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PricedCare

Family psychotherapy without the patient in St. Louis, MO-IL costs $121 to $258. Here's every hospital's price.

10 hospitals in the St. Louis, MO-IL 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 St. Louis, MO-IL metro area, 10 hospitals list a cash price for family psychotherapy without the patient (CPT 90846). The lowest is $121 at OSF Saint Anthony's Health Center, the median is $250 and the highest is $258 at Mercy Hospital Washington. The most expensive hospital lists 2.1 times the cheapest for the same code.

The St. Louis, MO-IL median of $250 is 19% above the national median of $210 across 263 US hospitals with a cash price for this code.

11 of these hospitals also publish the rates they negotiated with insurers, from $26 to $586. 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 March 2026 and June 2026. 24 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.

$121
lowest cash price in St. Louis, MO-IL
OSF Saint Anthony's Health Center · 15 mi
$130 below the median
$250
median cash price
10 hospitals
2.1×
highest ÷ lowest
same procedure, same metro
10/36
hospitals with a cash price
24 don't · see who

Sorted by cash price

Hospital facility fee only
1
OSF Saint Anthony's Health Center

Alton · 15 mi · File Mar 2026

$121
list $201 · lowest of 2 lines
2
Touchette Regional Hospital INC

Centreville · 17 mi · File Apr 2026

$161
list $260
3
St Josephs Hospital

Breese · 45 mi · File Mar 2026

$174
list $241
4
Ranken Jordan Pediatric Bridge Hospital

Maryland Heights · 4 mi · File Apr 2026

$180
list $225 · lowest of 2 lines
5
Ssm St Joseph Health Center

Saint Charles · 8 mi · File Apr 2026

$250
list $455 · lowest of 2 lines
6
Ssm St Clare Health Center

Fenton · 16 mi · File Apr 2026

$250
list $455 · lowest of 2 lines
7
Ssm Health St Mary's Hospital - St Louis

Saint Louis · 8 mi · File Apr 2026

$250
list $455 · lowest of 2 lines
8
Ssm Health Depaul Hospital St Louis

Bridgeton · 5 mi · File Apr 2026

$250
list $455 · lowest of 2 lines
9
Mercy Hospital Jefferson

Crystal City · 38 mi · File Jun 2026

$258
list $397 · lowest of 2 lines
10
Mercy Hospital Washington

Washington · 38 mi · File Jun 2026

$258
list $397 · lowest of 2 lines
11
Ssm Health Saint Louis University Hospital

Saint Louis · 10 mi · File Apr 2026

—
12
Ssm St Joseph Hospital West

Lake Saint Louis · 24 mi · File Apr 2026

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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 St. Louis, MO-IL 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