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Psychotherapy, 45 minutes in Seattle, WA costs $68 to $376. Here's every hospital's price.

6 hospitals in the Seattle-Tacoma-Bellevue, 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 Seattle-Tacoma-Bellevue, WA metro area, 6 hospitals list a cash price for psychotherapy, 45 minutes (CPT 90834). The lowest is $68 at Virginia Mason Medical Center, the median is $232 and the highest is $376 at Swedish Issaquah. The most expensive hospital lists 5.5 times the cheapest for the same code.

The Seattle, WA median of $232 is 10% above the national median of $210 across 319 US hospitals with a cash price for this code.

6 of these hospitals also publish the rates they negotiated with insurers, from $3 to $2,219. 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
$165 below the median
$232
median cash price
6 hospitals
5.5×
highest ÷ lowest
same procedure, same metro
6/27
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
Overlake Hospital Medical Center & Clinics

Bellevue · 19 mi · File Apr 2026

$181
list $361
3
Providence Regional Medical Center Everett

Everett · 39 mi · File Apr 2026

$232
list $447 · lowest of 4 lines
4
Valley Medical Center

Renton · 18 mi · File Mar 2026

$284
list $406
5
Swedish Medical Center / Cherry Hill

Seattle · 24 mi · File Apr 2026

$376
list $783 · lowest of 6 lines
6
Swedish Issaquah

Issaquah · 9 mi · File Apr 2026

$376
list $783 · lowest of 6 lines
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 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