Procedure price report · Psychological and psychiatric evaluation and therapy

First magnetic brain stimulation treatment with mapping

CPT code CPT 90867the billing code this page is about

The initial session of repetitive transcranial magnetic stimulation, including locating the treatment site on the scalp, setting the stimulation strength, and delivering the treatment.

Hospitals typically charge $424 cash for this outpatient procedure — the median across 420 hospitals that filed a usable cash price; the average of the middle 60% is $465. Most fall between $287 and $823 (20th–80th percentile).

Hospitals
420
States
46
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 420 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
$208$316$424$697$1,060

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($208 vs $1,060).

How the prices are spread

$149 – $185: 16 hospitals$149$185 – $229: 20 hospitals$229 – $284: 28 hospitals$229$284 – $352: 69 hospitals$352 – $436: 64 hospitals$352$436 – $540: 53 hospitals$540 – $670: 45 hospitals$540$670 – $831: 25 hospitals$831 – $1,030: 39 hospitals$831$1,030 – $1,276: 26 hospitals$1,030median $424price bands are equal on a log scale
Hospitals per price band (385 of 420 — the bands cover the 5th to 95th percentile)
FromToHospitals
$149$18516
$185$22920
$229$28428
$284$35269
$352$43664
$436$54053
$540$67045
$670$83125
$831$1,03039
$1,030$1,27626

Against Medicare

Medicare pays (OPPS 2026, national rate)$221
Median cash price$424
Cash as a multiple of Medicare1.92×

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 $424.

Alaska: 2 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: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $316 across 22 hospitalsIL$316Wisconsin: median $411 across 29 hospitalsWI$411Michigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $369 across 23 hospitalsNY$369Massachusetts: 8 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 4 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 $514 across 15 hospitalsIA$514Indiana: median $266 across 18 hospitalsIN$266Ohio: median $449 across 33 hospitalsOH$449Pennsylvania: 8 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $345 across 12 hospitalsNJ$345Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $963 across 35 hospitalsCA$963Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $823 across 20 hospitalsCO$823Nebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $148 across 14 hospitalsVA$148Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $332 across 15 hospitalsNC$332South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $348 across 13 hospitalsOK$348Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $437 across 22 hospitalsTX$437Florida: median $836 across 19 hospitalsFL$836
Cash price by state, most expensive first. National median $424. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA35$963+127%$622 – $963
Florida FL19$836+97%$315 – $866
Colorado CO20$823+94%$546 – $1,936
Iowa IA15$514+21%$355 – $514
Ohio OH33$449+6%$354 – $578
Texas TX22$437+3%$437 – $534
Wisconsin WI29$411−3%$402 – $1,475
New York NY23$369−13%$256 – $769
Oklahoma OK13$348−18%$348 – $348
New Jersey NJ12$345−19%$340 – $367
North Carolina NC15$332−22%$149 – $332
Illinois IL22$316−25%$266 – $544
Indiana IN18$266−37%$211 – $285
Virginia VA14$148−65%$123 – $495
Georgia GA9not enough hospitals filed a usable price
Massachusetts MA8not enough hospitals filed a usable price
Michigan MI8not enough hospitals filed a usable price
Pennsylvania PA8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not 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
Delaware DE1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Rhode Island RI1not 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 $424.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care356$417$297 – $823
Children’s12fewer than 20 hospitals
Critical access49$402$285 – $1,250
Ownership
For-profit28$387$266 – $656
Government57$369$313 – $454
Non-profit332$449$297 – $842
System affiliation
Part of a system376$411$297 – $823
Independent44$430$260 – $787

Cash price vs list price

Median list price (chargemaster)$760
Median cash price$424
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

291 hospitals filed a usable inpatient cash price for this code. The median is $445 and the average of the middle 60% is $497; most fall between $320 and $836.

Cash price percentiles, inpatient, across 291 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
$208$334$445$746$963

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($208 vs $963).

Of the 302 hospitals that filed this code inpatient, 291 gave a usable cash price; 3 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

420 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 441 hospitals that filed this code at all gave us
Usable cash price — counted420
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
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 — excluded14
Hospitals that filed this code441

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.

Hospitals file this code under descriptions such as Hp 90867 Repet Tms Tx Initial W/Map/Motr Threshld/Del&M.

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, “First magnetic brain stimulation treatment with mapping (CPT 90867) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90867-first-magnetic-brain-stimulation-treatment-with-mapping