TMS therapy (first session) cost without insurance
Across 152 US markets, hospitals list an outpatient cash price for TMS (transcranial magnetic stimulation), first session with mapping from $101.15 to $4,877.53. The median market price is $401.70. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Sep 25, 2026 Each price links to its source file
Lowest$101.15any market
Median market$401.70middle of market medians
Highest$4,877.53any market
Listings288hospital prices
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, $411.03 across 288 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.
What it is
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
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Arizona$302.20
- Arkansas$398.25
- California$963.20
- Colorado$1,936.32
- Florida$835.90
- Georgia$386.88
- Illinois$314.00
- Indiana$266.00
- Iowa$513.60
- Kentucky$266.00
- Louisiana$134.68
- Massachusetts$746.20
- Michigan$349.31
- Minnesota$198.24
- Missouri$286.80
- Montana$609.95
- Nebraska$414.05
- Nevada$1,060.00
- New Jersey$279.37
- New York$256.30
- North Carolina$331.75
- Ohio$429.80
- Oklahoma$408.00
- Oregon$548.00
- Pennsylvania$394.80
- Rhode Island$764.00
- South Carolina$379.00
- Tennessee$208.22
- Texas$437.22
- Utah$787.43
- Vermont$729.42
- Virginia$494.50
- Washington$466.14
- West Virginia$675.00
- Wisconsin$401.70
- Wyoming$347.76
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Anna, IL single city | 1 | $266.00 | $266.00 | $266.00 | 1.0× |
| Antigo, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Akron, OH | 2 | $354.00 | $366.80 | $379.60 | 1.1× |
| Albany, OR | 2 | $548.00 | $548.00 | $548.00 | 1.0× |
| Albemarle, NC | 1 | $346.00 | $346.00 | $346.00 | 1.0× |
| Ann Arbor, MI | 1 | $493.20 | $493.20 | $493.20 | 1.0× |
| Appleton, WI | 2 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Ardmore, OK | 1 | $408.00 | $408.00 | $408.00 | 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× |
| Boston-Cambridge-Newton, MA-NH | 3 | $366.30 | $746.20 | $1,119.30 | 3.1× |
| Boulder, CO | 1 | $1,936.32 | $1,936.32 | $1,936.32 | 1.0× |
| 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× |
| Burlington-South Burlington, VT | 1 | $1,067.00 | $1,067.00 | $1,067.00 | 1.0× |
| Cades, SC single city | 1 | $255.50 | $255.50 | $255.50 | 1.0× |
| Cedar Rapids, IA single city | 1 | $513.60 | $513.60 | $513.60 | 1.0× |
| Concord, NC single city | 1 | $331.75 | $331.75 | $331.75 | 1.0× |
| Canton-Massillon, OH | 1 | $379.60 | $379.60 | $379.60 | 1.0× |
| Cedar Rapids, IA | 1 | $513.60 | $513.60 | $513.60 | 1.0× |
| Charleston-North Charleston, SC | 1 | $379.00 | $379.00 | $379.00 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 8 | $331.75 | $331.75 | $331.75 | 1.0× |
| Cheyenne, WY | 1 | $347.76 | $347.76 | $347.76 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 15 | $106.59 | $314.00 | $779.00 | 7.3× |
| Cincinnati, OH-KY-IN | 4 | $113.73 | $431.90 | $448.80 | 3.9× |
| Cleveland, OH | 9 | $101.15 | $354.00 | $472.50 | 4.7× |
| 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 | 8 | $567.00 | $577.85 | $755.95 | 1.3× |
| Corning, NY | 1 | $113.79 | $113.79 | $113.79 | 1.0× |
| Corvallis, OR | 1 | $548.00 | $548.00 | $548.00 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 1 | $264.00 | $264.00 | $264.00 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 2 | $513.60 | $513.60 | $513.60 | 1.0× |
| 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 | $504.78 | $513.60 | 1.0× |
| Detroit-Warren-Dearborn, MI | 4 | $296.91 | $296.91 | $296.91 | 1.0× |
| Dubuque, IA | 1 | $513.60 | $513.60 | $513.60 | 1.0× |
| Duluth, MN-WI | 1 | $336.19 | $336.19 | $336.19 | 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 | $113.79 | $113.79 | $113.79 | 1.0× |
| Evansville, IN | 1 | $266.00 | $266.00 | $266.00 | 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× |
| Fort Dodge, IA | 1 | $513.60 | $513.60 | $513.60 | 1.0× |
| Fresno, CA | 1 | $963.20 | $963.20 | $963.20 | 1.0× |
| Grinnell, IA single city | 1 | $513.60 | $513.60 | $513.60 | 1.0× |
| Green Bay, WI | 1 | $296.32 | $296.32 | $296.32 | 1.0× |
| Hagerstown-Martinsburg, MD-WV | 1 | $248.50 | $248.50 | $248.50 | 1.0× |
| Helena, MT | 1 | $609.95 | $609.95 | $609.95 | 1.0× |
| Henderson, KY | 1 | $266.00 | $266.00 | $266.00 | 1.0× |
| Hilton Head Island-Bluffton-Port Royal, SC | 1 | $439.20 | $439.20 | $439.20 | 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× |
| 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× |
| Jasper, IN | 1 | $266.00 | $266.00 | $266.00 | 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× |
| 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 | 1 | $925.77 | $925.77 | $925.77 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 6 | $276.00 | $366.00 | $4,877.53 | 17.7× |
| Lubbock, TX | 2 | $180.60 | $180.60 | $180.60 | 1.0× |
| Magazine, AR single city | 1 | $398.25 | $398.25 | $398.25 | 1.0× |
| Mansfield, AR single city | 1 | $398.25 | $398.25 | $398.25 | 1.0× |
| Marble Falls, TX single city | 1 | $534.04 | $534.04 | $534.04 | 1.0× |
| Medford, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Merrill, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Morganfield, KY single city | 1 | $266.00 | $266.00 | $266.00 | 1.0× |
| Madison, WI | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Mansfield, OH | 2 | $444.60 | $444.60 | $444.60 | 1.0× |
| Marion, OH | 1 | $474.50 | $474.50 | $474.50 | 1.0× |
| Marion-Herrin, IL | 1 | $266.00 | $266.00 | $266.00 | 1.0× |
| Marshalltown, IA | 1 | $513.60 | $513.60 | $513.60 | 1.0× |
| Memphis, TN-MS-AR | 1 | $156.42 | $156.42 | $156.42 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 11 | $315.25 | $835.90 | $865.90 | 2.7× |
| Milwaukee-Waukesha, WI | 1 | $912.13 | $912.13 | $912.13 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 2 | $198.24 | $198.24 | $198.24 | 1.0× |
| Modesto, CA | 1 | $963.20 | $963.20 | $963.20 | 1.0× |
| Morgantown, WV | 1 | $697.00 | $697.00 | $697.00 | 1.0× |
| Mount Vernon, IL | 1 | $266.00 | $266.00 | $266.00 | 1.0× |
| Muscatine, IA | 1 | $513.60 | $513.60 | $513.60 | 1.0× |
| New London, WI single city | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $208.22 | $297.97 | $387.72 | 1.9× |
| New Orleans-Metairie, LA | 7 | $107.38 | $134.68 | $245.52 | 2.3× |
| New Philadelphia-Dover, OH | 1 | $379.60 | $379.60 | $379.60 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 8 | $220.60 | $368.50 | $1,077.00 | 4.9× |
| Newport, OR | 2 | $548.00 | $548.00 | $548.00 | 1.0× |
| Oklahoma City, OK | 1 | $408.00 | $408.00 | $408.00 | 1.0× |
| 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× |
| Paris, AR single city | 1 | $398.25 | $398.25 | $398.25 | 1.0× |
| Princeton, IN single city | 1 | $266.00 | $266.00 | $266.00 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 5 | $394.80 | $394.80 | $394.80 | 1.0× |
| Phoenix-Mesa-Chandler, AZ | 2 | $264.97 | $401.06 | $537.14 | 2.0× |
| Pittsburgh, PA | 1 | $639.00 | $639.00 | $639.00 | 1.0× |
| Port St. Lucie, FL | 1 | $315.25 | $315.25 | $315.25 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $870.40 | $870.40 | $870.40 | 1.0× |
| Providence-Warwick, RI-MA | 1 | $764.00 | $764.00 | $764.00 | 1.0× |
| Rhinelander, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Richmond, CA single city | 1 | $963.20 | $963.20 | $963.20 | 1.0× |
| Riverside-San Bernardino-Ontario, CA | 1 | $276.00 | $276.00 | $276.00 | 1.0× |
| Rochester, NY | 2 | $256.30 | $256.30 | $256.30 | 1.0× |
| St. Paul, MN single city | 1 | $198.24 | $198.24 | $198.24 | 1.0× |
| Suffolk, VA single city | 1 | $494.50 | $494.50 | $494.50 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 3 | $963.20 | $963.20 | $963.20 | 1.0× |
| Salt Lake City-Murray, UT | 1 | $787.43 | $787.43 | $787.43 | 1.0× |
| San Diego-Chula Vista-Carlsbad, CA | 3 | $276.00 | $326.70 | $730.50 | 2.6× |
| San Francisco-Oakland-Fremont, CA | 9 | $963.20 | $963.20 | $963.20 | 1.0× |
| 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× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $315.25 | $315.25 | $315.25 | 1.0× |
| Shawano, WI | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $331.75 | $331.75 | $331.75 | 1.0× |
| Shelbyville, TN | 1 | $208.22 | $208.22 | $208.22 | 1.0× |
| Sioux City, IA-NE-SD | 1 | $513.60 | $513.60 | $513.60 | 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× |
| 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× |
| Two Harbors, MN single city | 1 | $508.61 | $508.61 | $508.61 | 1.0× |
| Tucson, AZ | 1 | $280.12 | $280.12 | $280.12 | 1.0× |
| Tullahoma-Manchester, TN | 1 | $208.22 | $208.22 | $208.22 | 1.0× |
| Vallejo, CA | 2 | $963.20 | $963.20 | $963.20 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 5 | $494.50 | $494.50 | $494.50 | 1.0× |
| Waupaca, WI single city | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Wild Rose, WI single city | 1 | $1,474.59 | $1,474.59 | $1,474.59 | 1.0× |
| Woodruff, WI single city | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Waco, TX | 1 | $534.04 | $534.04 | $534.04 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 1 | $494.50 | $494.50 | $494.50 | 1.0× |
| Waterloo-Cedar Falls, IA | 1 | $513.60 | $513.60 | $513.60 | 1.0× |
| Wausau, WI | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Wisconsin Rapids-Marshfield, WI | 1 | $401.70 | $401.70 | $401.70 | 1.0× |
| Worcester, MA | 1 | $1,232.00 | $1,232.00 | $1,232.00 | 1.0× |
Common questions
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, $411.03 across 288 hospitals, is 1.9× that.