Crisis therapy cost in Washington
In Washington, 21 hospitals publish a cash price for psychotherapy for crisis, first 60 minutes: from $67.83 to $650.00, with a median of $265.60. The lowest price is at Virginia Mason Medical Center (Seattle). The highest price is 9.6× the lowest.
- The median here, $265.60, is 4% above the US median of $254.84.
- That is 1.5× Medicare's 2026 national rate for the same service ($181.34).
- Washington ranks 21st of 40 states by median, cheapest first.
- 2 of 21 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 90839. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$67.83Virginia Mason Medical Center
Median$265.60half of hospitals charge less
Highest$650.00in Washington
Lowest saves$197.77vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Virginia Mason Medical Center lowest Seattle · Seattle-Tacoma-Bellevue, WA PSYTX CRISIS INITIAL 60 MIN (MSW/LMHC) - FAC | $67.83 | $133.00 | Jan 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $99.75 | $133.00 | Oct 23, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Psychotherapy for Crisis Initial 60 Minutes | $133.00 | $190.00 | Mar 12, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HB PSYTX CRISIS INITIAL 60 MIN | $144.00 | $180.00 | Mar 26, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $156.75 | $285.00 | Jan 1, 2025 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Psychotherapy for Crisis Initial 60 Minutes--Pbb | $180.90 | $201.00 | Aug 10, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 90839 Psytx crisis initial 60 minutes | $185.90 | $286.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $205.92 | $396.00 | Apr 1, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Psychotherapy for crisis, first hour | $216.54 | $401.00 | Aug 31, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Psychotherapy for crisis, first hour | $242.25 | $285.00 | Oct 7, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Psychotherapy for crisis, first hour | $265.60 | $332.00 | Aug 6, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA BH PSYCHOTHERP CRISIS INT 60 M | $288.36 | $339.25 | Sep 14, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $314.30 | $449.00 | Apr 1, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA "PSYCHOTHERAPY FOR CRISIS,FIRST 60 MINUTES" | $328.80 | $411.00 | Apr 1, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR 90839 Psychotherapy for Crisis Initial 60 Min | $351.00 | $351.00 | Jan 4, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Psytx crisis initial 60 min | $357.20 | $446.50 | May 15, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $366.10 | $523.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $386.88 | $806.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $386.88 | $806.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC PR 90839 PSYTX FOR CRISIS INITIAL 60 MIN RHC | $386.88 | $806.00 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Psychotherapy Crisis 30-74mins | $650.00 | $650.00 | 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 | 8 | $67.83 | $357.84 |
| Spokane-Spokane Valley, WA | 2 | $314.30 | $340.20 |
| Wenatchee-East Wenatchee, WA | 2 | $180.90 | $269.05 |
| Aberdeen, WA | 1 | $216.54 | $216.54 |
| Ellensburg, WA | 1 | $242.25 | $242.25 |
| Ilwaco, WA | 1 | $99.75 | $99.75 |
| Kennewick-Richland, WA | 1 | $156.75 | $156.75 |
| Moses Lake, WA | 1 | $351.00 | $351.00 |
| Mount Vernon-Anacortes, WA | 1 | $144.00 | $144.00 |
| Port Townsend, WA | 1 | $265.60 | $265.60 |
| Republic, WA | 1 | $288.36 | $288.36 |
| Yakima, WA | 1 | $185.90 | $185.90 |
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 crisis therapy is, what the price covers and why prices differ: Crisis therapy explained.
Psychotherapy for crisis, first 60 minutes in other states
- 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
- West Virginia$225.00
- Wisconsin$294.50
- Wyoming$387.60
Median cash price across the state's hospitals.