69 – $179
Ownership
For-profit48$124$51 – $195
Government179$97$64 – $172
Non-profit757$127$69 – $192
System affiliation
Part of a system794$124$66 – $191
Independent193$108$66 – $186

Cash price vs list price

Median list price (chargemaster)$193
Median cash price$121
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

688 hospitals filed a usable inpatient cash price for this code. The median is $128 and the average of the middle 60% is $131; most fall between $75 and $195.

Cash price percentiles, inpatient, across 688 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
$51$84$128$183$263

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($51 vs $263).

Of the 735 hospitals that filed this code inpatient, 688 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

987 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,079 hospitals that filed this code at all gave us
Usable cash price — counted987
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
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 — excluded66
Hospitals that filed this code1,079

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 for Crisis Each Addl 30 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, each extra 30 minutes (CPT 90840) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90840-crisis-psychotherapy-each-extra-30-minutes