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Procedure price report · Psychological and psychiatric evaluation and therapy

Family therapy with the patient present, 50 minutes

CPT 90847the billing code this page is about

A counseling session of about 50 minutes with the patient and family members or partner together.

Hospitals typically charge $208 cash for this outpatient procedure — the median across 1,750 hospitals that filed a usable cash price; the average of the middle 60% is $223. Most fall between $126 and $376 (20th–80th percentile).

Hospitals
1,750
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 1,750 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
$83$143$208$333$592

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($83 vs $592).

How the prices are spread

$67 – $86: 90 hospitals$67$86 – $109: 105 hospitals$109 – $139: 129 hospitals$109$139 – $176: 231 hospitals$176 – $224: 298 hospitals$176$224 – $285: 246 hospitals$285 – $363: 182 hospitals$285$363 – $462: 126 hospitals$462 – $588: 72 hospitals$462$588 – $747: 97 hospitals$588median $208price bands are equal on a log scale
Hospitals per price band (1,576 of 1,750 — the bands cover the 5th to 95th percentile)
FromToHospitals
$67$8690
$86$109105
$109$139129
$139$176231
$176$224298
$224$285246
$285$363182
$363$462126
$462$58872
$588$74797

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$208
Cash as a multiple of Medicare1.15×

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 $208.

Alaska: median $246 across 11 hospitalsAK$246Maine: median $122 across 16 hospitalsME$122Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $143 across 13 hospitalsNH$143Washington: median $193 across 39 hospitalsWA$193Idaho: median $316 across 12 hospitalsID$316Montana: median $158 across 20 hospitalsMT$158North Dakota: median $490 across 12 hospitalsND$490Minnesota: median $196 across 61 hospitalsMN$196Illinois: median $179 across 85 hospitalsIL$179Wisconsin: median $190 across 66 hospitalsWI$190Michigan: median $150 across 48 hospitalsMI$150New York: median $279 across 90 hospitalsNY$279Massachusetts: median $296 across 35 hospitalsMA$296Oregon: median $158 across 35 hospitalsOR$158Nevada: median $384 across 14 hospitalsNV$384Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $257 across 12 hospitalsSD$257Iowa: median $239 across 55 hospitalsIA$239Indiana: median $170 across 56 hospitalsIN$170Ohio: median $281 across 82 hospitalsOH$281Pennsylvania: median $181 across 66 hospitalsPA$181New Jersey: median $205 across 47 hospitalsNJ$205Connecticut: median $257 across 19 hospitalsCT$257Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $342 across 91 hospitalsCA$342Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $299 across 32 hospitalsCO$299Nebraska: median $245 across 47 hospitalsNE$245Missouri: median $187 across 33 hospitalsMO$187Kentucky: median $364 across 29 hospitalsKY$364West Virginia: median $202 across 22 hospitalsWV$202Virginia: median $230 across 41 hospitalsVA$230Maryland: median $138 across 23 hospitalsMD$138Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $173 across 12 hospitalsAZ$173New Mexico: median $185 across 10 hospitalsNM$185Kansas: median $200 across 32 hospitalsKS$200Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $81 across 28 hospitalsTN$81North Carolina: median $154 across 40 hospitalsNC$154South Carolina: median $237 across 28 hospitalsSC$237Oklahoma: median $210 across 30 hospitalsOK$210Louisiana: median $132 across 32 hospitalsLA$132Mississippi: median $123 across 40 hospitalsMS$123Alabama: median $158 across 13 hospitalsAL$158Georgia: median $222 across 42 hospitalsGA$222Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $230 across 103 hospitalsTX$230Florida: median $304 across 78 hospitalsFL$304
Cash price by state, most expensive first. National median $208. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
North Dakota ND12$490+136%$168 – $696
Nevada NV14$384+85%$193 – $500
Kentucky KY29$364+75%$100 – $645
California CA91$342+65%$191 – $594
Idaho ID12$316+52%$136 – $466
Florida FL78$304+46%$183 – $775
Colorado CO32$299+44%$158 – $516
Massachusetts MA35$296+42%$203 – $469
Ohio OH82$281+35%$197 – $314
New York NY90$279+34%$181 – $415
Connecticut CT19$257+23%$165 – $380
South Dakota SD12$257+23%$215 – $286
Alaska AK11$246+18%$94 – $388
Nebraska NE47$245+18%$182 – $355
Iowa IA55$239+15%$143 – $379
South Carolina SC28$237+14%$237 – $421
Texas TX103$230+11%$153 – $480
Virginia VA41$230+10%$116 – $351
Georgia GA42$222+6%$147 – $628
Oklahoma OK30$210+1%$177 – $331
New Jersey NJ47$205−1%$125 – $243
West Virginia WV22$202−3%$171 – $596
Kansas KS32$200−4%$108 – $311
Minnesota MN61$196−6%$117 – $349
Washington WA39$193−7%$131 – $284
Wisconsin WI66$190−9%$149 – $290
Missouri MO33$187−10%$107 – $250
New Mexico NM10$185−11%$105 – $226
Pennsylvania PA66$181−13%$67 – $305
Illinois IL85$179−14%$110 – $305
Arizona AZ12$173−17%$129 – $258
Indiana IN56$170−18%$96 – $282
Oregon OR35$158−24%$98 – $286
Alabama AL13$158−24%$110 – $213
Montana MT20$158−24%$120 – $202
North Carolina NC40$154−26%$28 – $187
Michigan MI48$150−28%$101 – $244
New Hampshire NH13$143−31%$135 – $806
Maryland MD23$138−34%$69 – $245
Louisiana LA32$132−37%$60 – $245
Mississippi MS40$123−41%$88 – $168
Maine ME16$122−41%$83 – $265
Tennessee TN28$81−61%$68 – $189
Arkansas AR9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Utah UT7not 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 $208.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,224$207$126 – $378
Children’s41$213$108 – $420
Critical access479$214$128 – $366
Ownership
For-profit143$304$160 – $747
Government337$196$114 – $325
Non-profit1,264$208$125 – $365
System affiliation
Part of a system1,434$212$128 – $400
Independent316$199$120 – $322

Cash price vs list price

Median list price (chargemaster)$365
Median cash price$208
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

1,154 hospitals filed a usable inpatient cash price for this code. The median is $214 and the average of the middle 60% is $228; most fall between $131 and $380.

Cash price percentiles, inpatient, across 1,154 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
$88$149$214$342$558

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($88 vs $558).

Of the 1,217 hospitals that filed this code inpatient, 1,154 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 45 a list price only.

How complete is this

1,750 of the 3,956 hospitals with a price file in our corpus (44%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,840 hospitals that filed this code at all gave us
Usable cash price — counted1,750
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) — excluded3
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded58
Hospitals that filed this code1,840

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 Family Psychotherapy W/Patient Present 50 Mins.

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, “Family therapy with the patient present, 50 minutes (CPT 90847) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90847-family-therapy-with-the-patient-present-50-minutes