Doctor visits and therapy CPT 90839 Outpatient

Crisis therapy cost in St. Louis, MO

In St. Louis, MO-IL, 7 hospitals list a cash price for psychotherapy for crisis, first 60 minutes: from $133.90 to $442.65, with a median of $208.50. The lowest listed price is at Mercy Hospital St Louis and 1 other hospital — $74.60 less than the median here. Across Missouri, the median is $207.00 at 16 hospitals.

Cash prices at 7 facilities across 6 cities for code 90839, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 24, 2026 and Jun 12, 2026.

Lowest$133.90Mercy Hospital St Louis + 1 more
Median$208.50half pay less
Highest$442.65in this market
Difference3.3×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 St. Louis, MO-IL.

median
Lowest $133.90Highest $442.65

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital St Louis lowest Saint Louis, MO Psychotherapy for Crisis/1st 60 Min Pf $133.90 $206.00 $136.97–$213.67 35% —
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Mercy Hospital Jefferson lowest Festus, MO Psychotherapy for Crisis/1st 60 Min Pf $133.90 $206.00 $13.39–$206.00 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Psychotherapy for Crisis/1st 60 Min $143.65 $221.00 $191.76–$210.93 35% —
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Mercy Hospital St Louis Saint Louis, MO Psychotherapy for Crisis/1st 60 Min $183.30 $282.00 $591.00–$726.00 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Psychotherapy for Crisis/1st 60 Min Pf $193.05 $297.00 $191.76–$210.93 35% —
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Mercy Hospitals East Communities Washington, MO Psychotherapy for Crisis Initial 60 Minutes $208.50 $278.00 $139.00–$236.30 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Psychotherapy for Crisis Initial 60 Minutes $208.50 $278.00 $139.00–$250.20 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Psychotherapy for Crisis Initial 60 Minutes $208.50 $278.00 $139.00–$250.20 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Psychotherapy for Crisis Initial 60 Minutes $208.50 $278.00 $139.00–$250.20 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Psychotherapy for Crisis Initial 60 Minutes $208.50 $278.00 $139.00–$250.20 25% Jun 12, 2026
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Mercy Hospital Lincoln Elsberry, MO Psychotherapy for Crisis Initial 60 Minutes $208.50 $278.00 $139.00–$250.20 25% Jun 12, 2026
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Ranken Jordan Home for Convalescent Crippled Children Hospital Maryland Heights, MO · (314) 872-6400 Psychotherapy for crisis; first 60 minutes $232.73 $290.91 — 20% Apr 24, 2026
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Mercy Hospital Washington Washington, MO Psychotherapy for Crisis/1st 60 Min $442.65 $681.00 $136.97–$226.00 35% —
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Mercy Hospital Jefferson Festus, MO Psychotherapy for Crisis/1st 60 Min $442.65 $681.00 $44.27–$681.00 35% —
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Outpatient: lowest $133.90, median $208.50, highest $442.65 — a 3.3× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $208.50. 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 5 of 6 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 it is

Crisis psychotherapy is urgent therapy for a person in acute distress.

What the price covers

The price is for one session or evaluation.