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Family psychotherapy with the patient in Seattle, WA costs $68 to $336. Here's every hospital's price.

5 hospitals in the Seattle-Tacoma-Bellevue, WA metro area publish a cash price for family psychotherapy with the patient (CPT 90847). We read their files every month so you don't have to.

Across the Seattle-Tacoma-Bellevue, WA metro area, 5 hospitals list a cash price for family psychotherapy with the patient (CPT 90847). The lowest is $68 at Virginia Mason Medical Center, the median is $256 and the highest is $336 at Swedish Issaquah. The most expensive hospital lists 4.9 times the cheapest for the same code.

The Seattle, WA median of $256 is 28% above the national median of $200 across 316 US hospitals with a cash price for this code.

6 of these hospitals also publish the rates they negotiated with insurers, from $3 to $1,253. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between January 2026 and April 2026. 21 other hospitals in the metro area have no readable price for this code: some publish no file, some block automated reading, some leave the code out. They are listed below so you can call them.

$68
lowest cash price in Seattle, WA
Virginia Mason Medical Center · 24 mi
$188 below the median
$256
median cash price
5 hospitals
4.9×
highest ÷ lowest
same procedure, same metro
5/27
hospitals with a cash price
21 don't · see who

Sorted by cash price

Hospital facility fee only
1
Virginia Mason Medical Center

Seattle · 24 mi · File Jan 2026

$68
list $133 · lowest of 6 lines
2
Valley Medical Center

Renton · 18 mi · File Mar 2026

$103
list $147
3
Providence Regional Medical Center Everett

Everett · 39 mi · File Apr 2026

$256
list $492 · lowest of 6 lines
4
Swedish Medical Center / Cherry Hill

Seattle · 24 mi · File Apr 2026

$336
list $699 · lowest of 6 lines
5
Swedish Issaquah

Issaquah · 9 mi · File Apr 2026

$336
list $699 · lowest of 6 lines
6
Overlake Hospital Medical Center & Clinics

Bellevue · 19 mi · File Apr 2026

1

What's in the price

The hospital facility fee for CPT 90847. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 90847, in writing, and whether it covers facility, physician and anesthesia."

About family psychotherapy with the patient

CPT 90847 is a family or couples therapy session, usually 50 minutes, with the identified patient present. It is the code for couples counseling when one partner is the patient of record, and for family sessions in child and adolescent treatment.

What the price covers

The session only. At hospital-owned clinics a facility fee may be added. Insurance often covers family therapy only when it treats a diagnosed patient, not relationship counseling as such; the cash price is what couples counseling usually costs.

Why prices vary

Hospital behavioral health departments list higher prices than private practice, mostly because of facility fees. Private couples and family therapists commonly charge $120 to $300 per session cash, often with sliding scales.

Questions to ask

  • What is the self-pay price for 90847, and is there a facility fee?
  • Is this billed as treatment of one patient's diagnosis or as relationship counseling?
  • Is a sliding scale available?

Hospitals in Seattle, WA without a price for this procedure

Listed so you know who to call. The reason is what we found on their website.

Questions people ask