Doctor visits and therapy CPT 90846 Outpatient

Family therapy, no patient cost in Detroit, MI

In Detroit-Warren-Dearborn, MI, 10 hospitals list a cash price for family therapy without the patient, 50 minutes: from $81.78 to $244.07, with a median of $150.15. The lowest listed price is at Henry Ford Rochester Hospital — $68.37 less than the median here. Across Michigan, the median is $147.80 at 36 hospitals.

  • The median here, $150.15, is 29% below the US median of $210.44.
  • That is 0.8× Medicare's 2026 national rate for the same service ($181.34).
  • 2 of 10 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 10 facilities across 7 cities for code 90846, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Jun 28, 2026.

Lowest$81.78Henry Ford Rochester Hospital
Median$150.15half of hospitals charge less
Highest$244.07in this market
Difference3.0×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 Detroit-Warren-Dearborn, MI.

median
Lowest $81.78Highest $244.07

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Henry Ford Rochester Hospital lowest Rochester, MI · (248) 652-5000 PF FAMILY PSYCHOTHRPY W/O PATIENT File of Jan 1, 2026 · source file $81.78 $174.00 $32.79–$80.00 53%
McLaren Oakland Pontiac, MI · (248) 338-5000 Family, Couples Psychotherapy W/O Patient 90846 File of Dec 31, 2025 · source file $100.60 $201.20 $47.93–$250.72 50%
McLaren Macomb Mount Clemens, MI · (586) 493-8000 Family, Couples Psychotherapy W/O Patient 90846 File of Dec 31, 2025 · source file $100.60 $201.20 $25.31–$250.72 50%
McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Family, Couples Psychotherapy W/O Patient 90846 File of Dec 31, 2025 · source file $100.60 $201.20 $87.74–$250.72 50%
Karmanos Cancer Center Detroit, MI · (800) 576-6266 FAM PSYCHOTH W/O PATIENT File of Dec 31, 2025 · source file $124.15 $248.30 $42.25–$186.23 50%
St Joseph Mercy Oakland Pontiac, MI · (248) 858-3000 HC Psychotherapy Family W/O Patient 50 Minutes File of Mar 31, 2026 · source file $176.15 $271.00 $62.30–$326.75 35%
St Joseph Mercy Livingston Hospital Brighton, MI · (517) 545-6000 HC Psychotherapy Family W/O Patient 50 Minutes File of Mar 31, 2026 · source file $176.15 $271.00 $59.27–$363.03 35%
VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 FMLY THRPY W/O PT 50MIN File of Apr 8, 2026 · source file $219.75 $293.00 — 25%
Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB SA FAMILY PSYCHOTHOTHERAPY W/O PT 50 MINS (OQHP)+3 more lines at this price File of Jun 28, 2026 · source file $244.07 $193.00 $60.20–$406.78 -26%
Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB MH FAMILY PSYCHOTHERAPY W/O PT 50 MINS (TELHLTH)+3 more lines at this price File of Jun 28, 2026 · source file $244.07 $86.00 $60.20–$406.78 -184%
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 $81.78, median $150.15, highest $244.07 — a 3.0× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $100.60. 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 8 of 9 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.