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Family psychotherapy without the patient in Seattle, WA costs $68 to $256. Here's every hospital's price.

5 hospitals in the Seattle-Tacoma-Bellevue, WA metro area publish a cash price for family psychotherapy without the patient (CPT 90846). 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 without the patient (CPT 90846). The lowest is $68 at Virginia Mason Medical Center, the median is $203 and the highest is $256 at Providence Regional Medical Center Everett. The most expensive hospital lists 3.8 times the cheapest for the same code.

The Seattle, WA median of $203 is in line with the national median of $210 across 263 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
$135 below the median
$203
median cash price
5 hospitals
3.8×
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

$168
list $240
3
Swedish Medical Center / Cherry Hill

Seattle · 24 mi · File Apr 2026

$203
list $423 · lowest of 2 lines
4
Swedish Issaquah

Issaquah · 9 mi · File Apr 2026

$203
list $423 · lowest of 2 lines
5
Providence Regional Medical Center Everett

Everett · 39 mi · File Apr 2026

$256
list $492 · 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 90846. 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 90846, in writing, and whether it covers facility, physician and anesthesia."

About family psychotherapy without the patient

CPT 90846 is a family therapy session, usually 50 minutes, held without the identified patient present: parents meeting a child's therapist, or a spouse meeting the therapist of a partner in treatment. It is used to work on the family system around a patient.

What the price covers

The session only. At a hospital-owned clinic a facility fee may be added. It is billed under the patient's record even though the patient is not in the room, which matters for insurance and for who receives the bill.

Why prices vary

Hospital-based family therapy tends to cost more than private practice because of facility fees. Private therapists often price family sessions similarly to a 60-minute individual session and may offer sliding scales.

Questions to ask

  • What is the self-pay price for 90846, and is there a facility fee?
  • Who is billed, the patient or the family members attending?
  • Is a session with the patient present (90847) priced the same?

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