Psychotherapy, 45 minutes in Richmond, KY costs $154 to $1,141. Here's every hospital's price.
4 hospitals in the Richmond-Berea, KY 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 Richmond-Berea, KY metro area, 4 hospitals list a cash price for psychotherapy, 45 minutes (CPT 90834). The lowest is $154 at Rockcastle County Hospital, INC., the median is $220 and the highest is $1,141 at Marcum and Wallace Memorial Hospital. The most expensive hospital lists 7.4 times the cheapest for the same code.
The Richmond, KY median of $220 is 15% above the national median of $192 across 769 US hospitals with a cash price for this code.
3 of these hospitals also publish the rates they negotiated with insurers, from $68 to $1,555. 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 February 2026 and September 2026.
Sorted by cash price
Hospital facility fee onlyMount Vernon · 18 mi · File Jul 2026
Berea · 5 mi · File Feb 2026
Richmond · 10 mi · File Sep 2026
Irvine · 15 mi · File Apr 2026
What's in the price
The hospital facility fee for CPT 90834. The doctor, anesthesia and lab work usually bill separately.
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.
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?