Therapy session, 45 min cost in Spearfish, SD
In Spearfish, SD, 2 hospitals list a cash price for psychotherapy session, 45 minutes: from $332.00 to $332.00, with a median of $332.00. The lowest listed price is at Monument Health Lead-Deadwood Hospital and 1 other hospital. Across South Dakota, the median is $332.00 at 10 hospitals.
Cash prices at 2 facilities across 2 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 Sep 1, 2026 and Sep 1, 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 Spearfish, SD.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Monument Health Lead-Deadwood Hospital lowest Deadwood, SD · (605) 717-6000 Psychotherapy, 45 minutes | $332.00 | $415.00 | $120.35–$415.00 | 20% | Sep 1, 2026 source file |
| Monument Health Spearfish Hospital lowest Spearfish, SD · (605) 644-4000 Psychotherapy, 45 minutes | $332.00 | $415.00 | $122.01–$425.38 | 20% | Sep 1, 2026 source file |
Outpatient: lowest $332.00, median $332.00, highest $332.00.
Cash or insurance?
At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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 it is
This is an individual psychotherapy session of about 45 minutes (38 to 52 minutes). It is the most common therapy session length, used for talk therapy for conditions like anxiety and depression.
What the price covers
The price covers the therapy session. A first evaluation (90791) and any facility fee at a hospital-based clinic are billed separately.