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Procedure price report · Psychological and psychiatric evaluation and therapy

Drug-assisted psychiatric interview

CPT 90865the billing code this page is about

A session in which a sedating medication is given intravenously to help the patient talk during psychiatric assessment and treatment.

Hospitals typically charge $244 cash for this outpatient procedure — the median across 237 hospitals that filed a usable cash price; the average of the middle 60% is $282. Most fall between $176 and $535 (20th–80th percentile).

Hospitals
237
States
40
Filings dated
Dec 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 237 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
$112$181$244$453$572

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($112 vs $572).

How the prices are spread

$89 – $111: 9 hospitals$89$111 – $138: 7 hospitals$138 – $172: 18 hospitals$138$172 – $215: 43 hospitals$215 – $268: 47 hospitals$215$268 – $334: 11 hospitals$334 – $416: 29 hospitals$334$416 – $519: 14 hospitals$519 – $647: 32 hospitals$519$647 – $806: 8 hospitals$647median $244price bands are equal on a log scale
Hospitals per price band (218 of 237 — the bands cover the 5th to 95th percentile)
FromToHospitals
$89$1119
$111$1387
$138$17218
$172$21543
$215$26847
$268$33411
$334$41629
$416$51914
$519$64732
$647$8068

Against Medicare

Medicare pays (OPPS 2026, national rate)$181
Median cash price$244
Cash as a multiple of Medicare1.35×

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 $244.

Alaska: 1 hospital 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: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $226 across 13 hospitalsIL$226Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $190 across 20 hospitalsNY$190Massachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 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: no hospital in the corpus filed a usable priceSDIowa: median $378 across 12 hospitalsIA$378Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $622 across 23 hospitalsOH$622Pennsylvania: median $112 across 19 hospitalsPA$112New Jersey: median $178 across 12 hospitalsNJ$178Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $538 across 30 hospitalsCA$538Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: no hospital in the corpus filed a usable priceNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 3 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: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital 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: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $241 across 12 hospitalsOK$241Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $238 across 18 hospitalsTX$238Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $244. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH23$622+155%$374 – $806
California CA30$538+120%$408 – $538
Iowa IA12$378+55%$378 – $378
Oklahoma OK12$241−1%$241 – $241
Texas TX18$238−3%$238 – $257
Illinois IL13$226−8%$153 – $322
New York NY20$190−22%$190 – $315
New Jersey NJ12$178−27%$178 – $205
Pennsylvania PA19$112−54%$75 – $1,945
Michigan MI7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Wisconsin WI1not 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 $244.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care201$241$176 – $513
Children’s6fewer than 20 hospitals
Critical access28$257$168 – $466
Ownership
For-profit20$238$153 – $348
Government34$190$138 – $239
Non-profit181$258$178 – $538
System affiliation
Part of a system204$244$178 – $538
Independent33$230$158 – $422

Cash price vs list price

Median list price (chargemaster)$457
Median cash price$244
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

151 hospitals filed a usable inpatient cash price for this code. The median is $352 and the average of the middle 60% is $364; most fall between $201 and $538.

Cash price percentiles, inpatient, across 151 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
$153$238$352$538$622

The most expensive tenth of hospitals charges at least 4.1× what the cheapest tenth charges ($153 vs $622).

Of the 160 hospitals that filed this code inpatient, 151 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

237 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 242 hospitals that filed this code at all gave us
Usable cash price — counted237
Cash price carrying a plausibility flag — shown on the compare tool, excluded here3
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 — excluded2
Hospitals that filed this code242

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 5, 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 Narcosynthesis Psyc Dx&Ther Purposes.

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, “Drug-assisted psychiatric interview (CPT 90865) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90865-drug-assisted-psychiatric-interview