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Psychotherapy, 45 minutes in San Francisco, CA costs $138 to $582. Here's every hospital's price.

4 hospitals in the San Francisco-Oakland-Fremont, CA 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 San Francisco-Oakland-Fremont, CA metro area, 4 hospitals list a cash price for psychotherapy, 45 minutes (CPT 90834). The lowest is $138 at UCSF Benioff Children's Hospital Oakland, the median is $582 and the highest is $582 at Kaiser Foundation Hospital - Antioch. The most expensive hospital lists 4.2 times the cheapest for the same code.

The San Francisco, CA median of $582 is 177% above the national median of $210 across 327 US hospitals with a cash price for this code.

2 of these hospitals also publish the rates they negotiated with insurers, from $251 to $485. 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 April 2026. 33 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.

$138
lowest cash price in San Francisco, CA
UCSF Benioff Children's Hospital Oakland · 4 mi
$444 below the median
$582
median cash price
4 hospitals
4.2×
highest ÷ lowest
same procedure, same metro
4/38
hospitals with a cash price
33 don't · see who

Sorted by cash price

Hospital facility fee only
1
UCSF Benioff Children's Hospital Oakland

Oakland · 4 mi · File Apr 2026

$138
list $461
2
Kaiser Foundation Hospital - South San Francisco

South San Francisco · 12 mi · File Apr 2026

$582
list $1,040 · lowest of 2 lines
3
Kaiser Foundation Hospital - Fremont

Fremont · 22 mi · File Apr 2026

$582
list $1,040 · lowest of 6 lines
4
Kaiser Foundation Hospital - Antioch

Antioch · 30 mi · File Apr 2026

$582
list $1,040 · lowest of 6 lines
5
Stanford Health Care Tri-Valley

Pleasanton · 22 mi · File Apr 2026

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 San Francisco, CA 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