Crisis therapy cost without insurance
The median hospital cash price for psychotherapy for crisis, first 60 minutes is $254.84 across 904 US hospitals; most list between $101.60 and $593.60. The lowest outpatient cash price in any of 416 markets is $25.30. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Nov 11, 2026 Each price links to its source file All Therapy session costs
Lowest$25.30any market
Median market$245.70middle of market medians
Most below$593.609 in 10 hospitals
Listings899hospital prices
Compared with Medicare
$181.34 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $254.84 across 904 hospitals, is 1.4× that.
Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.
Cash or insurance?
If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for crisis therapy, the highest negotiated rate in a hospital's file has a median of $415.71 and the lowest a median of $118.08. At 564 of 646 hospitals that publish both, the cash price is below the highest negotiated rate.
With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.
Plan's rate starts at the median highest negotiated rate and cash at the national median; put in your own numbers. Nothing you type leaves your device. To price a whole year with premiums, use the insurance or cash calculator.
What is CPT 90839?
Crisis psychotherapy is urgent therapy for a person in acute distress.
What the price covers
The price is for one session or evaluation.
Why prices differ
Private practices often charge less than hospital outpatient departments, and many offer cash rates.
What to ask
Ask whether the self-pay price for CPT 90839 covers the whole visit.
Prices by state
Among 40 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($94.71), Tennessee ($95.92) and Michigan ($102.10), and highest in Colorado ($544.70), Georgia ($536.25) and Florida ($418.60).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$239.08, 3 hospitals
- Alaska$184.90, 2 hospitals
- Arizona$217.81
- Arkansas$115.84
- California$342.16
- Colorado$544.70
- Connecticut$306.80
- District of Columbia$347.60, 2 hospitals
- Florida$418.60
- Georgia$536.25
- Idaho$236.36
- Illinois$250.00
- Indiana$111.51
- Iowa$270.94
- Kansas$210.30
- Kentucky$253.35
- Louisiana$94.71
- Maine$278.50
- Maryland$278.70
- Massachusetts$403.00
- Michigan$102.10
- Minnesota$237.32
- Mississippi$239.08
- Missouri$212.70
- Montana$209.62
- Nebraska$212.55
- Nevada$291.00
- New Hampshire$143.88, 2 hospitals
- New Jersey$189.21
- New Mexico$180.68, 4 hospitals
- New York$267.21
- North Carolina$114.50
- North Dakota$164.80
- Ohio$313.30
- Oklahoma$337.79, 2 hospitals
- Oregon$347.10
- Pennsylvania$179.15
- Rhode Island$205.00, 2 hospitals
- South Carolina$361.20
- South Dakota$388.00
- Tennessee$95.92
- Texas$326.34
- Utah$225.40, 3 hospitals
- Vermont$259.13, 2 hospitals
- Virginia$295.50
- Washington$265.60
- West Virginia$225.00
- Wisconsin$294.50
- Wyoming$387.60
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Aberdeen, MS single city | 1 | $274.00 | $274.00 | $274.00 | 1.0× |
| Aberdeen, WA | 1 | $216.54 | $216.54 | $216.54 | 1.0× |
| Ackerman, MS single city | 1 | $266.00 | $266.00 | $266.00 | 1.0× |
| Afton, WY single city | 1 | $296.80 | $296.80 | $296.80 | 1.0× |
| Ahoskie, NC single city | 1 | $99.12 | $99.12 | $99.12 | 1.0× |
| Aitkin, MN single city | 1 | $307.16 | $307.16 | $307.16 | 1.0× |
| Akron, OH | 4 | $313.30 | $598.50 | $1,309.75 | 4.2× |
| Albemarle, NC | 1 | $114.50 | $114.50 | $114.50 | 1.0× |
| Albuquerque, NM | 1 | $112.73 | $112.73 | $112.73 | 1.0× |
| Altoona, PA | 1 | $828.00 | $828.00 | $828.00 | 1.0× |
| American Falls, ID single city | 1 | $226.90 | $226.90 | $226.90 | 1.0× |
| Amory, MS single city | 1 | $239.08 | $239.08 | $239.08 | 1.0× |
| Anchorage, AK | 1 | $202.80 | $202.80 | $202.80 | 1.0× |
| Ann Arbor, MI | 1 | $66.00 | $66.00 | $66.00 | 1.0× |
| Antigo, WI single city | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| Appleton, MN single city | 1 | $395.25 | $395.25 | $395.25 | 1.0× |
| Appleton, WI | 3 | $295.46 | $295.46 | $738.72 | 2.5× |
| Asheville, NC | 2 | $388.00 | $406.55 | $425.09 | 1.1× |
| Astoria, OR | 2 | $64.00 | $225.50 | $387.00 | 6.0× |
| Atchison, KS | 1 | $420.00 | $420.00 | $420.00 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 10 | $177.00 | $536.25 | $536.25 | 3.0× |
| Atlantic City-Hammonton, NJ | 1 | $229.65 | $229.65 | $229.65 | 1.0× |
| Augusta-Richmond County, GA-SC | 1 | $536.25 | $536.25 | $536.25 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 7 | $254.59 | $254.59 | $254.59 | 1.0× |
| Bakersfield-Delano, CA | 1 | $115.83 | $115.83 | $115.83 | 1.0× |
| Baltimore-Columbia-Towson, MD | 6 | $58.10 | $124.61 | $828.00 | 14.3× |
| Bangor, ME | 2 | $78.75 | $177.04 | $275.33 | 3.5× |
| Bar Harbor, ME single city | 1 | $60.30 | $60.30 | $60.30 | 1.0× |
| Baraboo, WI | 1 | $522.12 | $522.12 | $522.12 | 1.0× |
| Baton Rouge, LA | 1 | $280.32 | $280.32 | $280.32 | 1.0× |
| Bay City, MI | 1 | $101.60 | $101.60 | $101.60 | 1.0× |
| Beatrice, NE | 1 | $306.00 | $306.00 | $306.00 | 1.0× |
| Beaver Dam, WI | 1 | $221.35 | $221.35 | $221.35 | 1.0× |
| Beckley, WV | 1 | $231.75 | $231.75 | $231.75 | 1.0× |
| Belfast, ME single city | 1 | $309.10 | $309.10 | $309.10 | 1.0× |
| Bend, OR | 4 | $417.46 | $417.46 | $417.46 | 1.0× |
| Berlin, WI single city | 1 | $295.46 | $295.46 | $295.46 | 1.0× |
| Big Sandy, MT single city | 1 | $177.00 | $177.00 | $177.00 | 1.0× |
| Bishop, CA | 1 | $326.00 | $326.00 | $326.00 | 1.0× |
| Black River Falls, WI single city | 1 | $125.10 | $125.10 | $125.10 | 1.0× |
| Blairsville, GA single city | 1 | $145.50 | $145.50 | $145.50 | 1.0× |
| Bloomington, IL | 1 | $512.00 | $512.00 | $512.00 | 1.0× |
| Boise City, ID | 4 | $180.50 | $396.80 | $466.00 | 2.6× |
| Boston-Cambridge-Newton, MA-NH | 16 | $107.55 | $403.00 | $938.29 | 8.7× |
| Boulder, CO | 2 | $297.50 | $537.76 | $778.02 | 2.6× |
| Bozeman, MT | 2 | $297.60 | $325.20 | $352.80 | 1.2× |
| Brattleboro, VT | 1 | $312.00 | $312.00 | $312.00 | 1.0× |
| Brenham, TX | 1 | $349.34 | $349.34 | $349.34 | 1.0× |
| Britt, IA single city | 1 | $293.25 | $293.25 | $293.25 | 1.0× |
| Brookville, PA single city | 1 | $828.00 | $828.00 | $828.00 | 1.0× |
| Buffalo, WY single city | 1 | $538.00 | $538.00 | $538.00 | 1.0× |
| Buffalo-Cheektowaga, NY | 6 | $235.00 | $348.00 | $411.98 | 1.8× |
| Cades, SC single city | 1 | $102.50 | $102.50 | $102.50 | 1.0× |
| Cadillac, MI | 1 | $249.90 | $249.90 | $249.90 | 1.0× |
| Camden, AR | 1 | $75.00 | $75.00 | $75.00 | 1.0× |
| Canton-Massillon, OH | 1 | $313.30 | $313.30 | $313.30 | 1.0× |
| Cape Coral-Fort Myers, FL | 4 | $101.20 | $101.20 | $101.20 | 1.0× |
| Cape Girardeau, MO-IL | 2 | $143.65 | $255.83 | $368.00 | 2.6× |
| Carbondale, IL | 2 | $193.60 | $193.60 | $193.60 | 1.0× |
| Carlsbad-Artesia, NM | 1 | $96.60 | $96.60 | $96.60 | 1.0× |
| Carrollton, KY single city | 1 | $190.80 | $190.80 | $190.80 | 1.0× |
| Cedar Rapids, IA single city | 1 | $313.49 | $313.49 | $313.49 | 1.0× |
| Chadron, NE single city | 1 | $230.00 | $230.00 | $230.00 | 1.0× |
| Champaign-Urbana, IL | 2 | $599.00 | $719.00 | $839.00 | 1.4× |
| Charles City, IA single city | 1 | $181.20 | $181.20 | $181.20 | 1.0× |
| Charleston, WV | 2 | $185.50 | $249.50 | $313.50 | 1.7× |
| Charleston-Mattoon, IL | 1 | $38.00 | $38.00 | $38.00 | 1.0× |
| Charleston-North Charleston, SC | 1 | $142.00 | $142.00 | $142.00 | 1.0× |
| Charlevoix, MI single city | 1 | $215.90 | $215.90 | $215.90 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 9 | $114.50 | $114.50 | $114.50 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 42 | $61.11 | $240.50 | $679.00 | 11.1× |
| Chico, CA | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Cincinnati, OH-KY-IN | 9 | $165.00 | $371.28 | $858.40 | 5.2× |
| Clarinda, IA single city | 1 | $218.25 | $218.25 | $218.25 | 1.0× |
| Clayton, GA single city | 1 | $148.00 | $148.00 | $148.00 | 1.0× |
| Cleveland, OH | 21 | $120.40 | $313.30 | $567.00 | 4.7× |
| Cody, WY | 2 | $387.60 | $400.80 | $414.00 | 1.1× |
| College Station-Bryan, TX | 4 | $62.37 | $67.14 | $349.34 | 5.6× |
| Columbia, KY single city | 1 | $253.50 | $253.50 | $253.50 | 1.0× |
| Columbia, MO | 1 | $198.60 | $198.60 | $198.60 | 1.0× |
| Columbus, OH | 2 | $220.27 | $240.64 | $261.00 | 1.2× |
| Coos Bay-North Bend, OR | 1 | $170.17 | $170.17 | $170.17 | 1.0× |
| Corbin, KY | 2 | $59.65 | $334.50 | $609.35 | 10.2× |
| Cordova, AK single city | 1 | $167.00 | $167.00 | $167.00 | 1.0× |
| Corning, NY | 1 | $56.80 | $56.80 | $56.80 | 1.0× |
| Corpus Christi, TX | 1 | $172.92 | $172.92 | $172.92 | 1.0× |
| Cortland, NY | 1 | $56.80 | $56.80 | $56.80 | 1.0× |
| Cottonwood, ID single city | 1 | $69.75 | $69.75 | $69.75 | 1.0× |
| Crosby, ND single city | 1 | $653.74 | $653.74 | $653.74 | 1.0× |
| Cumberland, MD-WV | 2 | $170.50 | $216.95 | $263.40 | 1.5× |
| Cut Bank, MT single city | 1 | $232.05 | $232.05 | $232.05 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 22 | $156.00 | $326.34 | $764.17 | 4.9× |
| Damariscotta, ME single city | 1 | $242.60 | $242.60 | $242.60 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 2 | $382.83 | $382.83 | $382.83 | 1.0× |
| Dawson, MN single city | 1 | $265.87 | $265.87 | $265.87 | 1.0× |
| Dayton-Kettering-Beavercreek, OH | 9 | $203.00 | $858.40 | $858.40 | 4.2× |
| Decorah, IA single city | 1 | $52.50 | $52.50 | $52.50 | 1.0× |
| Delta, CO single city | 1 | $131.39 | $131.39 | $131.39 | 1.0× |
| Denver-Aurora-Centennial, CO | 6 | $193.51 | $778.02 | $778.02 | 4.0× |
| Des Moines-West Des Moines, IA | 2 | $368.20 | $388.60 | $409.00 | 1.1× |
| Detroit Lakes, MN | 1 | $128.40 | $128.40 | $128.40 | 1.0× |
| Detroit-Warren-Dearborn, MI | 9 | $98.25 | $102.93 | $545.25 | 5.5× |
| Devils Lake, ND single city | 1 | $109.19 | $109.19 | $109.19 | 1.0× |
| Dodge City, KS | 1 | $171.50 | $171.50 | $171.50 | 1.0× |
| DuBois, PA | 2 | $828.00 | $828.00 | $828.00 | 1.0× |
| Duluth, MN-WI | 2 | $205.63 | $227.77 | $249.90 | 1.2× |
| Duncan, OK | 1 | $327.58 | $327.58 | $327.58 | 1.0× |
| Durham, NC single city | 1 | $164.70 | $164.70 | $164.70 | 1.0× |
| Eagle River, WI single city | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| East Amery, WI single city | 1 | $186.14 | $186.14 | $186.14 | 1.0× |
| Eau Claire, WI | 2 | $245.70 | $270.10 | $294.50 | 1.2× |
| El Paso, TX | 1 | $101.60 | $101.60 | $101.60 | 1.0× |
| Elizabethtown, KY | 1 | $609.35 | $609.35 | $609.35 | 1.0× |
| Ellensburg, WA | 1 | $242.25 | $242.25 | $242.25 | 1.0× |
| Emporia, VA single city | 1 | $151.80 | $151.80 | $151.80 | 1.0× |
| Eureka-Arcata, CA | 1 | $332.12 | $332.12 | $332.12 | 1.0× |
| Fargo, ND-MN | 1 | $357.60 | $357.60 | $357.60 | 1.0× |
| Farmington, CT single city | 1 | $259.20 | $259.20 | $259.20 | 1.0× |
| Farmington, ME single city | 1 | $525.30 | $525.30 | $525.30 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 3 | $100.00 | $134.96 | $154.24 | 1.5× |
| Fergus Falls, MN | 1 | $342.55 | $342.55 | $342.55 | 1.0× |
| Findlay, OH | 1 | $262.00 | $262.00 | $262.00 | 1.0× |
| Flagstaff, AZ | 1 | $310.74 | $310.74 | $310.74 | 1.0× |
| Flint, MI | 1 | $102.10 | $102.10 | $102.10 | 1.0× |
| Flora, IL single city | 1 | $437.00 | $437.00 | $437.00 | 1.0× |
| Florence, SC | 1 | $142.00 | $142.00 | $142.00 | 1.0× |
| Fond du Lac, WI | 1 | $295.46 | $295.46 | $295.46 | 1.0× |
| Fort Wayne, IN | 1 | $56.88 | $56.88 | $56.88 | 1.0× |
| Fremont, NE | 1 | $218.30 | $218.30 | $218.30 | 1.0× |
| Fresno, CA | 1 | $593.60 | $593.60 | $593.60 | 1.0× |
| Gadsden, AL | 1 | $158.00 | $158.00 | $158.00 | 1.0× |
| Gaffney, SC | 1 | $361.20 | $361.20 | $361.20 | 1.0× |
| Galena, IL single city | 1 | $221.86 | $221.86 | $221.86 | 1.0× |
| Gardnerville Ranchos, NV-CA | 1 | $322.00 | $322.00 | $322.00 | 1.0× |
| Glasgow, KY | 1 | $253.50 | $253.50 | $253.50 | 1.0× |
| Glasgow, MT single city | 1 | $357.30 | $357.30 | $357.30 | 1.0× |
| Glenwood, MN single city | 1 | $279.82 | $279.82 | $279.82 | 1.0× |
| Grand Forks, ND-MN | 3 | $109.19 | $294.00 | $370.00 | 3.4× |
| Grand Island, NE | 1 | $284.00 | $284.00 | $284.00 | 1.0× |
| Grand Junction, CO | 1 | $576.10 | $576.10 | $576.10 | 1.0× |
| Grand Rapids, MN | 1 | $138.13 | $138.13 | $138.13 | 1.0× |
| Grand Rapids-Wyoming-Kentwood, MI | 2 | $46.25 | $46.25 | $46.25 | 1.0× |
| Green Bay, WI | 3 | $196.78 | $217.80 | $336.14 | 1.7× |
| Greenville-Anderson-Greer, SC | 1 | $361.20 | $361.20 | $361.20 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 2 | $160.50 | $227.25 | $294.00 | 1.8× |
| Hailey, ID | 1 | $466.00 | $466.00 | $466.00 | 1.0× |
| Hamilton, AL single city | 1 | $239.08 | $239.08 | $239.08 | 1.0× |
| Harrisburg, IL single city | 1 | $193.60 | $193.60 | $193.60 | 1.0× |
| Harrisburg-Carlisle, PA | 3 | $179.15 | $249.41 | $345.88 | 1.9× |
| Hartford, CT single city | 1 | $307.00 | $307.00 | $307.00 | 1.0× |
| Hattiesburg, MS | 1 | $101.43 | $101.43 | $101.43 | 1.0× |
| Haxtun, CO single city | 1 | $246.00 | $246.00 | $246.00 | 1.0× |
| Hays, KS | 1 | $61.05 | $61.05 | $61.05 | 1.0× |
| Helena, MT | 2 | $145.75 | $197.38 | $249.00 | 1.7× |
| Hermann, MO single city | 1 | $212.70 | $212.70 | $212.70 | 1.0× |
| Hiawassee, GA single city | 1 | $191.00 | $191.00 | $191.00 | 1.0× |
| Hillsboro, OH single city | 1 | $358.40 | $358.40 | $358.40 | 1.0× |
| Holyoke, CO single city | 1 | $391.20 | $391.20 | $391.20 | 1.0× |
| Hood River, OR | 1 | $312.75 | $312.75 | $312.75 | 1.0× |
| Hot Springs, VA single city | 1 | $204.05 | $204.05 | $204.05 | 1.0× |
| Houghton, MI | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| Houlton, ME single city | 1 | $533.90 | $533.90 | $533.90 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 3 | $154.17 | $154.17 | $312.00 | 2.0× |
| Huntingdon, PA | 1 | $828.00 | $828.00 | $828.00 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 3 | $92.38 | $142.52 | $260.00 | 2.8× |
| Idaho Falls, ID | 1 | $229.60 | $229.60 | $229.60 | 1.0× |
| Ilwaco, WA single city | 1 | $99.75 | $99.75 | $99.75 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 4 | $101.41 | $106.46 | $288.80 | 2.8× |
| Iowa City, IA | 2 | $153.30 | $153.30 | $153.30 | 1.0× |
| Iron River, MI single city | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| Ironwood, MI single city | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| Iuka, MS single city | 1 | $239.08 | $239.08 | $239.08 | 1.0× |
| Jackson, MS | 3 | $126.40 | $126.40 | $207.00 | 1.6× |
| Jacksonville, FL | 1 | $845.85 | $845.85 | $845.85 | 1.0× |
| Janesville-Beloit, WI | 1 | $136.00 | $136.00 | $136.00 | 1.0× |
| Johnson, AR single city | 1 | $212.08 | $212.08 | $212.08 | 1.0× |
| Kalispell, MT | 1 | $83.20 | $83.20 | $83.20 | 1.0× |
| Kellogg, ID single city | 1 | $211.50 | $211.50 | $211.50 | 1.0× |
| Kennewick-Richland, WA | 1 | $156.75 | $156.75 | $156.75 | 1.0× |
| Killeen-Temple, TX | 3 | $349.34 | $349.34 | $349.34 | 1.0× |
| Kilmarnock, VA single city | 1 | $289.20 | $289.20 | $289.20 | 1.0× |
| Kingston, NY | 1 | $427.00 | $427.00 | $427.00 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 3 | $161.25 | $221.56 | $1,106.00 | 6.9× |
| Klamath Falls, OR | 1 | $131.18 | $131.18 | $131.18 | 1.0× |
| Knoxville, TN | 1 | $72.60 | $72.60 | $72.60 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $99.60 | $99.60 | $99.60 | 1.0× |
| La Grande, OR | 1 | $168.90 | $168.90 | $168.90 | 1.0× |
| Ladysmith, WI single city | 1 | $294.50 | $294.50 | $294.50 | 1.0× |
| Lafayette, LA | 1 | $143.00 | $143.00 | $143.00 | 1.0× |
| LaGrange, GA-AL | 1 | $536.25 | $536.25 | $536.25 | 1.0× |
| Lake Charles, LA | 1 | $79.80 | $79.80 | $79.80 | 1.0× |
| Lakeview, OR single city | 1 | $353.60 | $353.60 | $353.60 | 1.0× |
| Lansing-East Lansing, MI | 5 | $46.25 | $74.25 | $102.10 | 2.2× |
| Larned, KS single city | 1 | $74.00 | $74.00 | $74.00 | 1.0× |
| Las Cruces, NM | 1 | $1,133.56 | $1,133.56 | $1,133.56 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 2 | $193.00 | $212.30 | $231.60 | 1.2× |
| Lebanon-Claremont, NH-VT | 2 | $62.70 | $143.88 | $225.06 | 3.6× |
| Lewiston-Auburn, ME | 1 | $128.44 | $128.44 | $128.44 | 1.0× |
| Lexington-Fayette, KY | 2 | $160.00 | $384.68 | $609.35 | 3.8× |
| Liberty, KY single city | 1 | $160.00 | $160.00 | $160.00 | 1.0× |
| Lima, OH | 2 | $167.40 | $214.70 | $262.00 | 1.6× |
| Little Falls, MN single city | 1 | $63.80 | $63.80 | $63.80 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 1 | $67.96 | $67.96 | $67.96 | 1.0× |
| Livingston, MT single city | 1 | $120.65 | $120.65 | $120.65 | 1.0× |
| Logansport, IN | 1 | $56.88 | $56.88 | $56.88 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 19 | $212.64 | $342.16 | $613.00 | 2.9× |
| Louisville/Jefferson County, KY-IN | 4 | $336.64 | $609.35 | $609.35 | 1.8× |
| Lousiana, MO single city | 1 | $140.00 | $140.00 | $140.00 | 1.0× |
| Lovelock, NV single city | 1 | $291.00 | $291.00 | $291.00 | 1.0× |
| Lubbock, TX | 2 | $26.04 | $26.04 | $26.04 | 1.0× |
| Macomb, IL | 1 | $171.00 | $171.00 | $171.00 | 1.0× |
| Madison, MN single city | 1 | $238.85 | $238.85 | $238.85 | 1.0× |
| Madison, WI | 2 | $245.70 | $438.31 | $630.91 | 2.6× |
| Madisonville, TX single city | 1 | $70.92 | $70.92 | $70.92 | 1.0× |
| Malta, MT single city | 1 | $234.00 | $234.00 | $234.00 | 1.0× |
| Manhattan, KS | 1 | $220.00 | $220.00 | $220.00 | 1.0× |
| Marble Falls, TX single city | 1 | $349.34 | $349.34 | $349.34 | 1.0× |
| Margaretville, NY single city | 1 | $427.00 | $427.00 | $427.00 | 1.0× |
| Marietta, OH | 2 | $77.75 | $152.22 | $226.68 | 2.9× |
| Marion-Herrin, IL | 1 | $193.60 | $193.60 | $193.60 | 1.0× |
| Marquette, MI | 1 | $503.98 | $503.98 | $503.98 | 1.0× |
| Marshalltown, IA | 1 | $270.94 | $270.94 | $270.94 | 1.0× |
| Mason City, IA | 1 | $300.30 | $300.30 | $300.30 | 1.0× |
| Massena-Ogdensburg, NY | 3 | $299.99 | $301.57 | $305.88 | 1.0× |
| McAllen-Edinburg-Mission, TX | 1 | $198.88 | $198.88 | $198.88 | 1.0× |
| McCall, ID single city | 1 | $466.00 | $466.00 | $466.00 | 1.0× |
| Medford, WI single city | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| Memphis, TN-MS-AR | 5 | $95.92 | $95.92 | $95.92 | 1.0× |
| Merrill, WI single city | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 7 | $391.95 | $893.20 | $1,009.00 | 2.6× |
| Milwaukee-Waukesha, WI | 7 | $76.31 | $317.50 | $338.14 | 4.4× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 15 | $97.00 | $235.79 | $267.12 | 2.8× |
| Minocqua, WI single city | 1 | $294.50 | $294.50 | $294.50 | 1.0× |
| Minot, ND | 2 | $164.80 | $164.80 | $164.80 | 1.0× |
| Missoula, MT | 1 | $200.00 | $200.00 | $200.00 | 1.0× |
| Moab, UT single city | 1 | $127.49 | $127.49 | $127.49 | 1.0× |
| Mobridge, SD single city | 1 | $309.00 | $309.00 | $309.00 | 1.0× |
| Modesto, CA | 1 | $593.60 | $593.60 | $593.60 | 1.0× |
| Monticello, KY single city | 1 | $55.67 | $55.67 | $55.67 | 1.0× |
| Montpelier, ID single city | 1 | $226.95 | $226.95 | $226.95 | 1.0× |
| Morehead, KY single city | 1 | $126.00 | $126.00 | $126.00 | 1.0× |
| Morgantown, WV | 1 | $225.00 | $225.00 | $225.00 | 1.0× |
| Moscow, ID | 1 | $33.23 | $33.23 | $33.23 | 1.0× |
| Moses Lake, WA | 1 | $351.00 | $351.00 | $351.00 | 1.0× |
| Moultrie, GA | 1 | $365.00 | $365.00 | $365.00 | 1.0× |
| Mount Vernon, OH | 1 | $273.94 | $273.94 | $273.94 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $144.00 | $144.00 | $144.00 | 1.0× |
| Murphy, NC single city | 1 | $157.50 | $157.50 | $157.50 | 1.0× |
| Muscatine, IA | 1 | $382.83 | $382.83 | $382.83 | 1.0× |
| Nacogdoches, TX | 1 | $81.00 | $81.00 | $81.00 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 3 | $124.99 | $221.92 | $240.60 | 1.9× |
| Natchitoches, LA | 2 | $153.20 | $278.10 | $403.00 | 2.6× |
| Navasota, TX single city | 1 | $52.68 | $52.68 | $52.68 | 1.0× |
| Neillsville, WI single city | 1 | $294.50 | $294.50 | $294.50 | 1.0× |
| New Albany, MS single city | 1 | $100.80 | $100.80 | $100.80 | 1.0× |
| New Britain, CT single city | 1 | $306.60 | $306.60 | $306.60 | 1.0× |
| New London, WI single city | 1 | $295.46 | $295.46 | $295.46 | 1.0× |
| New Orleans-Metairie, LA | 7 | $38.72 | $43.12 | $147.18 | 3.8× |
| New Philadelphia-Dover, OH | 1 | $313.30 | $313.30 | $313.30 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 61 | $76.74 | $190.13 | $1,106.00 | 14.4× |
| Norwalk, OH | 1 | $253.20 | $253.20 | $253.20 | 1.0× |
| Norwich, CT single city | 1 | $313.00 | $313.00 | $313.00 | 1.0× |
| Ocean Pines, MD | 1 | $362.00 | $362.00 | $362.00 | 1.0× |
| Oil City, PA | 1 | $130.80 | $130.80 | $130.80 | 1.0× |
| Okeene, OK single city | 1 | $348.00 | $348.00 | $348.00 | 1.0× |
| Omaha, NE-IA | 9 | $104.92 | $104.92 | $225.75 | 2.2× |
| Oneonta, NY | 1 | $301.30 | $301.30 | $301.30 | 1.0× |
| Orangeburg, SC | 1 | $142.00 | $142.00 | $142.00 | 1.0× |
| Ord, NE single city | 1 | $326.70 | $326.70 | $326.70 | 1.0× |
| Orofino, ID single city | 1 | $69.75 | $69.75 | $69.75 | 1.0× |
| Oshkosh-Neenah, WI | 3 | $295.46 | $295.46 | $738.72 | 2.5× |
| Paducah, KY-IL | 3 | $133.05 | $496.20 | $609.35 | 4.6× |
| Panama City-Panama City Beach, FL | 1 | $276.00 | $276.00 | $276.00 | 1.0× |
| Park Falls, WI single city | 1 | $294.50 | $294.50 | $294.50 | 1.0× |
| Penn Yan, NY single city | 1 | $228.16 | $228.16 | $228.16 | 1.0× |
| Peoria, IL | 1 | $512.00 | $512.00 | $512.00 | 1.0× |
| Petoskey, MI | 1 | $102.10 | $102.10 | $102.10 | 1.0× |
| Philadelphia, MS single city | 1 | $181.33 | $181.33 | $181.33 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 11 | $106.00 | $181.00 | $1,476.90 | 13.9× |
| Phillipsburg, KS single city | 1 | $200.60 | $200.60 | $200.60 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 2 | $217.81 | $262.41 | $307.00 | 1.4× |
| Pikeville, KY | 1 | $192.60 | $192.60 | $192.60 | 1.0× |
| Pittsburgh, PA | 1 | $45.00 | $45.00 | $45.00 | 1.0× |
| Platteville, WI | 1 | $429.00 | $429.00 | $429.00 | 1.0× |
| Polson, MT single city | 1 | $183.20 | $183.20 | $183.20 | 1.0× |
| Pontotoc, MS single city | 1 | $239.08 | $239.08 | $239.08 | 1.0× |
| Port Townsend, WA | 1 | $265.60 | $265.60 | $265.60 | 1.0× |
| Portland-South Portland, ME | 3 | $278.50 | $293.80 | $435.60 | 1.6× |
| Portland-Vancouver-Hillsboro, OR-WA | 10 | $130.65 | $297.75 | $347.10 | 2.7× |
| Prairie Du Chien, WI single city | 1 | $87.00 | $87.00 | $87.00 | 1.0× |
| Prescott Valley-Prescott, AZ | 1 | $200.00 | $200.00 | $200.00 | 1.0× |
| Presque Isle, ME single city | 1 | $82.74 | $82.74 | $82.74 | 1.0× |
| Providence-Warwick, RI-MA | 2 | $198.00 | $205.00 | $212.00 | 1.1× |
| Punta Gorda, FL | 1 | $669.00 | $669.00 | $669.00 | 1.0× |
| Quincy, CA single city | 1 | $214.40 | $214.40 | $214.40 | 1.0× |
| Raleigh-Cary, NC | 4 | $157.70 | $157.70 | $164.70 | 1.0× |
| Rangely, CO single city | 1 | $133.90 | $133.90 | $133.90 | 1.0× |
| Rapid City, SD | 3 | $388.00 | $388.00 | $388.00 | 1.0× |
| Reno, NV | 1 | $593.00 | $593.00 | $593.00 | 1.0× |
| Republic, WA single city | 1 | $288.36 | $288.36 | $288.36 | 1.0× |
| Rhinelander, WI single city | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| Rice Lake, WI | 1 | $294.50 | $294.50 | $294.50 | 1.0× |
| Richmond, VA | 3 | $180.60 | $301.80 | $301.80 | 1.7× |
| Richmond-Berea, KY | 3 | $234.84 | $253.20 | $609.35 | 2.6× |
| Ripley, MS single city | 1 | $339.00 | $339.00 | $339.00 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 7 | $165.15 | $342.16 | $443.63 | 2.7× |
| Rochester, NY | 7 | $157.00 | $304.30 | $415.42 | 2.6× |
| Rockford, IL | 1 | $142.81 | $142.81 | $142.81 | 1.0× |
| Rockport, ME single city | 1 | $530.20 | $530.20 | $530.20 | 1.0× |
| Rocky Mount, NC | 1 | $105.84 | $105.84 | $105.84 | 1.0× |
| Roseau, MN single city | 1 | $285.12 | $285.12 | $285.12 | 1.0× |
| Roseburg, OR | 1 | $128.14 | $128.14 | $128.14 | 1.0× |
| Rushville, IL single city | 1 | $305.10 | $305.10 | $305.10 | 1.0× |
| Rushville, IN single city | 1 | $153.15 | $153.15 | $153.15 | 1.0× |
| Russellville, AR | 1 | $115.84 | $115.84 | $115.84 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $593.60 | $593.60 | $593.60 | 1.0× |
| Saint Maries, ID single city | 1 | $259.20 | $259.20 | $259.20 | 1.0× |
| Salem, OH | 1 | $259.75 | $259.75 | $259.75 | 1.0× |
| Salem, OR | 3 | $393.26 | $393.26 | $652.99 | 1.7× |
| Salisbury, MD | 1 | $311.05 | $311.05 | $311.05 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $225.40 | $225.40 | $225.40 | 1.0× |
| San Antonio-New Braunfels, TX | 7 | $61.00 | $794.67 | $794.67 | 13.0× |
| San Diego-Chula Vista-Carlsbad, CA | 9 | $174.00 | $342.16 | $548.21 | 3.2× |
| San Francisco-Oakland-Fremont, CA | 12 | $593.60 | $593.60 | $687.00 | 1.2× |
| San Jose-Sunnyvale-Santa Clara, CA | 4 | $199.75 | $439.80 | $593.60 | 3.0× |
| Sandusky, MI single city | 1 | $196.80 | $196.80 | $196.80 | 1.0× |
| Santa Rosa-Petaluma, CA | 1 | $593.60 | $593.60 | $593.60 | 1.0× |
| Satanta, KS single city | 1 | $180.00 | $180.00 | $180.00 | 1.0× |
| Savannah, TN single city | 1 | $41.26 | $41.26 | $41.26 | 1.0× |
| Sayre, PA | 3 | $56.80 | $56.80 | $56.80 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 8 | $67.83 | $357.84 | $650.00 | 9.6× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $391.95 | $391.95 | $391.95 | 1.0× |
| Seneca, KS single city | 1 | $229.50 | $229.50 | $229.50 | 1.0× |
| Shawano, WI | 1 | $295.46 | $295.46 | $295.46 | 1.0× |
| Sheboygan, WI | 1 | $317.50 | $317.50 | $317.50 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $114.50 | $114.50 | $114.50 | 1.0× |
| Shelbyville, TN | 1 | $124.99 | $124.99 | $124.99 | 1.0× |
| Shenandoah, IA single city | 1 | $249.60 | $249.60 | $249.60 | 1.0× |
| Sidney, MT single city | 1 | $161.00 | $161.00 | $161.00 | 1.0× |
| Sioux City, IA-NE-SD | 1 | $346.76 | $346.76 | $346.76 | 1.0× |
| Sioux Falls, SD-MN | 1 | $360.00 | $360.00 | $360.00 | 1.0× |
| Sistersville, WV single city | 1 | $254.88 | $254.88 | $254.88 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $43.12 | $43.12 | $43.12 | 1.0× |
| Snyder, TX | 1 | $423.00 | $423.00 | $423.00 | 1.0× |
| Spartanburg, SC | 3 | $361.20 | $361.20 | $361.20 | 1.0× |
| Spearfish, SD | 2 | $388.00 | $388.00 | $388.00 | 1.0× |
| Spokane-Spokane Valley, WA | 2 | $314.30 | $340.20 | $366.10 | 1.2× |
| Springfield, IL | 1 | $375.12 | $375.12 | $375.12 | 1.0× |
| Springfield, MO | 2 | $553.15 | $553.15 | $553.15 | 1.0× |
| St. Johnsbury, VT single city | 1 | $206.25 | $206.25 | $206.25 | 1.0× |
| St. Louis, MO-IL | 5 | $143.65 | $232.73 | $442.65 | 3.1× |
| St. Marys, PA | 1 | $828.00 | $828.00 | $828.00 | 1.0× |
| Staples, MN single city | 1 | $211.42 | $211.42 | $211.42 | 1.0× |
| Starkville, MS | 1 | $239.08 | $239.08 | $239.08 | 1.0× |
| Ste. Genevieve, MO single city | 1 | $85.50 | $85.50 | $85.50 | 1.0× |
| Sterling, IL | 1 | $396.00 | $396.00 | $396.00 | 1.0× |
| Stevens Point-Plover, WI | 3 | $245.70 | $245.70 | $294.50 | 1.2× |
| Stockton-Lodi, CA | 2 | $319.53 | $456.57 | $593.60 | 1.9× |
| Sweetwater, TX | 1 | $156.00 | $156.00 | $156.00 | 1.0× |
| Syracuse, NY | 2 | $200.00 | $273.55 | $347.10 | 1.7× |
| Tampa-St. Petersburg-Clearwater, FL | 2 | $217.35 | $364.55 | $511.74 | 2.4× |
| Taylorville, IL | 1 | $266.00 | $266.00 | $266.00 | 1.0× |
| Temple, TX single city | 1 | $349.34 | $349.34 | $349.34 | 1.0× |
| Toledo, OH | 1 | $257.56 | $257.56 | $257.56 | 1.0× |
| Tomahawk, WI single city | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| Torrington, WY single city | 1 | $294.96 | $294.96 | $294.96 | 1.0× |
| Traverse City, MI | 1 | $240.55 | $240.55 | $240.55 | 1.0× |
| Trenton-Princeton, NJ | 2 | $1,172.00 | $1,172.00 | $1,172.00 | 1.0× |
| Truckee-Grass Valley, CA | 1 | $593.00 | $593.00 | $593.00 | 1.0× |
| Truth Or Consequences, NM single city | 1 | $248.63 | $248.63 | $248.63 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $124.99 | $124.99 | $124.99 | 1.0× |
| Tupelo, MS | 2 | $100.80 | $169.94 | $239.08 | 2.4× |
| Twin Falls, ID | 1 | $466.00 | $466.00 | $466.00 | 1.0× |
| Two Harbors, MN single city | 1 | $311.09 | $311.09 | $311.09 | 1.0× |
| Tyler, TX | 1 | $25.30 | $25.30 | $25.30 | 1.0× |
| Urbana, OH | 1 | $256.80 | $256.80 | $256.80 | 1.0× |
| Utah Hiawatha, KS single city | 1 | $420.00 | $420.00 | $420.00 | 1.0× |
| Utica-Rome, NY | 1 | $185.40 | $185.40 | $185.40 | 1.0× |
| Vallejo, CA | 2 | $593.60 | $593.60 | $593.60 | 1.0× |
| Vernal, UT | 1 | $503.98 | $503.98 | $503.98 | 1.0× |
| Vineland, NJ | 2 | $1,476.90 | $1,476.90 | $1,476.90 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 1 | $277.20 | $277.20 | $277.20 | 1.0× |
| Visalia, CA | 3 | $264.00 | $264.00 | $420.00 | 1.6× |
| Waco, TX | 1 | $349.34 | $349.34 | $349.34 | 1.0× |
| Wadena, MN single city | 1 | $422.37 | $422.37 | $422.37 | 1.0× |
| Wakeeney, KS single city | 1 | $229.50 | $229.50 | $229.50 | 1.0× |
| Wallingford, CT single city | 1 | $331.44 | $331.44 | $331.44 | 1.0× |
| Washington, GA single city | 1 | $147.70 | $147.70 | $147.70 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 9 | $200.00 | $603.50 | $603.50 | 3.0× |
| Waterbury, CT single city | 1 | $245.84 | $245.84 | $245.84 | 1.0× |
| Waterloo-Cedar Falls, IA | 1 | $270.94 | $270.94 | $270.94 | 1.0× |
| Watertown-Fort Drum, NY | 1 | $326.50 | $326.50 | $326.50 | 1.0× |
| Watford City, ND single city | 1 | $61.75 | $61.75 | $61.75 | 1.0× |
| Waupaca, WI single city | 1 | $295.46 | $295.46 | $295.46 | 1.0× |
| Wausau, WI | 2 | $245.70 | $270.10 | $294.50 | 1.2× |
| Waynesboro, MS single city | 1 | $343.00 | $343.00 | $343.00 | 1.0× |
| Weirton-Steubenville, WV-OH | 1 | $116.55 | $116.55 | $116.55 | 1.0× |
| Weiser, ID single city | 1 | $243.11 | $243.11 | $243.11 | 1.0× |
| Wenatchee-East Wenatchee, WA | 2 | $180.90 | $269.05 | $357.20 | 2.0× |
| West Point, MS single city | 1 | $239.08 | $239.08 | $239.08 | 1.0× |
| White Sulphur Springs, MT single city | 1 | $219.24 | $219.24 | $219.24 | 1.0× |
| Whitehall, WI single city | 1 | $323.97 | $323.97 | $323.97 | 1.0× |
| Wild Rose, WI single city | 1 | $295.46 | $295.46 | $295.46 | 1.0× |
| Windom, MN single city | 1 | $57.12 | $57.12 | $57.12 | 1.0× |
| Winfield, AL single city | 1 | $239.08 | $239.08 | $239.08 | 1.0× |
| Winnsboro, LA single city | 1 | $138.00 | $138.00 | $138.00 | 1.0× |
| Winston-Salem, NC | 2 | $113.50 | $116.75 | $120.00 | 1.1× |
| Wisconsin Rapids-Marshfield, WI | 2 | $245.70 | $270.10 | $294.50 | 1.2× |
| Woodruff, WI single city | 1 | $245.70 | $245.70 | $245.70 | 1.0× |
| Worcester, MA | 2 | $364.00 | $448.00 | $532.00 | 1.5× |
| Yakima, WA | 1 | $185.90 | $185.90 | $185.90 | 1.0× |
| Yoakum, TX single city | 1 | $254.80 | $254.80 | $254.80 | 1.0× |
| Ypsilanti, MI single city | 1 | $189.80 | $189.80 | $189.80 | 1.0× |
| Yreka, CA single city | 1 | $425.00 | $425.00 | $425.00 | 1.0× |
| Yuma, AZ | 1 | $200.85 | $200.85 | $200.85 | 1.0× |
| Zanesville, OH | 1 | $302.69 | $302.69 | $302.69 | 1.0× |
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
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 90839?
CPT 90839 is the billing code for psychotherapy for crisis, first 60 minutes. Crisis psychotherapy is urgent therapy for a person in acute distress.
Where can I get help right away?
Call or text 988.
Is there extra time?
Each additional 30 minutes uses 90840.
How much does Medicare pay for CPT 90839 (Crisis therapy)?
$181.34 is Medicare's 2026 national base rate for this service in a hospital outpatient department, including the patient's share and before the local wage adjustment. The median hospital cash price, $254.84 across 904 hospitals, is 1.4× that.
Is it cheaper to pay cash or use insurance for crisis therapy?
It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for crisis therapy has a median of $415.71 and the lowest a median of $118.08; at 564 of 646 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.
Which states have the cheapest crisis therapy?
Among 40 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($94.71), Tennessee ($95.92) and Michigan ($102.10), and highest in Colorado ($544.70), Georgia ($536.25) and Florida ($418.60). Prices vary as much between hospitals in the same state, so compare hospitals near you.
Other therapy session prices
Median hospital cash price, one per hospital.