Therapy session, 45 min cost in Washington
In Washington, 30 hospitals publish a cash price for psychotherapy session, 45 minutes: from $43.89 to $404.00, with a median of $181.83. The lowest price is at Astria Sunnyside Hospital (Sunnyside). The highest price is 9.2× the lowest.
- The median here, $181.83, is 15% below the US median of $212.90.
- That is about the same as Medicare's 2026 national rate for the same service ($181.34).
- Washington ranks 22nd of 48 states by median, cheapest first.
- 3 of 30 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 90834. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Lowest$43.89Astria Sunnyside Hospital
Median$181.83half of hospitals charge less
Highest$404.00in Washington
Lowest saves$137.94vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Astria Sunnyside Hospital lowest Sunnyside · Kennewick-Richland, WA 90834 Psych follow up 45-50 minutes | $43.89 | $77.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA PSYTX PT&/FAMILY 45 MINUTES (MSW/LMHC) - FAC | $67.83 | $133.00 | Jan 1, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Psychotherapy, 45 minutes | $108.00 | $135.00 | Jun 24, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PR 90834 PSYTX W PT 45 MIN RHC | $110.55 | $201.00 | Jan 1, 2025 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 90834 Psych follow up 45-50 minutes | $120.25 | $185.00 | Apr 1, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Psychotherapy, 45 minutes | $124.20 | $230.00 | Aug 31, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC PR 90834 PSYTX W PT 45 MIN RHC | $145.60 | $208.00 | Apr 1, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Psychotherapy, 45 minutes | $160.80 | $201.00 | Oct 27, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA PSYCHOTHERAPY 45 MIN PATIENT | $161.60 | $202.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC PR 90834 PSYTX W PT 45 MIN RHC | $168.70 | $241.00 | Apr 1, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Psychotherapy, 45 minutes | $168.80 | $211.00 | Jun 29, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Psychotherapy, 45 minutes | $177.60 | $222.00 | Aug 6, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC PR 90834 PSYTX W PT 45 MIN RHC | $177.75 | $237.00 | Oct 23, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Psychotherapy, 45 Minutes | $180.50 | $361.00 | Apr 1, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Psychotherapy Patient 45 Minutes--Pbb | $180.90 | $201.00 | Aug 10, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Psychotherapy, 45 minutes | $182.75 | $215.00 | Oct 7, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA BH PSYCHOTHERAPY W/PT 45 MIN | $184.42 | $216.96 | Sep 14, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 90834 Psychotherapy, 45 minutes with patient and/or family member | $201.08 | $268.10 | Mar 10, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR 90834 Psychotherapy W/Patient 45 Minutes | $212.00 | $212.00 | Jan 4, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Psytx w/pt 38-52 minutes | $221.60 | $277.00 | May 15, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Psychotherapy, 45 minutes | $226.01 | $226.01 | Sep 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC PR 90834 PSYTX W PT 45 MIN RHC | $232.44 | $447.00 | Apr 1, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA PSYCHOTHERAPY 45 MINUTES | $244.00 | $305.00 | Dec 2, 2024 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Psychotherapy W/Patient 45 Minutes | $284.20 | $406.00 | Mar 12, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC PR 90834 PSYTX W PT 45 MIN RHC | $304.20 | $585.00 | Apr 1, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA PSYTX W PT 45 MINUTES | $351.87 | $879.68 | Jul 10, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC PR 90834 PSYTX W PT 45 MIN RHC | $375.84 | $783.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC PR 90834 PSYTX W PT 45 MIN RHC | $375.84 | $783.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC PR 90834 PSYTX W PT 45 MIN RHC | $375.84 | $783.00 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Psychotherapy 38-52 Minutes | $404.00 | $404.00 | Mar 31, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 9 | $67.83 | $284.20 |
| Kennewick-Richland, WA | 3 | $43.89 | $110.55 |
| Wenatchee-East Wenatchee, WA | 3 | $180.90 | $221.60 |
| Port Townsend, WA | 2 | $160.80 | $169.20 |
| Spokane-Spokane Valley, WA | 2 | $145.60 | $157.15 |
| Aberdeen, WA | 1 | $124.20 | $124.20 |
| Ellensburg, WA | 1 | $182.75 | $182.75 |
| Goldendale, WA | 1 | $244.00 | $244.00 |
| Ilwaco, WA | 1 | $177.75 | $177.75 |
| Moses Lake, WA | 1 | $212.00 | $212.00 |
| Olympia-Lacey-Tumwater, WA | 1 | $304.20 | $304.20 |
| Port Angeles, WA | 1 | $108.00 | $108.00 |
| Pullman, WA | 1 | $168.80 | $168.80 |
| Republic, WA | 1 | $184.42 | $184.42 |
| Shelton, WA | 1 | $201.08 | $201.08 |
| Yakima, WA | 1 | $120.25 | $120.25 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What therapy session, 45 min is, what the price covers and why prices differ: Therapy session, 45 min explained.
Psychotherapy session, 45 minutes in other states
- Alabama$150.00
- Alaska$172.38
- Arizona$181.82
- Arkansas$154.24
- California$318.24
- Colorado$279.54
- Connecticut$262.81
- Delaware$379.78, 1 hospital
- District of Columbia$298.76, 2 hospitals
- Florida$390.12
- Georgia$389.22
- Idaho$154.63
- Illinois$191.58
- Indiana$141.00
- Iowa$234.75
- Kansas$166.37
- Kentucky$180.05
- Louisiana$108.96
- Maine$174.24
- Maryland$230.42
- Massachusetts$250.50
- Michigan$213.35
- Minnesota$151.09
- Mississippi$139.75
- Missouri$191.10
- Montana$143.38
- Nebraska$207.00
- Nevada$322.00
- New Hampshire$906.50
- New Jersey$177.84
- New Mexico$158.70
- New York$261.67
- North Carolina$112.00
- North Dakota$258.40
- Ohio$267.00
- Oklahoma$276.42
- Oregon$195.82
- Pennsylvania$255.96
- Rhode Island$169.00
- South Carolina$212.55
- South Dakota$294.40
- Tennessee$95.58
- Texas$274.50
- Utah$548.05
- Vermont$139.38
- Virginia$207.00
- West Virginia$138.00
- Wisconsin$141.55
- Wyoming$255.15
Median cash price across the state's hospitals.