Therapy session, 45 min cost in Washington, DC
In Washington-Arlington-Alexandria, DC-VA-MD-WV, 12 hospitals list a cash price for psychotherapy session, 45 minutes: from $200.00 to $479.61, with a median of $375.50. The lowest listed price is at Stafford Hospital and 1 other hospital — $175.50 less than the median here. Across District of Columbia, the median is $298.76 at 2 hospitals.
- The median here, $375.50, is 76% above the US median of $213.24.
- That is 2.1× 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 10 cities for code 90834, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 29, 2026; the hospital files themselves were last updated between Dec 30, 2024 and Apr 2, 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Stafford Hospital lowest Stafford, VA · (540) 741-9000 Psytx w pt 45 minutes File of Dec 30, 2024 · source file | $200.00 | $400.00 | $152.00–$823.00 | 50% |
| Mary Washington Hospital lowest Fredericksburg, VA · (540) 741-1100 Psytx w pt 45 minutes File of Dec 30, 2024 · source file | $200.00 | $400.00 | $152.00–$823.00 | 50% |
| Sentara Northern Virginia Medical Center Woodbridge, VA · (703) 523-1000 Chg - Psychotherapy,45Min W/Pt,Fmly+1 more line at this price File of Apr 1, 2026 · source file | $207.00 | $414.00 | — | 50% |
| Frederick Health Hospital Frederick, MD · (240) 566-3300 PPHP INDIVIDUAL THER 45min+1 more line at this price File of Mar 17, 2025 · source file | $208.43 | $212.68 | $208.43–$212.68 | 2% |
| Children's National Hospital Washington, DC · (202) 476-5000 90834 Psychotherapy pt+/family 45 minutes File of Apr 2, 2026 · source file | $211.50 | $423.00 | $113.42–$4,799.23 | 50% |
| Inova Mount Vernon Hospital Alexandria, VA · (703) 664-7105 HC PSYTX PT 38-52 MINUTES File of Apr 1, 2026 · source file | $375.50 | $751.00 | $160.67–$606.71 | 50% |
| Inova Loudoun Hospital Leesburg, VA · (703) 858-6600 HC PSYTX PT 38-52 MINUTES File of Apr 1, 2026 · source file | $375.50 | $751.00 | $160.67–$606.71 | 50% |
| Inova Fairfax Hospital Falls Church, VA · (703) 698-1110 HC PSYTX PT 38-52 MINUTES File of Apr 1, 2026 · source file | $375.50 | $751.00 | $160.67–$606.71 | 50% |
| Inova Fair Oaks Hospital Fairfax, VA · (703) 391-4170 HC PSYTX PT 38-52 MINUTES File of Apr 1, 2026 · source file | $375.50 | $751.00 | $160.67–$606.71 | 50% |
| Inova Alexandria Hospital Alexandria, VA · (703) 504-3167 HC PSYTX PT 38-52 MINUTES File of Apr 1, 2026 · source file | $375.50 | $751.00 | $160.67–$606.71 | 50% |
| MedStar Washington Hospital Center Washington, DC · (202) 877-7000 IND PSYCH TX 38 52M File of Apr 1, 2026 · source file | $386.01 | $593.86 | $172.22–$504.78 | 35% |
| MedStar Montgomery Medical Center Olney, MD · (301) 774-8882 ADULT IND PSYCH TX 38-52M File of Apr 1, 2026 · source file | $479.61 | $489.40 | $479.61–$489.40 | 2% |
Outpatient: lowest $200.00, median $375.50, highest $479.61 — a 2.4× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $375.50. 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 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 therapy session, 45 min is, what the price covers and why prices differ: Therapy session, 45 min explained.