Doctor visits and therapy CPT 90870 256 markets

ECT cost without insurance

Across 256 US markets, hospitals list an outpatient cash price for electroconvulsive therapy (ECT), one session from $95.13 to $14,460.18. The median market price is $807.60. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Sep 27, 2026 Each price links to its source file

Lowest$95.13any market
Median market$807.60middle of market medians
Highest$14,460.18any market
Listings602hospital prices

Compared with Medicare

$877.34 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, $1,019.31 across 603 hospitals, is 1.2× 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

ECT treats severe depression with a brief electric current to the brain under anesthesia.

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 90870 covers the whole visit.

Prices by state

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowest MedianHighest×
Ahoskie, NC single city 1 $388.08 $388.08 $388.08 1.0×
Anna, IL single city 1 $134.75 $134.75 $134.75 1.0×
Antigo, WI single city 1 $516.75 $516.75 $516.75 1.0×
Akron, OH 2 $1,034.80 $1,193.90 $1,353.00 1.3×
Albemarle, NC 1 $1,804.50 $1,804.50 $1,804.50 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $708.02 $708.02 $708.02 1.0×
Altoona, PA 2 $633.00 $3,528.50 $6,424.00 10.1×
Anchorage, AK 1 $4,578.60 $4,578.60 $4,578.60 1.0×
Ann Arbor, MI 1 $966.40 $966.40 $966.40 1.0×
Appleton, WI 2 $364.90 $364.90 $364.90 1.0×
Ardmore, OK 1 $202.50 $202.50 $202.50 1.0×
Athens, OH 1 $2,263.30 $2,263.30 $2,263.30 1.0×
Atlanta-Sandy Springs-Roswell, GA 17 $1,235.00 $4,517.37 $4,517.37 3.7×
Atlantic City-Hammonton, NJ 1 $1,111.07 $1,111.07 $1,111.07 1.0×
Augusta-Richmond County, GA-SC 1 $4,517.37 $4,517.37 $4,517.37 1.0×
Austin-Round Rock-San Marcos, TX 8 $473.67 $698.32 $698.32 1.5×
Berlin, WI single city 1 $364.90 $364.90 $364.90 1.0×
Brookville, PA single city 1 $6,424.00 $6,424.00 $6,424.00 1.0×
Buckhannon, WV single city 1 $535.00 $535.00 $535.00 1.0×
Bangor, ME 1 $672.12 $672.12 $672.12 1.0×
Barre, VT 1 $433.53 $433.53 $433.53 1.0×
Bellingham, WA 1 $1,625.65 $1,625.65 $1,625.65 1.0×
Bennington, VT 1 $242.38 $242.38 $242.38 1.0×
Birmingham, AL 1 $3,155.00 $3,155.00 $3,155.00 1.0×
Bismarck, ND 1 $1,313.60 $1,313.60 $1,313.60 1.0×
Boston-Cambridge-Newton, MA-NH 6 $200.00 $625.56 $2,160.90 10.8×
Boulder, CO 1 $4,647.26 $4,647.26 $4,647.26 1.0×
Brenham, TX 1 $1,452.41 $1,452.41 $1,452.41 1.0×
Buffalo-Cheektowaga, NY 1 $861.94 $861.94 $861.94 1.0×
Burlington-South Burlington, VT 1 $469.00 $469.00 $469.00 1.0×
Cades, SC single city 1 $593.50 $593.50 $593.50 1.0×
Cedar Rapids, IA single city 1 $390.40 $390.40 $390.40 1.0×
Charlevoix, MI single city 1 $1,201.90 $1,201.90 $1,201.90 1.0×
Concord, NC single city 1 $1,732.30 $1,732.30 $1,732.30 1.0×
Cadillac, MI 1 $1,201.90 $1,201.90 $1,201.90 1.0×
Canton-Massillon, OH 2 $1,034.80 $1,155.28 $1,275.75 1.2×
Cedar Rapids, IA 1 $390.40 $390.40 $390.40 1.0×
Chambersburg, PA 1 $1,066.40 $1,066.40 $1,066.40 1.0×
Charleston, WV 1 $597.00 $597.00 $597.00 1.0×
Charleston-North Charleston, SC 1 $806.00 $806.00 $806.00 1.0×
Charlotte-Concord-Gastonia, NC-SC 8 $1,732.30 $1,732.30 $1,732.30 1.0×
Charlottesville, VA 1 $822.00 $822.00 $822.00 1.0×
Chattanooga, TN-GA 1 $200.11 $200.11 $200.11 1.0×
Cheyenne, WY 1 $469.03 $469.03 $469.03 1.0×
Chicago-Naperville-Elgin, IL-IN 26 $150.86 $843.05 $1,857.10 12.3×
Cincinnati, OH-KY-IN 7 $203.00 $534.60 $1,509.00 7.4×
Clarksburg, WV 1 $597.00 $597.00 $597.00 1.0×
Cleveland, OH 19 $114.72 $1,034.80 $3,163.25 27.6×
College Station-Bryan, TX 1 $1,452.41 $1,452.41 $1,452.41 1.0×
Columbia, MO 1 $1,300.20 $1,300.20 $1,300.20 1.0×
Columbus, OH 9 $475.20 $3,064.10 $3,064.10 6.4×
Corbin, KY 1 $3,490.93 $3,490.93 $3,490.93 1.0×
Corning, NY 1 $249.41 $249.41 $249.41 1.0×
Cumberland, MD-WV 1 $823.00 $823.00 $823.00 1.0×
Durham, NC single city 1 $142.29 $142.29 $142.29 1.0×
Dallas-Fort Worth-Arlington, TX 17 $439.50 $1,052.70 $2,926.87 6.7×
Davenport-Moline-Rock Island, IA-IL 4 $390.40 $462.50 $595.20 1.5×
Decatur, IL 1 $1,146.24 $1,146.24 $1,146.24 1.0×
Denver-Aurora-Centennial, CO 5 $577.50 $4,647.26 $4,647.26 8.0×
Des Moines-West Des Moines, IA 1 $390.40 $390.40 $390.40 1.0×
Detroit-Warren-Dearborn, MI 5 $138.23 $138.23 $320.32 2.3×
DuBois, PA 1 $6,424.00 $6,424.00 $6,424.00 1.0×
Dubuque, IA 2 $390.40 $513.38 $636.35 1.6×
Duluth, MN-WI 1 $432.48 $432.48 $432.48 1.0×
Durham-Chapel Hill, NC 1 $142.29 $142.29 $142.29 1.0×
Eagle River, WI single city 1 $516.75 $516.75 $516.75 1.0×
East Amery, WI single city 1 $417.12 $417.12 $417.12 1.0×
Eau Claire, WI 1 $516.75 $516.75 $516.75 1.0×
Elizabeth City, NC 1 $753.00 $753.00 $753.00 1.0×
Elizabethtown, KY 1 $3,490.93 $3,490.93 $3,490.93 1.0×
Elmira, NY 2 $249.41 $249.41 $249.41 1.0×
Eugene-Springfield, OR 1 $856.70 $856.70 $856.70 1.0×
Evansville, IN 2 $134.75 $574.98 $1,015.20 7.5×
Farmington, CT single city 1 $1,500.00 $1,500.00 $1,500.00 1.0×
Farmington, ME single city 1 $922.05 $922.05 $922.05 1.0×
Fairbanks-College, AK 1 $1,651.04 $1,651.04 $1,651.04 1.0×
Fargo, ND-MN 1 $1,258.40 $1,258.40 $1,258.40 1.0×
Fayetteville-Springdale-Rogers, AR 1 $136.00 $136.00 $136.00 1.0×
Flagstaff, AZ 1 $973.73 $973.73 $973.73 1.0×
Florence, SC 1 $806.00 $806.00 $806.00 1.0×
Fond du Lac, WI 1 $364.90 $364.90 $364.90 1.0×
Fort Dodge, IA 1 $390.40 $390.40 $390.40 1.0×
Fort Wayne, IN 5 $101.04 $113.67 $1,813.50 17.9×
Fresno, CA 1 $3,640.00 $3,640.00 $3,640.00 1.0×
Gassaway, WV single city 1 $823.00 $823.00 $823.00 1.0×
Gaylord, MI single city 1 $1,201.90 $1,201.90 $1,201.90 1.0×
Grayling, MI single city 1 $1,201.90 $1,201.90 $1,201.90 1.0×
Grinnell, IA single city 1 $390.40 $390.40 $390.40 1.0×
Gainesville, FL 1 $1,475.10 $1,475.10 $1,475.10 1.0×
Grand Island, NE 1 $1,040.76 $1,040.76 $1,040.76 1.0×
Green Bay, WI 1 $552.82 $552.82 $552.82 1.0×
Greensboro-High Point, NC 1 $2,209.00 $2,209.00 $2,209.00 1.0×
Greenville, NC 1 $403.86 $403.86 $403.86 1.0×
Hartford, CT single city 1 $475.00 $475.00 $475.00 1.0×
Hagerstown-Martinsburg, MD-WV 1 $648.00 $648.00 $648.00 1.0×
Harrisburg-Carlisle, PA 5 $591.85 $736.20 $1,142.65 1.9×
Harrisonburg, VA 1 $822.00 $822.00 $822.00 1.0×
Henderson, KY 1 $134.75 $134.75 $134.75 1.0×
Hilton Head Island-Bluffton-Port Royal, SC 1 $1,640.40 $1,640.40 $1,640.40 1.0×
Holland, MI 1 $2,292.60 $2,292.60 $2,292.60 1.0×
Houghton, MI 1 $516.75 $516.75 $516.75 1.0×
Houston-Pasadena-The Woodlands, TX 10 $848.85 $3,058.00 $3,058.00 3.6×
Huntingdon, PA 1 $6,424.00 $6,424.00 $6,424.00 1.0×
Huntington-Ashland, WV-KY-OH 1 $1,073.72 $1,073.72 $1,073.72 1.0×
Huntsville, AL 1 $977.00 $977.00 $977.00 1.0×
Iron River, MI single city 1 $516.75 $516.75 $516.75 1.0×
Ironwood, MI single city 1 $516.75 $516.75 $516.75 1.0×
Indianapolis-Carmel-Greenwood, IN 6 $1,569.00 $1,636.20 $1,636.20 1.0×
Jackson, MI 1 $135.06 $135.06 $135.06 1.0×
Jacksonville, FL 1 $732.85 $732.85 $732.85 1.0×
Jasper, IN 1 $134.75 $134.75 $134.75 1.0×
Joplin, MO-KS 1 $866.36 $866.36 $866.36 1.0×
Kenton, OH single city 1 $1,977.95 $1,977.95 $1,977.95 1.0×
Kankakee, IL 1 $370.82 $370.82 $370.82 1.0×
Kansas City, MO-KS 2 $3,395.17 $3,395.17 $3,395.17 1.0×
Key West-Key Largo, FL 2 $1,379.30 $1,379.30 $1,379.30 1.0×
Killeen-Temple, TX 3 $1,452.41 $1,452.41 $1,452.41 1.0×
Knoxville, TN 2 $95.13 $244.97 $394.80 4.2×
Kokomo, IN 1 $397.80 $397.80 $397.80 1.0×
LaGrange, GA-AL 1 $4,517.37 $4,517.37 $4,517.37 1.0×
Lancaster, PA 1 $736.20 $736.20 $736.20 1.0×
Lebanon-Claremont, NH-VT 1 $127.91 $127.91 $127.91 1.0×
Lewiston-Auburn, ME 1 $462.84 $462.84 $462.84 1.0×
Lexington-Fayette, KY 2 $1,009.53 $2,250.23 $3,490.93 3.5×
Lima, OH 1 $612.00 $612.00 $612.00 1.0×
Little Rock-North Little Rock-Conway, AR 1 $727.80 $727.80 $727.80 1.0×
Longview-Kelso, WA 1 $1,975.35 $1,975.35 $1,975.35 1.0×
Los Angeles-Long Beach-Anaheim, CA 13 $1,421.16 $1,421.16 $2,552.20 1.8×
Louisville/Jefferson County, KY-IN 4 $226.60 $3,490.93 $3,490.93 15.4×
Lubbock, TX 3 $257.04 $257.04 $1,595.00 6.2×
Manistee, MI single city 1 $1,201.90 $1,201.90 $1,201.90 1.0×
Marble Falls, TX single city 1 $1,452.41 $1,452.41 $1,452.41 1.0×
Medford, WI single city 1 $516.75 $516.75 $516.75 1.0×
Merrill, WI single city 1 $516.75 $516.75 $516.75 1.0×
Morganfield, KY single city 1 $134.75 $134.75 $134.75 1.0×
Madison, WI 2 $516.75 $528.28 $539.81 1.0×
Manchester-Nashua, NH 1 $867.65 $867.65 $867.65 1.0×
Mansfield, OH 2 $2,756.65 $2,756.65 $2,756.65 1.0×
Marion, OH 1 $1,683.50 $1,683.50 $1,683.50 1.0×
Marion-Herrin, IL 1 $134.75 $134.75 $134.75 1.0×
Marshalltown, IA 1 $390.40 $390.40 $390.40 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 4 $1,379.30 $1,379.30 $1,379.30 1.0×
Michigan City-La Porte, IN 1 $98.67 $98.67 $98.67 1.0×
Milwaukee-Waukesha, WI 8 $121.37 $915.00 $1,525.87 12.6×
Minneapolis-St. Paul-Bloomington, MN-WI 11 $99.16 $567.82 $601.80 6.1×
Missoula, MT 1 $1,896.00 $1,896.00 $1,896.00 1.0×
Modesto, CA 1 $3,640.00 $3,640.00 $3,640.00 1.0×
Morgantown, WV 1 $1,383.50 $1,383.50 $1,383.50 1.0×
Mount Vernon, IL 1 $134.75 $134.75 $134.75 1.0×
Mount Vernon-Anacortes, WA 1 $476.00 $476.00 $476.00 1.0×
Muscatine, IA 1 $390.40 $390.40 $390.40 1.0×
Muskogee, OK 1 $730.74 $730.74 $730.74 1.0×
New Canaan, CT single city 1 $3,400.00 $3,400.00 $3,400.00 1.0×
New London, WI single city 1 $364.90 $364.90 $364.90 1.0×
New Martinsville, WV single city 1 $597.00 $597.00 $597.00 1.0×
Newberry, MI single city 1 $131.67 $131.67 $131.67 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 2 $101.79 $145.67 $189.54 1.9×
New Orleans-Metairie, LA 4 $311.84 $518.86 $707.74 2.3×
New Philadelphia-Dover, OH 1 $1,034.80 $1,034.80 $1,034.80 1.0×
New Ulm, MN 1 $689.19 $689.19 $689.19 1.0×
New York-Newark-Jersey City, NY-NJ 38 $113.87 $626.38 $2,693.00 23.6×
Ontario, CA single city 1 $1,421.16 $1,421.16 $1,421.16 1.0×
Oklahoma City, OK 1 $202.50 $202.50 $202.50 1.0×
Omaha, NE-IA 2 $433.55 $433.55 $433.55 1.0×
Orangeburg, SC 1 $806.00 $806.00 $806.00 1.0×
Orlando-Kissimmee-Sanford, FL 3 $1,475.10 $1,475.10 $1,577.00 1.1×
Oshkosh-Neenah, WI 2 $364.90 $364.90 $364.90 1.0×
Ottawa, KS 1 $3,395.17 $3,395.17 $3,395.17 1.0×
Petersburg, WV single city 1 $836.00 $836.00 $836.00 1.0×
Pikeville, TN single city 1 $109.53 $109.53 $109.53 1.0×
Princeton, IN single city 1 $134.75 $134.75 $134.75 1.0×
Pulaski, TN single city 1 $1,055.32 $1,055.32 $1,055.32 1.0×
Paducah, KY-IL 2 $1,830.60 $2,660.77 $3,490.93 1.9×
Parkersburg-Vienna, WV 1 $597.00 $597.00 $597.00 1.0×
Payson, AZ 1 $445.21 $445.21 $445.21 1.0×
Peru, IN 1 $210.50 $210.50 $210.50 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 9 $199.40 $1,262.40 $1,262.40 6.3×
Phoenix-Mesa-Chandler, AZ 17 $299.30 $2,708.00 $2,708.00 9.0×
Pittsburgh, PA 7 $597.00 $1,226.40 $3,854.40 6.5×
Pittsfield, MA 3 $394.46 $394.46 $394.46 1.0×
Port St. Lucie, FL 1 $1,293.50 $1,293.50 $1,293.50 1.0×
Portland-South Portland, ME 3 $276.00 $304.05 $1,271.50 4.6×
Portland-Vancouver-Hillsboro, OR-WA 12 $313.30 $1,324.88 $1,399.50 4.5×
Providence-Warwick, RI-MA 3 $1,299.69 $1,582.05 $2,924.00 2.2×
Punta Gorda, FL 1 $5,389.78 $5,389.78 $5,389.78 1.0×
Rhinelander, WI single city 1 $516.75 $516.75 $516.75 1.0×
Richmond, CA single city 1 $3,640.00 $3,640.00 $3,640.00 1.0×
Ripley, WV single city 1 $497.50 $497.50 $497.50 1.0×
Rockport, ME single city 1 $1,076.45 $1,076.45 $1,076.45 1.0×
Raleigh-Cary, NC 1 $142.29 $142.29 $142.29 1.0×
Reading, PA 1 $897.08 $897.08 $897.08 1.0×
Richmond, VA 1 $746.40 $746.40 $746.40 1.0×
Richmond-Berea, KY 1 $3,490.93 $3,490.93 $3,490.93 1.0×
Riverside-San Bernardino-Ontario, CA 5 $1,298.70 $1,421.16 $1,421.16 1.1×
Rochester, NY 4 $257.50 $1,191.06 $1,362.80 5.3×
South Boston, VA single city 1 $966.50 $966.50 $966.50 1.0×
St. Paul, MN single city 1 $553.20 $553.20 $553.20 1.0×
Suffolk, VA single city 1 $794.50 $794.50 $794.50 1.0×
Summersville, WV single city 1 $823.00 $823.00 $823.00 1.0×
Sacramento-Roseville-Folsom, CA 3 $3,640.00 $3,640.00 $3,640.00 1.0×
Salem, OR 1 $313.30 $313.30 $313.30 1.0×
Salt Lake City-Murray, UT 1 $1,339.17 $1,339.17 $1,339.17 1.0×
San Antonio-New Braunfels, TX 1 $333.50 $333.50 $333.50 1.0×
San Diego-Chula Vista-Carlsbad, CA 11 $368.25 $1,421.16 $2,040.75 5.5×
San Francisco-Oakland-Fremont, CA 9 $3,640.00 $3,640.00 $3,640.00 1.0×
San Jose-Sunnyvale-Santa Clara, CA 4 $561.50 $3,268.40 $3,640.00 6.5×
Santa Rosa-Petaluma, CA 1 $3,640.00 $3,640.00 $3,640.00 1.0×
Seattle-Tacoma-Bellevue, WA 3 $840.99 $1,158.24 $1,158.24 1.4×
Sebastian-Vero Beach-West Vero Corridor, FL 1 $1,293.50 $1,293.50 $1,293.50 1.0×
Shawano, WI 1 $364.90 $364.90 $364.90 1.0×
Sheboygan, WI 1 $915.00 $915.00 $915.00 1.0×
Shelby-Kings Mountain, NC 1 $1,732.30 $1,732.30 $1,732.30 1.0×
Shelbyville, TN 1 $101.79 $101.79 $101.79 1.0×
Sioux City, IA-NE-SD 1 $390.40 $390.40 $390.40 1.0×
Sioux Falls, SD-MN 1 $1,535.20 $1,535.20 $1,535.20 1.0×
Somerset, PA 1 $736.20 $736.20 $736.20 1.0×
South Bend-Mishawaka, IN-MI 1 $958.75 $958.75 $958.75 1.0×
Spokane-Spokane Valley, WA 1 $809.20 $809.20 $809.20 1.0×
Springfield, IL 1 $1,146.24 $1,146.24 $1,146.24 1.0×
Springfield, MA 1 $222.00 $222.00 $222.00 1.0×
Springfield, MO 2 $1,366.95 $1,366.95 $1,366.95 1.0×
St. Louis, MO-IL 4 $884.65 $1,092.33 $1,542.24 1.7×
St. Marys, PA 1 $6,424.00 $6,424.00 $6,424.00 1.0×
Stevens Point-Plover, WI 2 $516.75 $516.75 $516.75 1.0×
Stockton-Lodi, CA 1 $3,640.00 $3,640.00 $3,640.00 1.0×
Syracuse, NY 1 $221.00 $221.00 $221.00 1.0×
Temple, TX single city 1 $1,452.41 $1,452.41 $1,452.41 1.0×
Tomahawk, WI single city 1 $516.75 $516.75 $516.75 1.0×
Two Harbors, MN single city 1 $654.28 $654.28 $654.28 1.0×
Tampa-St. Petersburg-Clearwater, FL 2 $1,596.70 $3,813.40 $6,030.09 3.8×
Toledo, OH 2 $324.60 $7,392.39 $14,460.18 44.5×
Traverse City, MI 3 $1,201.90 $1,201.90 $1,201.90 1.0×
Tucson, AZ 2 $416.08 $480.75 $545.42 1.3×
Tullahoma-Manchester, TN 1 $101.79 $101.79 $101.79 1.0×
Tulsa, OK 2 $730.74 $730.74 $730.74 1.0×
Vinita, OK single city 1 $730.74 $730.74 $730.74 1.0×
Vallejo, CA 3 $537.64 $3,640.00 $3,640.00 6.8×
Van Wert, OH 1 $1,977.95 $1,977.95 $1,977.95 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 5 $794.50 $794.50 $794.50 1.0×
Waupaca, WI single city 1 $364.90 $364.90 $364.90 1.0×
Waynesburg, PA single city 1 $793.94 $793.94 $793.94 1.0×
Wild Rose, WI single city 1 $364.90 $364.90 $364.90 1.0×
Woodruff, WI single city 1 $516.75 $516.75 $516.75 1.0×
Waco, TX 1 $1,452.41 $1,452.41 $1,452.41 1.0×
Washington, NC 1 $403.86 $403.86 $403.86 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 7 $522.50 $1,130.00 $1,130.00 2.2×
Waterloo-Cedar Falls, IA 1 $390.40 $390.40 $390.40 1.0×
Wausau, WI 1 $516.75 $516.75 $516.75 1.0×
Weirton-Steubenville, WV-OH 1 $597.00 $597.00 $597.00 1.0×
Wheeling, WV-OH 3 $597.00 $597.00 $822.50 1.4×
Williamsport, PA 1 $2,124.00 $2,124.00 $2,124.00 1.0×
Winston-Salem, NC 2 $2,091.50 $2,149.25 $2,207.00 1.1×
Wisconsin Rapids-Marshfield, WI 1 $516.75 $516.75 $516.75 1.0×
Worcester, MA 2 $1,272.00 $1,742.00 $2,212.00 1.7×
York-Hanover, PA 2 $736.20 $736.20 $736.20 1.0×
Yuma, AZ 1 $378.30 $378.30 $378.30 1.0×

Common questions

How many sessions are needed?

Often 6 to 12 over several weeks.

Is anesthesia included?

Usually not.

How much does Medicare pay for CPT 90870 (ECT)?

$877.34 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, $1,019.31 across 603 hospitals, is 1.2× that.