Family therapy, no patient cost in St. Louis, MO
In St. Louis, MO-IL, 11 hospitals list a cash price for family therapy without the patient, 50 minutes: from $107.20 to $298.00, with a median of $234.00. The lowest listed price is at Community Hospital of Staunton — $126.80 less than the median here. Across Missouri, the median is $234.00 at 19 hospitals.
- The median here, $234.00, is 11% above the US median of $210.44.
- That is 1.3× Medicare's 2026 national rate for the same service ($181.34).
- 1 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 11 facilities across 10 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 Feb 9, 2026 and Jun 10, 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 St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Community Hospital of Staunton lowest Staunton, IL · (618) 635-2200 FAMILY THERAPY W/O PATIENT 1HR File of Feb 9, 2026 · source file | $107.20 | $214.40 | $61.98–$195.10 | 50% |
| Touchette Regional Hospital Cahokia Heights, IL · (618) 332-3060 Family psychotherapy (without the patient present), 50 minutes File of Apr 13, 2026 · source file | $160.89 | $259.50 | $123.50–$298.00 | 38% |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC THERAPY FAMILY PSYCH W/O PATIENT 50 MIN File of Mar 24, 2026 · source file | $173.52 | $241.00 | $67.48–$475.52 | 28% |
| Ranken Jordan Pediatric Bridge Hospital Maryland Heights, MO · (314) 872-6400 Family psychotherapy, without patient present, 50 minutes File of Apr 24, 2026 · source file | $179.88 | $224.84 | — | 20% |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC THERAPY FAMILY PSYCH W/O PATIENT 50 MIN File of Mar 24, 2026 · source file | $227.52 | $316.00 | $63.20–$356.18 | 28% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Psych Fam Ther WO Pt 50min (Max Qty 2)+1 more line at this price File of Jun 4, 2026 · source file | $234.00 | $360.00 | $23.40–$485.68 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Psych Fam Ther WO Pt 50min (Max Qty 2)+1 more line at this price File of Jun 10, 2026 · source file | $245.05 | $377.00 | $24.51–$377.00 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Cd Fam Ther WO Patient 50 Min (Max Qty 2)+1 more line at this price File of Jun 10, 2026 · source file | $258.05 | $397.00 | $137.00 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Cd Fam Ther WO Patient 50 Min (Max Qty 2)+1 more line at this price File of Jun 10, 2026 · source file | $258.05 | $397.00 | $137.00 | 35% |
| Carlinville Area Hospital Carlinville, IL · (217) 854-3141 PSYCH FAMILY W/O PATIENT File of Mar 21, 2026 · source file | $266.70 | $381.00 | $137.16–$544.29 | 30% |
| Carlinville Area Hospital Carlinville, IL · (217) 854-3141 Family psychotx W/O patient 50 min File of Mar 21, 2026 · source file | $279.30 | $399.00 | $143.64–$570.00 | 30% |
| Jersey Community Hospital Jerseyville, IL · (618) 498-6402 90846 Family Psychotherapy w/o patient 50 minutes File of Mar 10, 2026 · source file | $298.00 | $298.00 | $60.00–$238.40 | — |
Outpatient: lowest $107.20, median $234.00, highest $298.00 — a 2.8× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $203.70. 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 6 of 10 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.