Therapy session, 45 min cost in San Francisco, CA
In San Francisco-Oakland-Fremont, CA, 19 hospitals list a cash price for psychotherapy session, 45 minutes: from $582.40 to $592.00, with a median of $582.40. The lowest listed price is at Kaiser Foundation Hospital - Fremont and 9 other hospitals. Across California, the median is $318.24 at 121 hospitals.
- The median here, $582.40, is 173% above the US median of $213.24.
- That is 3.2× Medicare's 2026 national rate for the same service ($181.34).
- San Francisco, CA ranks 4th of 4 metro areas in California by median, cheapest first.
- 9 of 19 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 19 facilities across 14 cities for code 90834, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.
Lowest$582.40Kaiser Foundation Hospital - Fremont + 9 more
Median$582.40half of hospitals charge less
Highest$592.00in this market
Difference1.0×highest vs lowest
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in San Francisco-Oakland-Fremont, CA.
median
Lowest $582.40Highest $592.00
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Kaiser Foundation Hospital - Fremont lowest Fremont, CA · (510) 784-4000 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Kaiser Foundation Hospital - San Rafael lowest San Rafael, CA · (415) 444-2000 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Kaiser Foundation Hospital - Antioch lowest Antioch, CA · (925) 813-6500 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Kaiser Foundation Hospital - San Leandro lowest San Leandro, CA · (510) 454-1000 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Kaiser Foundation Hospital - Walnut Creek lowest Walnut Creek, CA · (925) 295-4000 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Kaiser Fnd Hospital - Richmond Campus lowest Richmond, CA · (510) 752-1000 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Kaiser Foundation Hospital - South San Francisco lowest South San Francisco, CA · (650) 742-3200 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Kaiser Foundation Hospital - Redwood City lowest Redwood City, CA · (650) 299-2000 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Kaiser Foundation Hospital - San Francisco lowest San Francisco, CA · (415) 833-2646 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Kaiser Foundation Hospital - Oakland/Richmond lowest Oakland, CA · (510) 752-1000 PSYCHOTHERAPY W/PATIENT 45 MINUTES File of Apr 1, 2026 · source file | $582.40 | $1,040.00 | — | 44% |
| Novato Community Hospital Novato, CA · (415) 209-1300 HCHG PSYCHOTHERAPY PT 45 MIN File of Apr 1, 2026 · source file | $592.00 | $592.00 | — | — |
| Mills-Peninsula Medical Center Burlingame, CA · (650) 696-5400 HCHG PSYCHOTHERAPY PT 45 MIN File of Apr 1, 2026 · source file | $592.00 | $592.00 | — | — |
| Alta Bates Summit Medical Center Oakland, CA · (510) 655-4000 HCHG PSYCHOTHERAPY PT 45 MIN File of Apr 1, 2026 · source file | $592.00 | $592.00 | — | — |
| Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA · (510) 204-4444 HCHG PSYCHOTHERAPY PT 45 MIN File of Apr 1, 2026 · source file | $592.00 | $592.00 | — | — |
| California Pacific Medical Ctr-Davies Campus Hospital San Francisco, CA · (415) 600-6000 HCHG PSYCHOTHERAPY PT 45 MIN File of Apr 1, 2026 · source file | $592.00 | $592.00 | — | — |
| California Pacific Medical Center- Van Ness Campus San Francisco, CA · (415) 600-6000 HCHG PSYCHOTHERAPY PT 45 MIN File of Apr 1, 2026 · source file | $592.00 | $592.00 | — | — |
| Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA · (510) 204-4444 HCHG PSYCHOTHERAPY PT 45 MIN File of Apr 1, 2026 · source file | $592.00 | $592.00 | — | — |
| Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA · (510) 655-4000 HCHG PSYCHOTHERAPY PT 45 MIN File of Apr 1, 2026 · source file | $592.00 | $592.00 | — | — |
| Mills Health Center San Mateo, CA · (650) 696-5400 HCHG PSYCHOTHERAPY PT 45 MIN File of Apr 1, 2026 · source file | $592.00 | $592.00 | — | — |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $582.40, median $582.40, highest $592.00.
As an inpatient, the same code is billed by 19 facilities here, median $582.40. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
What therapy session, 45 min is, what the price covers and why prices differ: Therapy session, 45 min explained.