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Procedure price report · Psychological and psychiatric evaluation and therapy

Electroconvulsive therapy, one treatment

CPT 90870the billing code this page is about

One treatment session in which a brief electrical current is used to induce a seizure under anesthesia for psychiatric conditions.

Hospitals typically charge $1,027 cash for this outpatient procedure — the median across 998 hospitals that filed a usable cash price; the average of the middle 60% is $1,020. Most fall between $474 and $1,732 (20th–80th percentile).

Hospitals
998
States
50
Filings dated
Feb 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 998 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
$230$555$1,027$1,561$2,786

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($230 vs $2,786).

How the prices are spread

$158 – $216: 41 hospitals$158$216 – $295: 35 hospitals$295 – $404: 54 hospitals$295$404 – $553: 67 hospitals$553 – $757: 137 hospitals$553$757 – $1,037: 128 hospitals$1,037 – $1,419: 183 hospitals$1,037$1,419 – $1,942: 132 hospitals$1,942 – $2,659: 59 hospitals$1,942$2,659 – $3,640: 75 hospitals$2,659median $1,027price bands are equal on a log scale
Hospitals per price band (911 of 998 — the bands cover the 5th to 95th percentile)
FromToHospitals
$158$21641
$216$29535
$295$40454
$404$55367
$553$757137
$757$1,037128
$1,037$1,419183
$1,419$1,942132
$1,942$2,65959
$2,659$3,64075

Against Medicare

Medicare pays (OPPS 2026, national rate)$877
Median cash price$1,027
Cash as a multiple of Medicare1.17×

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 $1,027.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,224 across 18 hospitalsWA$1,224Idaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $568 across 19 hospitalsMN$568Illinois: median $788 across 44 hospitalsIL$788Wisconsin: median $517 across 31 hospitalsWI$517Michigan: median $827 across 28 hospitalsMI$827New York: median $1,072 across 51 hospitalsNY$1,072Massachusetts: median $1,169 across 26 hospitalsMA$1,169Oregon: median $857 across 16 hospitalsOR$857Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $595 across 18 hospitalsIA$595Indiana: median $1,005 across 37 hospitalsIN$1,005Ohio: median $1,353 across 59 hospitalsOH$1,353Pennsylvania: median $897 across 60 hospitalsPA$897New Jersey: median $625 across 34 hospitalsNJ$625Connecticut: 7 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 $2,041 across 67 hospitalsCA$2,041Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,674 across 24 hospitalsCO$1,674Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,001 across 25 hospitalsMO$1,001Kentucky: median $2,131 across 21 hospitalsKY$2,131West Virginia: median $597 across 21 hospitalsWV$597Virginia: median $795 across 28 hospitalsVA$795Maryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $935 across 23 hospitalsAZ$935New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $735 across 13 hospitalsTN$735North Carolina: median $753 across 37 hospitalsNC$753South Carolina: median $1,561 across 24 hospitalsSC$1,561Oklahoma: median $207 across 19 hospitalsOK$207Louisiana: median $379 across 10 hospitalsLA$379Mississippi: median $281 across 13 hospitalsMS$281Alabama: median $977 across 11 hospitalsAL$977Georgia: median $1,235 across 20 hospitalsGA$1,235Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,053 across 61 hospitalsTX$1,053Florida: median $1,379 across 53 hospitalsFL$1,379
Cash price by state, most expensive first. National median $1,027. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY21$2,131+108%$470 – $3,491
California CA67$2,041+99%$1,299 – $3,640
Colorado CO24$1,674+63%$601 – $4,647
South Carolina SC24$1,561+52%$1,224 – $1,640
Florida FL53$1,379+34%$1,074 – $2,786
Ohio OH59$1,353+32%$1,035 – $2,098
Georgia GA20$1,235+20%$759 – $4,517
Washington WA18$1,224+19%$809 – $1,368
Massachusetts MA26$1,169+14%$558 – $1,679
New York NY51$1,072+4%$628 – $1,800
Texas TX61$1,053+3%$698 – $1,864
Indiana IN37$1,005−2%$308 – $1,569
Missouri MO25$1,001−2%$466 – $1,262
Alabama AL11$977−5%$590 – $1,419
Arizona AZ23$935−9%$425 – $2,708
Pennsylvania PA60$897−13%$510 – $1,597
Oregon OR16$857−17%$313 – $1,400
Michigan MI28$827−19%$460 – $1,202
Virginia VA28$795−23%$658 – $1,130
Illinois IL44$788−23%$183 – $1,800
North Carolina NC37$753−27%$261 – $1,732
Tennessee TN13$735−28%$395 – $1,534
New Jersey NJ34$625−39%$578 – $995
West Virginia WV21$597−42%$535 – $823
Iowa IA18$595−42%$390 – $1,026
Minnesota MN19$568−45%$369 – $689
Wisconsin WI31$517−50%$230 – $915
Louisiana LA10$379−63%$266 – $708
Mississippi MS13$281−73%$143 – $449
Oklahoma OK19$207−80%$207 – $1,082
Maryland MD9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Utah UT7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Wyoming WY2not 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 $1,027.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care896$1,053$533 – $1,800
Children’s11fewer than 20 hospitals
Critical access87$517$204 – $1,202
Ownership
For-profit113$1,300$617 – $2,822
Government116$742$334 – $1,640
Non-profit765$1,016$474 – $1,674
System affiliation
Part of a system902$1,045$517 – $1,800
Independent96$612$266 – $1,239

Cash price vs list price

Median list price (chargemaster)$1,679
Median cash price$1,027
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

752 hospitals filed a usable inpatient cash price for this code. The median is $1,053 and the average of the middle 60% is $1,050; most fall between $517 and $1,732.

Cash price percentiles, inpatient, across 752 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
$280$588$1,053$1,561$2,708

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($280 vs $2,708).

Of the 802 hospitals that filed this code inpatient, 752 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

998 of the 3,956 hospitals with a price file in our corpus (25%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,060 hospitals that filed this code at all gave us
Usable cash price — counted998
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded30
Hospitals that filed this code1,060

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 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 Electroconvulsive Therapy.

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, “Electroconvulsive therapy, one treatment (CPT 90870) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90870-electroconvulsive-therapy-one-treatment