TMS therapy (first session) cost without insurance
The median hospital cash price for TMS (transcranial magnetic stimulation), first session with mapping is $414.53 across 298 US hospitals; most list between $243.73 and $963.20. The lowest outpatient cash price in any of 134 markets is $106.59. 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
Compared with Medicare
$220.60 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, $414.53 across 298 hospitals, is 1.9× 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 TMS therapy (first session), the highest negotiated rate in a hospital's file has a median of $799.88 and the lowest a median of $187.83. At 161 of 180 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 90867?
TMS uses magnetic pulses to stimulate the brain for depression. This code is the first session.
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 90867 covers the whole visit.
Prices by state
Among 20 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($134.68), Arkansas ($150.58) and Minnesota ($198.24), and highest in Colorado ($1,936.32), California ($963.20) and Massachusetts ($932.75).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alaska$884.84, 1 hospital
- Arizona$460.99
- Arkansas$150.58
- California$963.20
- Colorado$1,936.32
- Connecticut$714.00, 1 hospital
- District of Columbia$389.50, 1 hospital
- Florida$835.90
- Georgia$386.88
- Illinois$316.00
- Indiana$273.00, 1 hospital
- Iowa$405.83, 4 hospitals
- Kentucky$755.20, 2 hospitals
- Louisiana$134.68
- Maryland$644.36, 1 hospital
- Massachusetts$932.75
- Michigan$401.70
- Minnesota$198.24
- Missouri$286.80, 1 hospital
- Montana$609.95, 1 hospital
- Nebraska$414.05, 2 hospitals
- Nevada$1,060.00, 1 hospital
- New Hampshire$1,756.00, 1 hospital
- New Jersey$279.37, 1 hospital
- New Mexico$355.80, 1 hospital
- New York$368.50
- North Carolina$346.00
- North Dakota$320.00, 2 hospitals
- Ohio$446.70
- Oklahoma$634.88, 1 hospital
- Oregon$870.40, 2 hospitals
- Pennsylvania$394.80
- Rhode Island$490.85, 2 hospitals
- South Carolina$347.00
- Tennessee$239.54
- Texas$485.63
- Utah$814.66, 1 hospital
- Vermont$391.83, 1 hospital
- Virginia$494.50
- Washington$319.52, 2 hospitals
- West Virginia$675.00, 3 hospitals
- Wisconsin$401.70
- Wyoming$340.00, 1 hospital
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Akron, OH | 2 | $354.00 | $480.55 | $607.10 | 1.7× |
| Albemarle, NC | 1 | $346.00 | $346.00 | $346.00 | 1.0× |
| Ann Arbor, MI | 1 | $493.20 | $493.20 | $493.20 | 1.0× |
| Antigo, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Appleton, WI | 2 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Athens, OH | 1 | $809.90 | $809.90 | $809.90 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 9 | $386.88 | $386.88 | $386.88 | 1.0× |
| Atlantic City-Hammonton, NJ | 1 | $279.37 | $279.37 | $279.37 | 1.0× |
| Augusta-Richmond County, GA-SC | 1 | $386.88 | $386.88 | $386.88 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 10 | $306.81 | $437.22 | $596.58 | 1.9× |
| Berlin, WI single city | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Bloomington, IL | 1 | $316.00 | $316.00 | $316.00 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 5 | $366.30 | $1,119.30 | $1,756.00 | 4.8× |
| Boulder, CO | 2 | $423.50 | $1,179.91 | $1,936.32 | 4.6× |
| Brattleboro, VT | 1 | $391.83 | $391.83 | $391.83 | 1.0× |
| Brenham, TX | 1 | $534.04 | $534.04 | $534.04 | 1.0× |
| Buffalo-Cheektowaga, NY | 1 | $978.72 | $978.72 | $978.72 | 1.0× |
| Cades, SC single city | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Carlsbad-Artesia, NM | 1 | $355.80 | $355.80 | $355.80 | 1.0× |
| Champaign-Urbana, IL | 1 | $446.00 | $446.00 | $446.00 | 1.0× |
| Charleston-North Charleston, SC | 1 | $379.00 | $379.00 | $379.00 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 9 | $346.00 | $346.00 | $346.00 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 15 | $106.59 | $314.00 | $779.00 | 7.3× |
| Cincinnati, OH-KY-IN | 5 | $113.73 | $448.80 | $1,250.39 | 11.0× |
| Cleveland, OH | 10 | $354.00 | $354.00 | $607.10 | 1.7× |
| Cody, WY | 1 | $340.00 | $340.00 | $340.00 | 1.0× |
| College Station-Bryan, TX | 1 | $534.04 | $534.04 | $534.04 | 1.0× |
| Columbia, MO | 1 | $286.80 | $286.80 | $286.80 | 1.0× |
| Columbus, OH | 7 | $577.85 | $577.85 | $755.95 | 1.3× |
| Corning, NY | 1 | $312.91 | $312.91 | $312.91 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 2 | $802.50 | $1,400.34 | $1,998.18 | 2.5× |
| Denver-Aurora-Centennial, CO | 4 | $1,936.32 | $1,936.32 | $1,936.32 | 1.0× |
| Des Moines-West Des Moines, IA | 2 | $495.95 | $641.98 | $788.00 | 1.6× |
| Detroit-Warren-Dearborn, MI | 2 | $296.91 | $296.91 | $296.91 | 1.0× |
| Duluth, MN-WI | 1 | $336.19 | $336.19 | $336.19 | 1.0× |
| Duncan, OK | 1 | $634.88 | $634.88 | $634.88 | 1.0× |
| Durham-Chapel Hill, NC | 1 | $218.97 | $218.97 | $218.97 | 1.0× |
| Eagle River, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Eau Claire, WI | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Elmira, NY | 2 | $312.91 | $312.91 | $312.91 | 1.0× |
| Erie, PA | 1 | $303.85 | $303.85 | $303.85 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 1 | $925.77 | $925.77 | $925.77 | 1.0× |
| Flagstaff, AZ | 1 | $324.27 | $324.27 | $324.27 | 1.0× |
| Florence, SC | 1 | $379.00 | $379.00 | $379.00 | 1.0× |
| Fond du Lac, WI | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Fresno, CA | 1 | $963.20 | $963.20 | $963.20 | 1.0× |
| Green Bay, WI | 1 | $296.32 | $296.32 | $296.32 | 1.0× |
| Greenville-Anderson-Greer, SC | 3 | $315.00 | $315.00 | $315.00 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $248.50 | $248.50 | $248.50 | 1.0× |
| Hartford, CT single city | 1 | $714.00 | $714.00 | $714.00 | 1.0× |
| Helena, MT | 1 | $609.95 | $609.95 | $609.95 | 1.0× |
| Hilton Head Island-Bluffton-Port Royal, SC | 1 | $439.20 | $439.20 | $439.20 | 1.0× |
| Homer, AK single city | 1 | $884.84 | $884.84 | $884.84 | 1.0× |
| Houghton, MI | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Huntington-Ashland, WV-KY-OH | 1 | $675.00 | $675.00 | $675.00 | 1.0× |
| Iowa City, IA | 2 | $315.70 | $315.70 | $315.70 | 1.0× |
| Iron River, MI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Ironwood, MI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Janesville-Beloit, WI | 1 | $703.39 | $703.39 | $703.39 | 1.0× |
| Key West-Key Largo, FL | 2 | $835.90 | $835.90 | $835.90 | 1.0× |
| Killeen-Temple, TX | 3 | $534.04 | $534.04 | $534.04 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 1 | $269.53 | $269.53 | $269.53 | 1.0× |
| La Crosse-Onalaska, WI-MN | 1 | $256.00 | $256.00 | $256.00 | 1.0× |
| LaGrange, GA-AL | 1 | $386.88 | $386.88 | $386.88 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 1 | $1,060.00 | $1,060.00 | $1,060.00 | 1.0× |
| Lexington-Fayette, KY | 1 | $260.00 | $260.00 | $260.00 | 1.0× |
| Lima, OH | 1 | $332.10 | $332.10 | $332.10 | 1.0× |
| Little Rock-North Little Rock-Conway, AR | 3 | $147.92 | $150.58 | $925.77 | 6.3× |
| Los Angeles-Long Beach-Anaheim, CA | 5 | $276.00 | $276.00 | $4,877.53 | 17.7× |
| Lubbock, TX | 2 | $180.60 | $180.60 | $180.60 | 1.0× |
| Madison, WI | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Mansfield, OH | 2 | $444.60 | $444.60 | $444.60 | 1.0× |
| Marble Falls, TX single city | 1 | $534.04 | $534.04 | $534.04 | 1.0× |
| Marion, OH | 1 | $474.50 | $474.50 | $474.50 | 1.0× |
| Medford, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Memphis, TN-MS-AR | 1 | $156.42 | $156.42 | $156.42 | 1.0× |
| Merrill, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 12 | $733.60 | $835.90 | $865.90 | 1.2× |
| Milwaukee-Waukesha, WI | 1 | $912.13 | $912.13 | $912.13 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 3 | $198.24 | $198.24 | $198.24 | 1.0× |
| Minot, ND | 2 | $320.00 | $320.00 | $320.00 | 1.0× |
| Modesto, CA | 1 | $963.20 | $963.20 | $963.20 | 1.0× |
| Morgantown, WV | 1 | $697.00 | $697.00 | $697.00 | 1.0× |
| Morrilton, AR single city | 1 | $132.10 | $132.10 | $132.10 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $239.54 | $254.76 | $269.97 | 1.1× |
| New London, WI single city | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| New Orleans-Metairie, LA | 7 | $107.38 | $134.68 | $245.52 | 2.3× |
| New York-Newark-Jersey City, NY-NJ | 20 | $220.60 | $368.50 | $1,700.40 | 7.7× |
| Omaha, NE-IA | 2 | $414.05 | $414.05 | $414.05 | 1.0× |
| Orangeburg, SC | 1 | $379.00 | $379.00 | $379.00 | 1.0× |
| Oshkosh-Neenah, WI | 2 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Peoria, IL | 1 | $316.00 | $316.00 | $316.00 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 5 | $394.80 | $394.80 | $644.36 | 1.6× |
| Phoenix-Mesa-Chandler, AZ | 4 | $264.97 | $655.86 | $773.34 | 2.9× |
| Pittsburgh, PA | 1 | $639.00 | $639.00 | $639.00 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $870.40 | $870.40 | $870.40 | 1.0× |
| Providence-Warwick, RI-MA | 2 | $217.70 | $490.85 | $764.00 | 3.5× |
| Rhinelander, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 1 | $276.00 | $276.00 | $276.00 | 1.0× |
| Rochester, NY | 1 | $1,274.15 | $1,274.15 | $1,274.15 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 4 | $585.00 | $963.20 | $963.20 | 1.6× |
| Salt Lake City-Murray, UT | 1 | $814.66 | $814.66 | $814.66 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 3 | $276.00 | $326.70 | $730.50 | 2.6× |
| San Francisco-Oakland-Fremont, CA | 12 | $622.00 | $963.20 | $963.20 | 1.5× |
| San Jose-Sunnyvale-Santa Clara, CA | 4 | $218.40 | $963.20 | $1,154.00 | 5.3× |
| Santa Rosa-Petaluma, CA | 1 | $963.20 | $963.20 | $963.20 | 1.0× |
| Seattle-Tacoma-Bellevue, WA | 1 | $466.14 | $466.14 | $466.14 | 1.0× |
| Shawano, WI | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $346.00 | $346.00 | $346.00 | 1.0× |
| Shelbyville, TN | 1 | $239.54 | $239.54 | $239.54 | 1.0× |
| Slidell-Mandeville-Covington, LA | 1 | $134.68 | $134.68 | $134.68 | 1.0× |
| Springfield, MA | 1 | $648.00 | $648.00 | $648.00 | 1.0× |
| St. Louis, MO-IL | 1 | $573.50 | $573.50 | $573.50 | 1.0× |
| Stevens Point-Plover, WI | 2 | $401.70 | $401.70 | $401.70 | 1.0× |
| Stockton-Lodi, CA | 1 | $963.20 | $963.20 | $963.20 | 1.0× |
| Suffolk, VA single city | 1 | $494.50 | $494.50 | $494.50 | 1.0× |
| Syracuse, NY | 1 | $486.00 | $486.00 | $486.00 | 1.0× |
| Temple, TX single city | 1 | $534.04 | $534.04 | $534.04 | 1.0× |
| Tomahawk, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Tucson, AZ | 1 | $280.12 | $280.12 | $280.12 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $239.54 | $239.54 | $239.54 | 1.0× |
| Two Harbors, MN single city | 1 | $508.61 | $508.61 | $508.61 | 1.0× |
| Vallejo, CA | 2 | $963.20 | $963.20 | $963.20 | 1.0× |
| Vincennes, IN | 1 | $273.00 | $273.00 | $273.00 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 6 | $494.50 | $494.50 | $494.50 | 1.0× |
| Waco, TX | 1 | $534.04 | $534.04 | $534.04 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 2 | $389.50 | $442.00 | $494.50 | 1.3× |
| Waupaca, WI single city | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Wausau, WI | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Wild Rose, WI single city | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Wisconsin Rapids-Marshfield, WI | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Woodruff, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Worcester, MA | 1 | $1,232.00 | $1,232.00 | $1,232.00 | 1.0× |
| Yakima, WA | 1 | $172.90 | $172.90 | $172.90 | 1.0× |
Common questions
What is CPT code 90867?
CPT 90867 is the billing code for TMS (transcranial magnetic stimulation), first session with mapping. TMS uses magnetic pulses to stimulate the brain for depression. This code is the first session.
How many sessions are needed?
Usually daily for about six weeks.
Is anesthesia needed?
No.
How much does Medicare pay for CPT 90867 (TMS therapy (first session))?
$220.60 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, $414.53 across 298 hospitals, is 1.9× that.
Is it cheaper to pay cash or use insurance for TMS therapy (first session)?
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 TMS therapy (first session) has a median of $799.88 and the lowest a median of $187.83; at 161 of 180 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 TMS therapy (first session)?
Among 20 states with at least 5 hospitals listing a cash price, the median is lowest in Louisiana ($134.68), Arkansas ($150.58) and Minnesota ($198.24), and highest in Colorado ($1,936.32), California ($963.20) and Massachusetts ($932.75). Prices vary as much between hospitals in the same state, so compare hospitals near you.