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Procedure price report · Psychological and psychiatric evaluation and therapy

Medication management added to a therapy session

CPT 90863the billing code this page is about

An add-on charge for reviewing and prescribing psychiatric medication during the same visit as a psychotherapy session; it is billed in addition to the therapy charge.

Hospitals typically charge $76 cash for this outpatient procedure — the median across 329 hospitals that filed a usable cash price; the average of the middle 60% is $80. Most fall between $40 and $160 (20th–80th percentile).

Hospitals
329
States
44
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 329 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
$29$43$76$137$239

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($29 vs $239).

How the prices are spread

$24 – $31: 24 hospitals$24$31 – $39: 24 hospitals$39 – $50: 45 hospitals$39$50 – $63: 30 hospitals$63 – $81: 49 hospitals$63$81 – $102: 27 hospitals$102 – $130: 27 hospitals$102$130 – $165: 23 hospitals$165 – $209: 23 hospitals$165$209 – $266: 25 hospitals$209median $76price bands are equal on a log scale
Hospitals per price band (297 of 329 — the bands cover the 5th to 95th percentile)
FromToHospitals
$24$3124
$31$3924
$39$5045
$50$6330
$63$8149
$81$10227
$102$13027
$130$16523
$165$20923
$209$26625

By state

The median cash price in each state, against the national median of $76.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 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: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $83 across 13 hospitalsIL$83Wisconsin: 6 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $44 across 17 hospitalsMI$44New York: median $93 across 41 hospitalsNY$93Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $67 across 12 hospitalsOR$67Nevada: 3 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 $59 across 14 hospitalsIA$59Indiana: median $33 across 13 hospitalsIN$33Ohio: median $103 across 11 hospitalsOH$103Pennsylvania: median $43 across 24 hospitalsPA$43New Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $79 across 48 hospitalsCA$79Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 8 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $43 across 10 hospitalsOK$43Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $76. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH11$103+35%$61 – $143
New York NY41$93+22%$45 – $225
Illinois IL13$83+9%$35 – $217
California CA48$79+4%$79 – $239
Oregon OR12$67−12%$67 – $93
Iowa IA14$59−22%$59 – $118
Michigan MI17$44−43%$44 – $70
Oklahoma OK10$43−43%$43 – $43
Pennsylvania PA24$43−44%$16 – $122
Indiana IN13$33−57%$29 – $46
Florida FL9not enough hospitals filed a usable price
Virginia VA8not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Wisconsin WI6not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Tennessee TN1not 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 $76.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care245$79$43 – $171
Children’s7fewer than 20 hospitals
Critical access76$53$33 – $107
Ownership
For-profit18fewer than 20 hospitals
Government50$64$37 – $115
Non-profit260$76$40 – $159
System affiliation
Part of a system259$70$40 – $171
Independent70$84$43 – $142

Cash price vs list price

Median list price (chargemaster)$126
Median cash price$76
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

218 hospitals filed a usable inpatient cash price for this code. The median is $79 and the average of the middle 60% is $93; most fall between $46 and $177.

Cash price percentiles, inpatient, across 218 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
$41$54$79$159$239

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($41 vs $239).

Of the 243 hospitals that filed this code inpatient, 218 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

329 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 382 hospitals that filed this code at all gave us
Usable cash price — counted329
Cash price carrying a plausibility flag — shown on the compare tool, excluded here19
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 — excluded34
Hospitals that filed this code382

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 PHARMACOLOGIC MGMT W/PSYTX.

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, “Medication management added to a therapy session (CPT 90863) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90863-medication-management-added-to-a-therapy-session