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Procedure price report · Psychological and psychiatric evaluation and therapy

Psychoanalysis session

CPT 90845the billing code this page is about

One session of psychoanalytic treatment, a form of in-depth talk therapy.

Hospitals typically charge $190 cash for this outpatient procedure — the median across 373 hospitals that filed a usable cash price; the average of the middle 60% is $202. Most fall between $102 and $342 (20th–80th percentile).

Hospitals
373
States
48
Filings dated
Sep 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 373 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
$86$118$190$316$538

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($86 vs $538).

How the prices are spread

$61 – $77: 9 hospitals$61$77 – $98: 39 hospitals$98 – $123: 35 hospitals$98$123 – $155: 20 hospitals$155 – $196: 71 hospitals$155$196 – $246: 57 hospitals$246 – $311: 30 hospitals$246$311 – $392: 30 hospitals$392 – $494: 13 hospitals$392$494 – $622: 33 hospitals$494median $190price bands are equal on a log scale
Hospitals per price band (337 of 373 — the bands cover the 5th to 95th percentile)
FromToHospitals
$61$779
$77$9839
$98$12335
$123$15520
$155$19671
$196$24657
$246$31130
$311$39230
$392$49413
$494$62233

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$190
Cash as a multiple of Medicare1.05×

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 $190.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $151 across 18 hospitalsIL$151Wisconsin: 2 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $95 across 25 hospitalsMI$95New York: median $190 across 30 hospitalsNY$190Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 2 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $222 across 18 hospitalsIA$222Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $598 across 26 hospitalsOH$598Pennsylvania: median $112 across 19 hospitalsPA$112New Jersey: median $178 across 12 hospitalsNJ$178Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $342 across 45 hospitalsCA$342Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $101 across 10 hospitalsWV$101Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 9 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $169 across 15 hospitalsOK$169Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $251 across 25 hospitalsTX$251Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
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
Ohio OH26$598+215%$369 – $806
California CA45$342+80%$275 – $538
Texas TX25$251+32%$94 – $251
Iowa IA18$222+17%$173 – $222
New York NY30$1900%$178 – $255
New Jersey NJ12$178−6%$178 – $205
Oklahoma OK15$169−11%$169 – $169
Illinois IL18$151−21%$86 – $239
Pennsylvania PA19$112−41%$56 – $1,945
West Virginia WV10$101−47%$94 – $161
Michigan MI25$95−50%$95 – $182
South Carolina SC9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Oregon OR2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wisconsin WI2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not 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 care280$193$109 – $348
Children’s11fewer than 20 hospitals
Critical access80$165$100 – $258
Ownership
For-profit28$204$98 – $409
Government69$166$100 – $209
Non-profit274$205$104 – $379
System affiliation
Part of a system301$198$103 – $352
Independent72$166$100 – $255

Cash price vs list price

Median list price (chargemaster)$290
Median cash price$190
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

228 hospitals filed a usable inpatient cash price for this code. The median is $222 and the average of the middle 60% is $240; most fall between $117 and $466.

Cash price percentiles, inpatient, across 228 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
$86$145$222$352$540

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($86 vs $540).

Of the 237 hospitals that filed this code inpatient, 228 gave a usable cash price; 6 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

373 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 386 hospitals that filed this code at all gave us
Usable cash price — counted373
Cash price carrying a plausibility flag — shown on the compare tool, excluded here6
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 — excluded7
Hospitals that filed this code386

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 Psychoanalysis.

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, “Psychoanalysis session (CPT 90845) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90845-psychoanalysis-session