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Psychotherapy, 45 minutes in Portland, OR-WA costs $177 to $253. Here's every hospital's price.

12 hospitals in the Portland-Vancouver-Hillsboro, OR-WA metro area publish a cash price for psychotherapy, 45 minutes (CPT 90834). We read their files every month so you don't have to.

Across the Portland-Vancouver-Hillsboro, OR-WA metro area, 12 hospitals list a cash price for psychotherapy, 45 minutes (CPT 90834). The lowest is $177 at Legacy Emanuel Medical Center, the median is $180 and the highest is $253 at Hillsboro Medical Center.

The Portland, OR-WA median of $180 is 14% below the national median of $210 across 319 US hospitals with a cash price for this code.

11 of these hospitals also publish the rates they negotiated with insurers, from $61 to $1,078. 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 April 2026. 6 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.

$177
lowest cash price in Portland, OR-WA
Legacy Emanuel Medical Center · 10 mi
$3 below the median
$180
median cash price
12 hospitals
1.4×
highest ÷ lowest
same procedure, same metro
12/18
hospitals with a cash price
6 don't · see who

Sorted by cash price

Hospital facility fee only
1
Legacy Emanuel Medical Center

Portland · 10 mi · File Apr 2026

$177
list $272 · lowest of 7 lines
2
Legacy Good Samaritan Medical Center

Portland · 11 mi · File Apr 2026

$177
list $272 · lowest of 7 lines
3
Legacy Mount Hood Medical Center

Gresham · 7 mi · File Apr 2026

$177
list $272 · lowest of 7 lines
4
Legacy Meridian Park Medical Center

Tualatin · 20 mi · File Apr 2026

$177
list $272 · lowest of 7 lines
5
Providence St Vincent Medical Center

Portland · 15 mi · File Apr 2026

$180
list $240 · lowest of 8 lines
6
Providence Newberg Medical Center

Newberg · 30 mi · File Apr 2026

$180
list $240 · lowest of 8 lines
7
Providence Willamette Falls Medical Center

Oregon City · 18 mi · File Apr 2026

$180
list $240 · lowest of 8 lines
8
Providence Portland Medical Center

Portland · 8 mi · File Apr 2026

$180
list $240 · lowest of 8 lines
9
Providence Milwaukie Hospital

Milwaukie · 13 mi · File Apr 2026

$180
list $240 · lowest of 8 lines
10
Legacy Salmon Creek Medical Center

Vancouver · 12 mi · File Apr 2026

$196
list $301 · lowest of 2 lines
11
OHSU Hospital and Clinics

Portland · 12 mi · File Mar 2026

$206
list $317 · lowest of 2 lines
12
Hillsboro Medical Center

Hillsboro · 24 mi · File Mar 2026

$253
list $389
1

What's in the price

The hospital facility fee for CPT 90834. 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 90834, in writing, and whether it covers facility, physician and anesthesia."

About psychotherapy, 45 minutes

CPT 90834 is a 45-minute individual psychotherapy session (38 to 52 minutes), the standard weekly therapy appointment. It is billed by psychiatrists, psychologists, licensed counselors and clinical social workers alike; the price does not indicate which.

What the price covers

The session only. At a hospital-owned clinic a facility fee may be added. Psychiatric medication management is a separate code when done in the same visit.

Why prices vary

Hospital-owned behavioral health clinics list higher prices than private practices, largely because of facility fees. Private therapists commonly charge $100 to $250 cash per session, often with sliding scales; community mental health centers charge according to income. Telehealth sessions are often priced lower.

Questions to ask

  • What is the self-pay price for 90834, and does it include any facility fee?
  • Is there a sliding scale or package rate for weekly sessions?
  • Is telehealth offered at a lower price?

Hospitals in Portland, OR-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