Doctor visits and therapy CPT 90846 Washington Outpatient

Family therapy, no patient cost in Washington

In Washington, 21 hospitals publish a cash price for family therapy without the patient, 50 minutes: from $53.01 to $500.00, with a median of $181.20. The lowest price is at Astria Sunnyside Hospital (Sunnyside). The highest price is 9.4× the lowest.

  • The median here, $181.20, is 14% below the US median of $210.44.
  • That is about the same as Medicare's 2026 national rate for the same service ($181.34).
  • Washington ranks 15th of 47 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 90846. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map

Lowest$53.01Astria Sunnyside Hospital
Median$181.20half of hospitals charge less
Highest$500.00in Washington
Lowest saves$128.19vs the median

Hospitals in Washington, cheapest first

HospitalCash priceList priceFile date
Astria Sunnyside Hospital lowest Sunnyside · Kennewick-Richland, WA 90846 Family psychotherapy w/o pt 50 min $53.01 $93.00 Apr 1, 2026
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Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA FAMILY PSYTX (W/O THE PATIENT PRSNT) (MSW/LMHC) - FAC $67.83 $133.00 Jan 1, 2026
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Ocean Beach Hospital Ilwaco · Ilwaco, WA HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC $76.50 $102.00 Oct 23, 2026
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Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC FAMILY PSYTX W/O PATIENT 15 MIN $117.60 $168.00 Apr 1, 2026
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Astria Toppenish Hospital Toppenish · Yakima, WA 90846 Family psychotherapy w/o pt 50 min $144.30 $222.00 Apr 1, 2026
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Forks Community Hospital Forks · Port Townsend, WA Family psychotherapy without patient, 50 minutes $158.40 $198.00 Oct 27, 2026
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Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Family Psychotherapy W/O Patient Present 50 Mins $168.00 $240.00 Mar 12, 2026
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Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Family psychotherapy without patient, 50 minutes $168.30 $198.00 Oct 7, 2026
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Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC FAMILY PSYTX W/O PATIENT 45 MIN $171.50 $245.00 Apr 1, 2026
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Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Family Psychotherapy W/O Patient Present 50 Mins $180.90 $201.00 Aug 10, 2026
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Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Family psytx w/o pt 26-50 min $181.20 $226.50 May 15, 2026
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Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC FAMILY PSYTX W/O PATIENT 45 MIN $187.60 $268.00 Apr 1, 2026
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Lourdes Health Pasco · Kennewick-Richland, WA FAMILY PSYTX W/O PT 50 MIN $192.82 $482.05 Jul 10, 2026
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Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC $203.04 $423.00 Apr 1, 2026
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Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC $203.04 $423.00 Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC $203.04 $423.00 Apr 1, 2026
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Jefferson Healthcare Port Townsend · Port Townsend, WA Family psychotherapy without patient, 50 minutes $224.00 $280.00 Aug 6, 2026
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Klickitat Valley Hospital Goldendale · Goldendale, WA PSYCHOTHERAPY FAM NO PT PRESNT $240.00 $300.00 Dec 2, 2024
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Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC PSTX FAMILY WO PT 50 MIN CDM $255.84 $492.00 Apr 1, 2026
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Samaritan Hospital Moses Lake · Moses Lake, WA Family psychotherapy without patient, 50 m $264.00 $264.00 Jan 4, 2026
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Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Fam Ther W/O Pt Fac 26+ Minutes $500.00 $500.00 Mar 31, 2026
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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 areaHospitalsLowestMedian
Seattle-Tacoma-Bellevue, WA 7 $67.83 $203.04
Spokane-Spokane Valley, WA 3 $117.60 $171.50
Kennewick-Richland, WA 2 $53.01 $122.92
Port Townsend, WA 2 $158.40 $191.20
Wenatchee-East Wenatchee, WA 2 $180.90 $181.05
Ellensburg, WA 1 $168.30 $168.30
Goldendale, WA 1 $240.00 $240.00
Ilwaco, WA 1 $76.50 $76.50
Moses Lake, WA 1 $264.00 $264.00
Yakima, WA 1 $144.30 $144.30
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 family therapy, no patient is, what the price covers and why prices differ: Family therapy, no patient explained.

Family therapy without the patient, 50 minutes in other states

Median cash price across the state's hospitals.