Therapy session, 45 min cost in St. Louis, MO
In St. Louis, MO-IL, 12 hospitals list a cash price for psychotherapy session, 45 minutes: from $107.20 to $278.60, with a median of $185.47. The lowest listed price is at Community Hospital of Staunton — $78.27 less than the median here. Across Missouri, the median is $191.10 at 21 hospitals.
- The median here, $185.47, is 13% below the US median of $213.24.
- That is about the same as Medicare's 2026 national rate for the same service ($181.34).
- Every hospital here lists a cash price below its full list price.
Cash prices at 12 facilities across 11 cities for code 90834, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Feb 9, 2026 and Jun 10, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Community Hospital of Staunton lowest Staunton, IL · (618) 635-2200 INDIVIDUAL THERAPY 38-52 MIN File of Feb 9, 2026 · source file | $107.20 | $214.40 | $61.98–$195.10 | 50% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Psych Ther 45 Min With Patient File of Jun 10, 2026 · source file | $143.65 | $221.00 | $191.76–$210.93 | 35% |
| Ranken Jordan Pediatric Bridge Hospital Maryland Heights, MO · (314) 872-6400 Psychotherapy, 45 minutes per patient File of Apr 24, 2026 · source file | $148.46 | $185.57 | — | 20% |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC THERAPY INDIVIDUAL PSYCH 45MIN File of Mar 24, 2026 · source file | $154.08 | $214.00 | $42.80–$326.59 | 28% |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC THERAPY INDIVIDUAL PSYCH 45MIN File of Mar 24, 2026 · source file | $173.52 | $241.00 | $67.48–$475.52 | 28% |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 PSYCHOTHERAPY 45 MIN File of Mar 30, 2026 · source file | $179.84 | $299.73 | $299.73 | 40% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Cd Ther 45 Min W Patient File of Jun 4, 2026 · source file | $191.10 | $294.00 | $90.29–$430.21 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Straight CSF Grant Counseling 45 Minutes File of Jun 10, 2026 · source file | $212.55 | $327.00 | $122.00–$485.68 | 35% |
| Touchette Regional Hospital Cahokia Heights, IL · (618) 332-3060 Psychotherapy, 45 minutes with patient File of Apr 13, 2026 · source file | $215.76 | $348.00 | $165.50–$331.00 | 38% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Psych Ther 45 Min With Patient File of Jun 10, 2026 · source file | $250.90 | $386.00 | $25.09–$386.00 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Psych Ther 45 Min With Patient File of Jun 10, 2026 · source file | $250.90 | $386.00 | $25.09–$347.40 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Cd Ther 45 Min W Patient+1 more line at this price File of Jun 10, 2026 · source file | $265.20 | $408.00 | $26.52–$485.68 | 35% |
| Carlinville Area Hospital Carlinville, IL · (217) 854-3141 PSYCH THERAPY INDV 38-52 MIN File of Mar 21, 2026 · source file | $278.60 | $398.00 | $143.28–$568.57 | 30% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Cd Ther 45 Min W Patient File of Jun 10, 2026 · source file | $278.85 | $429.00 | $89.77–$430.21 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Cd Ther 45 Min W Patient File of Jun 10, 2026 · source file | $278.85 | $429.00 | $485.68 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Psych Ther 45 Min With Patient File of Jun 4, 2026 · source file | $384.15 | $591.00 | $38.42–$591.00 | 35% |
Outpatient: lowest $107.20, median $185.47, highest $278.60 — a 2.6× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $163.80. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 11 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What therapy session, 45 min is, what the price covers and why prices differ: Therapy session, 45 min explained.