ECT cost without insurance
The median hospital cash price for electroconvulsive therapy (ECT), one session is $1,074.00 across 826 US hospitals; most list between $391.05 and $3,395.17. The lowest outpatient cash price in any of 302 markets is $82.25. 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
Lowest$82.25any market
Median market$977.00middle of market medians
Most below$3,395.179 in 10 hospitals
Listings824hospital 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, $1,074.00 across 826 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.
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 ECT, the highest negotiated rate in a hospital's file has a median of $1,790.50 and the lowest a median of $263.50. At 471 of 570 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 90870?
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
Among 36 states with at least 5 hospitals listing a cash price, the median is lowest in Arkansas ($298.75), Mississippi ($352.59) and Louisiana ($523.20), and highest in Colorado ($4,647.26), Utah ($3,953.27) and Georgia ($3,334.69).
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$977.00
- Alaska$3,114.82, 2 hospitals
- Arizona$935.28
- Arkansas$298.75
- California$2,401.00
- Colorado$4,647.26
- Connecticut$2,118.00, 3 hospitals
- District of Columbia$663.50, 1 hospital
- Florida$1,379.30
- Georgia$3,334.69
- Idaho$2,396.14, 4 hospitals
- Illinois$904.50
- Indiana$1,269.90
- Iowa$842.62
- Kansas$3,395.17, 4 hospitals
- Kentucky$905.87
- Louisiana$523.20
- Maine$1,011.75
- Maryland$6,714.18, 1 hospital
- Massachusetts$1,019.63
- Michigan$827.45
- Minnesota$567.82
- Mississippi$352.59
- Missouri$1,298.48
- Montana$1,049.86, 2 hospitals
- Nebraska$585.66
- Nevada$3,770.00, 1 hospital
- New Hampshire$2,595.50
- New Jersey$587.81
- New Mexico$1,265.16, 2 hospitals
- New York$861.94
- North Carolina$1,804.50
- North Dakota$957.60
- Ohio$1,353.00
- Oklahoma$730.74
- Oregon$1,341.30
- Pennsylvania$1,262.40
- Rhode Island$342.30, 3 hospitals
- South Carolina$1,370.20
- South Dakota$1,535.20, 1 hospital
- Tennessee$785.96
- Texas$1,052.70
- Utah$3,953.27
- Vermont$873.18, 2 hospitals
- Virginia$794.50
- Washington$840.99
- West Virginia$809.00
- Wisconsin$731.25
- Wyoming$1,362.58, 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 | × |
|---|---|---|---|---|---|
| Ahoskie, NC single city | 1 | $388.08 | $388.08 | $388.08 | 1.0× |
| Akron, OH | 3 | $1,034.80 | $1,353.00 | $3,163.25 | 3.1× |
| Albemarle, NC | 1 | $1,804.50 | $1,804.50 | $1,804.50 | 1.0× |
| Albertville, AL | 2 | $977.00 | $977.00 | $977.00 | 1.0× |
| Allentown-Bethlehem-Easton, PA-NJ | 8 | $708.02 | $1,596.92 | $1,596.92 | 2.3× |
| 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 | 2 | $827.45 | $896.93 | $966.40 | 1.2× |
| Antigo, WI single city | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| Appleton, WI | 2 | $364.90 | $364.90 | $364.90 | 1.0× |
| Asheville, NC | 1 | $2,511.85 | $2,511.85 | $2,511.85 | 1.0× |
| Athens, OH | 1 | $2,263.30 | $2,263.30 | $2,263.30 | 1.0× |
| Atlanta-Sandy Springs-Roswell, GA | 17 | $759.30 | $4,517.37 | $4,517.37 | 5.9× |
| Atlantic City-Hammonton, NJ | 2 | $232.50 | $671.79 | $1,111.07 | 4.8× |
| Augusta-Richmond County, GA-SC | 1 | $4,517.37 | $4,517.37 | $4,517.37 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 11 | $473.67 | $698.32 | $1,026.59 | 2.2× |
| Bangor, ME | 1 | $672.12 | $672.12 | $672.12 | 1.0× |
| Barre, VT | 1 | $1,277.36 | $1,277.36 | $1,277.36 | 1.0× |
| Baton Rouge, LA | 2 | $523.20 | $690.16 | $857.12 | 1.6× |
| Beaumont-Port Arthur, TX | 1 | $170.43 | $170.43 | $170.43 | 1.0× |
| Beckley, WV | 2 | $516.00 | $754.80 | $993.60 | 1.9× |
| Berlin, WI single city | 1 | $364.90 | $364.90 | $364.90 | 1.0× |
| Birmingham, AL | 2 | $590.10 | $1,872.55 | $3,155.00 | 5.3× |
| Bismarck, ND | 1 | $1,313.60 | $1,313.60 | $1,313.60 | 1.0× |
| Blackfoot, ID | 1 | $721.00 | $721.00 | $721.00 | 1.0× |
| Blacksburg-Christiansburg-Radford, VA | 1 | $658.35 | $658.35 | $658.35 | 1.0× |
| Bloomington, IL | 1 | $1,229.00 | $1,229.00 | $1,229.00 | 1.0× |
| Boise City, ID | 1 | $3,700.52 | $3,700.52 | $3,700.52 | 1.0× |
| Boston-Cambridge-Newton, MA-NH | 16 | $200.00 | $1,785.50 | $2,822.00 | 14.1× |
| Boulder, CO | 2 | $1,921.00 | $3,284.13 | $4,647.26 | 2.4× |
| Brenham, TX | 1 | $1,510.51 | $1,510.51 | $1,510.51 | 1.0× |
| Brookville, PA single city | 1 | $6,424.00 | $6,424.00 | $6,424.00 | 1.0× |
| Buffalo-Cheektowaga, NY | 2 | $861.94 | $984.47 | $1,107.00 | 1.3× |
| 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× |
| 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× |
| Carlsbad-Artesia, NM | 1 | $316.20 | $316.20 | $316.20 | 1.0× |
| Carroll, IA | 1 | $1,409.00 | $1,409.00 | $1,409.00 | 1.0× |
| Cedar Rapids, IA single city | 1 | $542.16 | $542.16 | $542.16 | 1.0× |
| Chambersburg, PA | 1 | $1,066.40 | $1,066.40 | $1,066.40 | 1.0× |
| Champaign-Urbana, IL | 1 | $693.00 | $693.00 | $693.00 | 1.0× |
| Charleston, WV | 1 | $604.50 | $604.50 | $604.50 | 1.0× |
| Charleston-North Charleston, SC | 4 | $806.00 | $2,024.00 | $2,024.00 | 2.5× |
| Charlevoix, MI single city | 1 | $1,201.90 | $1,201.90 | $1,201.90 | 1.0× |
| Charlotte-Concord-Gastonia, NC-SC | 9 | $1,804.50 | $1,804.50 | $1,804.50 | 1.0× |
| Charlottesville, VA | 1 | $822.00 | $822.00 | $822.00 | 1.0× |
| Chattanooga, TN-GA | 3 | $1,533.60 | $1,533.60 | $4,386.70 | 2.9× |
| Cheyenne, WY | 1 | $1,362.58 | $1,362.58 | $1,362.58 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 28 | $150.86 | $844.33 | $2,782.98 | 18.4× |
| Cincinnati, OH-KY-IN | 8 | $203.00 | $1,021.80 | $2,130.57 | 10.5× |
| Cleveland, OH | 19 | $835.27 | $1,034.80 | $1,831.50 | 2.2× |
| 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 | 8 | $1,969.50 | $3,064.10 | $3,064.10 | 1.6× |
| Corbin, KY | 1 | $3,490.93 | $3,490.93 | $3,490.93 | 1.0× |
| Corning, NY | 1 | $685.88 | $685.88 | $685.88 | 1.0× |
| Crestview-Fort Walton Beach-Destin, FL | 1 | $6,071.25 | $6,071.25 | $6,071.25 | 1.0× |
| Cuba, NY single city | 1 | $1,205.00 | $1,205.00 | $1,205.00 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 31 | $424.80 | $1,052.70 | $3,072.50 | 7.2× |
| Davenport-Moline-Rock Island, IA-IL | 4 | $534.60 | $718.91 | $842.62 | 1.6× |
| Dayton-Kettering-Beavercreek, OH | 2 | $2,098.00 | $2,098.00 | $2,098.00 | 1.0× |
| Decatur, AL | 3 | $2,400.00 | $2,400.00 | $2,400.00 | 1.0× |
| Decatur, IL | 1 | $1,146.24 | $1,146.24 | $1,146.24 | 1.0× |
| DeKalb, MS single city | 1 | $162.15 | $162.15 | $162.15 | 1.0× |
| Deltona-Daytona Beach-Ormond Beach, FL | 2 | $536.00 | $536.00 | $536.00 | 1.0× |
| Denver-Aurora-Centennial, CO | 7 | $577.50 | $4,647.26 | $4,647.26 | 8.0× |
| Des Moines-West Des Moines, IA | 2 | $881.00 | $1,129.34 | $1,377.68 | 1.6× |
| Detroit-Warren-Dearborn, MI | 5 | $320.32 | $827.45 | $1,180.80 | 3.7× |
| Devils Lake, ND single city | 1 | $844.24 | $844.24 | $844.24 | 1.0× |
| DuBois, PA | 2 | $6,424.00 | $6,424.00 | $6,424.00 | 1.0× |
| Dubuque, IA | 1 | $636.35 | $636.35 | $636.35 | 1.0× |
| Duluth, MN-WI | 1 | $612.00 | $612.00 | $612.00 | 1.0× |
| Duncan, OK | 1 | $1,081.78 | $1,081.78 | $1,081.78 | 1.0× |
| Durham, NC single city | 1 | $142.29 | $142.29 | $142.29 | 1.0× |
| Durham-Chapel Hill, NC | 1 | $142.29 | $142.29 | $142.29 | 1.0× |
| Eagle River, WI single city | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| East Amery, WI single city | 1 | $417.12 | $417.12 | $417.12 | 1.0× |
| East Stroudsburg, PA | 1 | $1,596.92 | $1,596.92 | $1,596.92 | 1.0× |
| Eau Claire, WI | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| El Paso, TX | 1 | $2,599.00 | $2,599.00 | $2,599.00 | 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 | $685.88 | $685.88 | $685.88 | 1.0× |
| Erie, PA | 1 | $766.00 | $766.00 | $766.00 | 1.0× |
| Evansville, IN | 2 | $882.42 | $948.81 | $1,015.20 | 1.2× |
| 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× |
| Farmington, CT single city | 1 | $1,500.00 | $1,500.00 | $1,500.00 | 1.0× |
| Farmington, ME single city | 1 | $1,011.75 | $1,011.75 | $1,011.75 | 1.0× |
| Fayetteville-Springdale-Rogers, AR | 3 | $136.00 | $445.70 | $509.38 | 3.7× |
| Fergus Falls, MN | 1 | $243.10 | $243.10 | $243.10 | 1.0× |
| Flagstaff, AZ | 1 | $973.73 | $973.73 | $973.73 | 1.0× |
| Florence, SC | 1 | $806.00 | $806.00 | $806.00 | 1.0× |
| Florence-Muscle Shoals, AL | 1 | $977.00 | $977.00 | $977.00 | 1.0× |
| Fond du Lac, WI | 1 | $364.90 | $364.90 | $364.90 | 1.0× |
| Fort Dodge, IA | 1 | $893.12 | $893.12 | $893.12 | 1.0× |
| Fort Scott, KS single city | 1 | $866.36 | $866.36 | $866.36 | 1.0× |
| Fort Wayne, IN | 3 | $285.84 | $357.30 | $1,813.50 | 6.3× |
| Freeport, IL | 1 | $356.80 | $356.80 | $356.80 | 1.0× |
| Fresno, CA | 1 | $3,640.00 | $3,640.00 | $3,640.00 | 1.0× |
| Gadsden, AL | 1 | $1,419.08 | $1,419.08 | $1,419.08 | 1.0× |
| Gaffney, SC | 1 | $2,422.20 | $2,422.20 | $2,422.20 | 1.0× |
| Gainesville, FL | 1 | $1,475.10 | $1,475.10 | $1,475.10 | 1.0× |
| Gaylord, MI single city | 1 | $1,201.90 | $1,201.90 | $1,201.90 | 1.0× |
| Grand Forks, ND-MN | 2 | $844.24 | $1,084.62 | $1,325.00 | 1.6× |
| Grand Rapids-Wyoming-Kentwood, MI | 3 | $85.75 | $85.75 | $578.50 | 6.7× |
| Grayling, MI single city | 1 | $1,201.90 | $1,201.90 | $1,201.90 | 1.0× |
| Green Bay, WI | 1 | $552.82 | $552.82 | $552.82 | 1.0× |
| Greensboro-High Point, NC | 1 | $2,319.50 | $2,319.50 | $2,319.50 | 1.0× |
| Greenville, NC | 1 | $403.86 | $403.86 | $403.86 | 1.0× |
| Greenville-Anderson-Greer, SC | 3 | $1,100.00 | $1,100.00 | $1,100.00 | 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× |
| Hartford, CT single city | 1 | $2,118.00 | $2,118.00 | $2,118.00 | 1.0× |
| Hattiesburg, MS | 1 | $352.59 | $352.59 | $352.59 | 1.0× |
| Henderson, KY | 1 | $802.20 | $802.20 | $802.20 | 1.0× |
| Hermitage, PA | 1 | $1,370.93 | $1,370.93 | $1,370.93 | 1.0× |
| Hickory-Lenoir-Morganton, NC | 1 | $759.78 | $759.78 | $759.78 | 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 | $731.25 | $731.25 | $731.25 | 1.0× |
| Houma-Bayou Cane-Thibodaux, LA | 1 | $94.60 | $94.60 | $94.60 | 1.0× |
| Houston-Pasadena-The Woodlands, TX | 12 | $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 | 2 | $1,073.72 | $2,526.46 | $3,979.19 | 3.7× |
| Huntsville, AL | 2 | $977.00 | $977.00 | $977.00 | 1.0× |
| Idaho Falls, ID single city | 1 | $3,321.68 | $3,321.68 | $3,321.68 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 6 | $1,569.00 | $1,636.20 | $1,636.20 | 1.0× |
| Iowa City, IA | 2 | $1,026.20 | $1,026.20 | $1,026.20 | 1.0× |
| Iron River, MI single city | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| Ironwood, MI single city | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| Jackson, MS | 2 | $500.00 | $500.00 | $500.00 | 1.0× |
| Jacksonville, FL | 3 | $732.85 | $3,010.00 | $18,402.60 | 25.1× |
| Jamestown-Dunkirk, NY | 1 | $1,205.00 | $1,205.00 | $1,205.00 | 1.0× |
| Johnson, AR single city | 1 | $700.39 | $700.39 | $700.39 | 1.0× |
| Johnstown, PA | 1 | $523.20 | $523.20 | $523.20 | 1.0× |
| Joplin, MO-KS | 3 | $866.36 | $866.36 | $866.36 | 1.0× |
| Kansas City, MO-KS | 4 | $3,395.17 | $6,063.27 | $8,731.37 | 2.6× |
| Kearney, NE | 1 | $972.08 | $972.08 | $972.08 | 1.0× |
| Kenton, OH single city | 1 | $1,977.95 | $1,977.95 | $1,977.95 | 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 | $1,510.51 | $1,510.51 | 1.0× |
| Kiryas Joel-Poughkeepsie-Newburgh, NY | 2 | $1,071.95 | $2,149.98 | $3,228.00 | 3.0× |
| Knoxville, TN | 3 | $394.80 | $659.34 | $785.96 | 2.0× |
| 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× |
| Lakeland-Winter Haven, FL | 2 | $1,074.00 | $1,074.00 | $1,074.00 | 1.0× |
| Lancaster, PA | 1 | $736.20 | $736.20 | $736.20 | 1.0× |
| Lansing-East Lansing, MI | 3 | $85.75 | $85.75 | $85.75 | 1.0× |
| Las Cruces, NM | 1 | $2,214.11 | $2,214.11 | $2,214.11 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 1 | $3,770.00 | $3,770.00 | $3,770.00 | 1.0× |
| Lebanon, KY single city | 1 | $676.06 | $676.06 | $676.06 | 1.0× |
| Lebanon-Claremont, NH-VT | 1 | $681.77 | $681.77 | $681.77 | 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 | 3 | $260.26 | $296.09 | $301.41 | 1.2× |
| Los Angeles-Long Beach-Anaheim, CA | 13 | $1,421.16 | $1,421.16 | $2,552.20 | 1.8× |
| Louisville, KY single city | 1 | $226.60 | $226.60 | $226.60 | 1.0× |
| Louisville/Jefferson County, KY-IN | 11 | $170.16 | $226.60 | $3,490.93 | 20.5× |
| Lubbock, TX | 3 | $257.04 | $257.04 | $1,595.00 | 6.2× |
| Macon-Bibb County, GA | 2 | $744.30 | $744.30 | $744.30 | 1.0× |
| Madison, WI | 2 | $539.81 | $635.53 | $731.25 | 1.4× |
| Manchester-Nashua, NH | 2 | $714.47 | $791.06 | $867.65 | 1.2× |
| Manistee, MI single city | 1 | $1,201.90 | $1,201.90 | $1,201.90 | 1.0× |
| Mansfield, OH | 2 | $2,756.65 | $2,756.65 | $2,756.65 | 1.0× |
| Marble Falls, TX single city | 1 | $1,452.41 | $1,452.41 | $1,452.41 | 1.0× |
| Marion, OH | 1 | $1,683.50 | $1,683.50 | $1,683.50 | 1.0× |
| Marquette, MI | 1 | $1,084.89 | $1,084.89 | $1,084.89 | 1.0× |
| Marshalltown, IA | 1 | $606.68 | $606.68 | $606.68 | 1.0× |
| Medford, WI single city | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| Meridian, MS | 2 | $82.25 | $119.85 | $157.45 | 1.9× |
| Merrill, WI single city | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 13 | $1,154.40 | $1,379.30 | $3,583.00 | 3.1× |
| Michigan City-La Porte, IN | 2 | $430.56 | $430.56 | $430.56 | 1.0× |
| Milwaukee-Waukesha, WI | 7 | $121.37 | $955.00 | $1,525.87 | 12.6× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 12 | $206.18 | $567.82 | $601.80 | 2.9× |
| Minot, ND | 2 | $957.60 | $957.60 | $957.60 | 1.0× |
| 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× |
| Monroe, LA | 1 | $781.20 | $781.20 | $781.20 | 1.0× |
| Montgomery, AL | 1 | $1,470.00 | $1,470.00 | $1,470.00 | 1.0× |
| Morrilton, AR single city | 1 | $264.41 | $264.41 | $264.41 | 1.0× |
| Mount Vernon-Anacortes, WA | 1 | $476.00 | $476.00 | $476.00 | 1.0× |
| Muscatine, IA | 1 | $842.62 | $842.62 | $842.62 | 1.0× |
| Muskogee, OK | 1 | $730.74 | $730.74 | $730.74 | 1.0× |
| Myrtle Beach-Conway-North Myrtle Beach, SC | 1 | $1,997.00 | $1,997.00 | $1,997.00 | 1.0× |
| Nacogdoches, TX | 1 | $100.00 | $100.00 | $100.00 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 4 | $322.20 | $776.53 | $1,585.92 | 4.9× |
| New Canaan, CT single city | 1 | $2,500.00 | $2,500.00 | $2,500.00 | 1.0× |
| New London, WI single city | 1 | $364.90 | $364.90 | $364.90 | 1.0× |
| New Orleans-Metairie, LA | 5 | $311.84 | $378.62 | $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 | 55 | $128.06 | $627.89 | $9,050.00 | 70.7× |
| North Port-Bradenton-Sarasota, FL | 1 | $2,786.00 | $2,786.00 | $2,786.00 | 1.0× |
| Northridge, CA single city | 1 | $672.02 | $672.02 | $672.02 | 1.0× |
| Ogden, UT | 3 | $3,947.57 | $4,032.13 | $4,032.13 | 1.0× |
| Omaha, NE-IA | 8 | $433.55 | $585.66 | $585.66 | 1.4× |
| Orangeburg, SC | 1 | $806.00 | $806.00 | $806.00 | 1.0× |
| Orlando-Kissimmee-Sanford, FL | 4 | $1,475.10 | $1,526.05 | $7,296.35 | 4.9× |
| 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× |
| Paducah, KY-IL | 2 | $1,830.60 | $2,660.77 | $3,490.93 | 1.9× |
| Parkersburg-Vienna, WV | 1 | $809.00 | $809.00 | $809.00 | 1.0× |
| Payson, AZ | 1 | $445.21 | $445.21 | $445.21 | 1.0× |
| Pensacola-Ferry Pass-Brent, FL | 1 | $239.70 | $239.70 | $239.70 | 1.0× |
| Peoria, IL | 4 | $894.00 | $2,069.00 | $2,069.00 | 2.3× |
| Perry, FL single city | 1 | $386.40 | $386.40 | $386.40 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 10 | $199.40 | $730.90 | $6,714.18 | 33.7× |
| Phoenix-Mesa-Chandler, AZ | 18 | $404.19 | $2,413.00 | $2,708.00 | 6.7× |
| Pittsburgh, PA | 7 | $632.40 | $1,428.84 | $3,854.40 | 6.1× |
| Pittsfield, MA | 3 | $889.59 | $889.59 | $889.59 | 1.0× |
| Pocatello, ID | 1 | $1,470.60 | $1,470.60 | $1,470.60 | 1.0× |
| Poplar Bluff, MO | 1 | $638.86 | $638.86 | $638.86 | 1.0× |
| Port St. Lucie, FL | 1 | $1,293.50 | $1,293.50 | $1,293.50 | 1.0× |
| Portland-South Portland, ME | 2 | $1,181.15 | $1,358.43 | $1,535.70 | 1.3× |
| Portland-Vancouver-Hillsboro, OR-WA | 12 | $920.40 | $1,341.30 | $1,399.50 | 1.5× |
| Providence-Warwick, RI-MA | 5 | $342.30 | $1,299.69 | $2,924.00 | 8.5× |
| Provo-Orem-Lehi, UT | 1 | $3,958.96 | $3,958.96 | $3,958.96 | 1.0× |
| Pulaski, TN single city | 1 | $1,055.32 | $1,055.32 | $1,055.32 | 1.0× |
| Punta Gorda, FL | 1 | $5,389.78 | $5,389.78 | $5,389.78 | 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× |
| Rhinelander, WI single city | 1 | $731.25 | $731.25 | $731.25 | 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 | 6 | $1,298.70 | $1,421.16 | $1,421.16 | 1.1× |
| Roanoke, VA | 3 | $658.35 | $658.35 | $6,280.00 | 9.5× |
| Rochester, NY | 3 | $1,362.80 | $1,362.80 | $1,821.55 | 1.3× |
| Ruleville, MS single city | 1 | $460.50 | $460.50 | $460.50 | 1.0× |
| Russellville, AL | 1 | $977.00 | $977.00 | $977.00 | 1.0× |
| Sacramento-Roseville-Folsom, CA | 5 | $2,401.00 | $3,640.00 | $3,640.00 | 1.5× |
| Salt Lake City-Murray, UT | 1 | $1,346.10 | $1,346.10 | $1,346.10 | 1.0× |
| San Antonio-New Braunfels, TX | 2 | $333.50 | $2,573.30 | $4,813.10 | 14.4× |
| San Diego-Chula Vista-Carlsbad, CA | 11 | $368.25 | $1,421.16 | $2,040.75 | 5.5× |
| San Francisco-Oakland-Fremont, CA | 18 | $2,550.00 | $3,640.00 | $3,640.00 | 1.4× |
| San Jose-Sunnyvale-Santa Clara, CA | 5 | $561.50 | $3,640.00 | $7,545.09 | 13.4× |
| Santa Rosa-Petaluma, CA | 1 | $3,640.00 | $3,640.00 | $3,640.00 | 1.0× |
| Savannah, GA | 1 | $2,152.00 | $2,152.00 | $2,152.00 | 1.0× |
| Scranton--Wilkes-Barre, PA | 3 | $805.68 | $805.68 | $1,073.00 | 1.3× |
| Seattle-Tacoma-Bellevue, WA | 4 | $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 | $955.00 | $955.00 | $955.00 | 1.0× |
| Shelby-Kings Mountain, NC | 1 | $1,804.50 | $1,804.50 | $1,804.50 | 1.0× |
| Shelbyville, TN | 1 | $479.37 | $479.37 | $479.37 | 1.0× |
| Sidney, MT single city | 1 | $203.72 | $203.72 | $203.72 | 1.0× |
| Sioux City, IA-NE-SD | 1 | $1,216.68 | $1,216.68 | $1,216.68 | 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× |
| South Boston, VA single city | 1 | $966.50 | $966.50 | $966.50 | 1.0× |
| Spartanburg, SC | 1 | $2,422.20 | $2,422.20 | $2,422.20 | 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 | $1,098.00 | $1,098.00 | $1,098.00 | 1.0× |
| Springfield, MO | 2 | $1,366.95 | $1,366.95 | $1,366.95 | 1.0× |
| St. Joseph, MO-KS | 2 | $1,445.00 | $1,445.00 | $1,445.00 | 1.0× |
| St. Louis, MO-IL | 5 | $435.55 | $887.90 | $1,542.24 | 3.5× |
| St. Marys, PA | 1 | $6,424.00 | $6,424.00 | $6,424.00 | 1.0× |
| Staples, MN single city | 1 | $181.66 | $181.66 | $181.66 | 1.0× |
| Stevens Point-Plover, WI | 2 | $731.25 | $731.25 | $731.25 | 1.0× |
| Stockton-Lodi, CA | 1 | $3,640.00 | $3,640.00 | $3,640.00 | 1.0× |
| Suffolk, VA single city | 1 | $794.50 | $794.50 | $794.50 | 1.0× |
| Syracuse, NY | 1 | $1,357.20 | $1,357.20 | $1,357.20 | 1.0× |
| Tallahassee, FL | 1 | $7,611.20 | $7,611.20 | $7,611.20 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 17 | $1,074.00 | $1,074.00 | $6,030.09 | 5.6× |
| Temple, TX single city | 1 | $1,510.51 | $1,510.51 | $1,510.51 | 1.0× |
| Toledo, OH | 1 | $14,460.18 | $14,460.18 | $14,460.18 | 1.0× |
| Tomahawk, WI single city | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| Traverse City, MI | 3 | $1,201.90 | $1,201.90 | $1,201.90 | 1.0× |
| Tucson, AZ | 7 | $416.08 | $701.46 | $935.28 | 2.2× |
| Tullahoma-Manchester, TN | 1 | $479.37 | $479.37 | $479.37 | 1.0× |
| Tulsa, OK | 2 | $730.74 | $730.74 | $730.74 | 1.0× |
| Two Harbors, MN single city | 1 | $925.88 | $925.88 | $925.88 | 1.0× |
| Vallejo, CA | 2 | $3,640.00 | $3,640.00 | $3,640.00 | 1.0× |
| Van Wert, OH | 1 | $1,977.95 | $1,977.95 | $1,977.95 | 1.0× |
| Vernal, UT | 1 | $1,084.89 | $1,084.89 | $1,084.89 | 1.0× |
| Vincennes, IN | 1 | $307.80 | $307.80 | $307.80 | 1.0× |
| Vinita, OK single city | 1 | $730.74 | $730.74 | $730.74 | 1.0× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 6 | $794.50 | $794.50 | $794.50 | 1.0× |
| Waco, TX | 1 | $1,452.41 | $1,452.41 | $1,452.41 | 1.0× |
| Washington, IN | 1 | $1,524.60 | $1,524.60 | $1,524.60 | 1.0× |
| Washington, NC | 1 | $403.86 | $403.86 | $403.86 | 1.0× |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 7 | $663.50 | $1,130.00 | $1,130.00 | 1.7× |
| Waterloo-Cedar Falls, IA | 1 | $606.68 | $606.68 | $606.68 | 1.0× |
| Waupaca, WI single city | 1 | $364.90 | $364.90 | $364.90 | 1.0× |
| Wausau, WI | 1 | $731.25 | $731.25 | $731.25 | 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× |
| Williamsport, PA | 1 | $2,124.00 | $2,124.00 | $2,124.00 | 1.0× |
| Winston-Salem, NC | 2 | $2,207.00 | $2,267.75 | $2,328.50 | 1.1× |
| Wisconsin Rapids-Marshfield, WI | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| Woodruff, WI single city | 1 | $731.25 | $731.25 | $731.25 | 1.0× |
| Worcester, MA | 2 | $1,272.00 | $1,742.00 | $2,212.00 | 1.7× |
| Yakima, WA | 1 | $248.30 | $248.30 | $248.30 | 1.0× |
| York-Hanover, PA | 3 | $531.20 | $736.20 | $736.20 | 1.4× |
| Ypsilanti, MI single city | 1 | $827.45 | $827.45 | $827.45 | 1.0× |
| Yuma, AZ | 1 | $378.30 | $378.30 | $378.30 | 1.0× |
| Zanesville, OH | 1 | $703.93 | $703.93 | $703.93 | 1.0× |
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
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.
Common questions
What is CPT code 90870?
CPT 90870 is the billing code for electroconvulsive therapy (ECT), one session. ECT treats severe depression with a brief electric current to the brain under anesthesia.
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, $1,074.00 across 826 hospitals, is 1.2× that.
Is it cheaper to pay cash or use insurance for ECT?
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 ECT has a median of $1,790.50 and the lowest a median of $263.50; at 471 of 570 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 ECT?
Among 36 states with at least 5 hospitals listing a cash price, the median is lowest in Arkansas ($298.75), Mississippi ($352.59) and Louisiana ($523.20), and highest in Colorado ($4,647.26), Utah ($3,953.27) and Georgia ($3,334.69). Prices vary as much between hospitals in the same state, so compare hospitals near you.