Doctor visits and therapy CPT 90846 Outpatient

Family therapy, no patient cost in Austin, TX

In Austin-Round Rock-San Marcos, TX, 11 hospitals list a cash price for family therapy without the patient, 50 minutes: from $165.49 to $480.00, with a median of $165.49. The lowest listed price is at Baylor Scott & White Medical Center - Lakeway and 6 other hospitals. Across Texas, the median is $258.40 at 85 hospitals.

  • The median here, $165.49, is 21% below the US median of $210.44.
  • That is 0.9× Medicare's 2026 national rate for the same service ($181.34).
  • Austin, TX has the lowest median of 3 metro areas in Texas with at least 10 hospitals pricing this code.
  • 4 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 11 facilities across 9 cities for code 90846, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 21, 2026; the hospital files themselves were last updated between Jun 3, 2026 and Sep 1, 2026.

Lowest$165.49Baylor Scott & White Medical Center - Lakeway + 6 more
Median$165.49half of hospitals charge less
Highest$480.00in this market
Difference2.9×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 Austin-Round Rock-San Marcos, TX.

median
Lowest $165.49Highest $480.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Baylor Scott & White Medical Center - Lakeway lowest Lakeway, TX · (512) 509-0401 HC FAMILY PSYCHOTHERAPY W/O PT File of Jun 13, 2026 · source file $165.49 $275.81 $55.16–$394.97 40%
Baylor Scott & White Medical Center - Buda lowest Buda, TX · (737) 999-6200 HC FAMILY PSYCHOTHERAPY W/O PT File of Jun 13, 2026 · source file $165.49 $275.81 $33.10–$394.97 40%
Baylor Scott & White Emergency Medical Center - Cedar Park lowest Cedar Park, TX · (512) 509-0401 HC FAMILY PSYCHOTHERAPY W/O PT File of Jun 3, 2026 · source file $165.49 $275.81 $151.70–$187.22 40%
Baylor Scott & White Medical Center - Pflugerville lowest Pflugerville, TX · (512) 654-6100 HC FAMILY PSYCHOTHERAPY W/O PT File of Jun 13, 2026 · source file $165.49 $275.81 $30.34–$394.97 40%
Baylor Scott & White Medical Center - Austin lowest Austin, TX · (512) 654-2100 HC FAMILY PSYCHOTHERAPY W/O PT File of Jun 13, 2026 · source file $165.49 $275.81 $52.40–$394.97 40%
Baylor Scott & White Medical Center - Round Rock lowest Round Rock, TX · (512) 509-0401 HC FAMILY PSYCHOTHERAPY W/O PT File of Jun 13, 2026 · source file $165.49 $275.81 $55.16–$394.97 40%
Baylor Scott & White Medical Center - Taylor lowest Taylor, TX · (512) 352-7611 HC FAMILY PSYCHOTHERAPY W/O PT File of Jun 12, 2026 · source file $165.49 $275.81 $52.40–$394.97 40%
St. David's Georgetown Hospital Georgetown, TX · (512) 476-7111 FAM WO PT 50 MIN+1 more line at this price File of Sep 1, 2026 · source file $480.00 $480.00 $71.60–$323.52 —
Heart Hosp of Austin at St. David's Round Rock Round Rock, TX Family psychotherapy (without the patient present), 50 minutes +1 more line at this price File of Sep 1, 2026 · source file $480.00 $480.00 $71.60–$323.52 —
Heart Hosp of Austin Austin, TX Family psychotherapy (without the patient present), 50 minutes +1 more line at this price File of Sep 1, 2026 · source file $480.00 $480.00 $71.60–$335.52 —
St. David's Medical Center Manor, TX · (512) 476-7111 FAM WO PT 50 MIN File of Sep 1, 2026 · source file $480.00 $480.00 $335.52 —
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.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
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 $165.49, median $165.49, highest $480.00 — a 2.9× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $165.49. 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 7 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 family therapy, no patient is, what the price covers and why prices differ: Family therapy, no patient explained.