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Procedure price report · Psychological and psychiatric evaluation and therapy

Group therapy for several families together

CPT 90849the billing code this page is about

One group counseling session attended by members of more than one family; the charge covers one participant's session.

Hospitals typically charge $161 cash for this outpatient procedure — the median across 805 hospitals that filed a usable cash price; the average of the middle 60% is $171. Most fall between $64 and $350 (20th–80th percentile).

Hospitals
805
States
49
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 805 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
$47$76$161$313$512

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($47 vs $512).

How the prices are spread

$36 – $48: 46 hospitals$36$48 – $64: 76 hospitals$64 – $86: 87 hospitals$64$86 – $114: 62 hospitals$114 – $152: 75 hospitals$114$152 – $203: 97 hospitals$203 – $270: 100 hospitals$203$270 – $360: 65 hospitals$360 – $480: 57 hospitals$360$480 – $639: 60 hospitals$480median $161price bands are equal on a log scale
Hospitals per price band (725 of 805 — the bands cover the 5th to 95th percentile)
FromToHospitals
$36$4846
$48$6476
$64$8687
$86$11462
$114$15275
$152$20397
$203$270100
$270$36065
$360$48057
$480$63960

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$161
Cash as a multiple of Medicare0.89×

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 $161.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $87 across 10 hospitalsME$87Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $168 across 17 hospitalsWA$168Idaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $96 across 21 hospitalsMN$96Illinois: median $121 across 34 hospitalsIL$121Wisconsin: median $94 across 31 hospitalsWI$94Michigan: median $76 across 26 hospitalsMI$76New York: median $199 across 70 hospitalsNY$199Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $90 across 24 hospitalsOR$90Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $81 across 16 hospitalsIA$81Indiana: median $82 across 21 hospitalsIN$82Ohio: median $313 across 43 hospitalsOH$313Pennsylvania: median $173 across 32 hospitalsPA$173New Jersey: median $189 across 30 hospitalsNJ$189Connecticut: 6 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 $350 across 71 hospitalsCA$350Utah: 6 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $212 across 17 hospitalsCO$212Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $207 across 15 hospitalsMO$207Kentucky: median $121 across 11 hospitalsKY$121West Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $284 across 11 hospitalsVA$284Maryland: median $138 across 12 hospitalsMD$138Delaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 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 $54 across 18 hospitalsNC$54South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $55 across 16 hospitalsOK$55Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $68 across 18 hospitalsMS$68Alabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $245 across 13 hospitalsGA$245Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $362 across 53 hospitalsTX$362Florida: median $257 across 41 hospitalsFL$257
Cash price by state, most expensive first. National median $161. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX53$362+125%$124 – $481
California CA71$350+117%$172 – $526
Ohio OH43$313+94%$158 – $371
Virginia VA11$284+76%$24 – $510
Florida FL41$257+59%$142 – $610
Georgia GA13$245+52%$61 – $245
Colorado CO17$212+32%$86 – $213
Missouri MO15$207+28%$95 – $250
New York NY70$199+23%$68 – $349
New Jersey NJ30$189+17%$138 – $214
Pennsylvania PA32$173+7%$21 – $346
Washington WA17$168+4%$79 – $258
Maryland MD12$138−14%$122 – $186
Kentucky KY11$121−25%$78 – $645
Illinois IL34$121−25%$78 – $238
Minnesota MN21$96−40%$52 – $169
Wisconsin WI31$94−42%$43 – $198
Oregon OR24$90−44%$70 – $209
Maine ME10$87−46%$63 – $416
Indiana IN21$82−49%$66 – $138
Iowa IA16$81−50%$81 – $81
Michigan MI26$76−53%$76 – $83
Mississippi MS18$68−58%$43 – $116
Oklahoma OK16$55−66%$55 – $192
North Carolina NC18$54−67%$54 – $158
Massachusetts MA9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Utah UT6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not 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

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 $161.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care659$175$68 – $362
Children’s29$127$97 – $313
Critical access116$90$46 – $257
Ownership
For-profit74$270$106 – $546
Government119$88$50 – $212
Non-profit611$169$67 – $350
System affiliation
Part of a system683$175$68 – $362
Independent122$107$50 – $218

Cash price vs list price

Median list price (chargemaster)$270
Median cash price$161
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

539 hospitals filed a usable inpatient cash price for this code. The median is $167 and the average of the middle 60% is $188; most fall between $70 and $362.

Cash price percentiles, inpatient, across 539 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
$53$80$167$349$526

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($53 vs $526).

Of the 567 hospitals that filed this code inpatient, 539 gave a usable cash price; 9 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

805 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 839 hospitals that filed this code at all gave us
Usable cash price — counted805
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
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 — excluded18
Hospitals that filed this code839

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 Multiple Family Group Psychotherapy.

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, “Group therapy for several families together (CPT 90849) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90849-group-therapy-for-several-families-together