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PricedCare

Psychotherapy, 45 minutes in St. Louis, MO-IL costs $100 to $251. Here's every hospital's price.

11 hospitals in the St. Louis, MO-IL 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 St. Louis, MO-IL metro area, 11 hospitals list a cash price for psychotherapy, 45 minutes (CPT 90834). The lowest is $100 at Mercy Hospital Jefferson, the median is $151 and the highest is $251 at Mercy Hospital Washington. The most expensive hospital lists 2.5 times the cheapest for the same code.

The St. Louis, MO-IL median of $151 is 28% below the national median of $210 across 319 US hospitals with a cash price for this code.

12 of these hospitals also publish the rates they negotiated with insurers, from $10 to $486. 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. 23 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.

$100
lowest cash price in St. Louis, MO-IL
Mercy Hospital Jefferson · 38 mi
$51 below the median
$151
median cash price
11 hospitals
2.5×
highest ÷ lowest
same procedure, same metro
11/36
hospitals with a cash price
23 don't · see who

Sorted by cash price

Hospital facility fee only
1
Mercy Hospital Jefferson

Crystal City · 38 mi · File Jun 2026

$100
list $154 · lowest of 3 lines
2
Mercy Hospital Lincoln

Troy · 38 mi · File Jun 2026

$100
list $154 · lowest of 2 lines
3
OSF Saint Anthony's Health Center

Alton · 15 mi · File Mar 2026

$111
list $185 · lowest of 3 lines
4
Ranken Jordan Pediatric Bridge Hospital

Maryland Heights · 4 mi · File Apr 2026

$148
list $186 · lowest of 2 lines
5
Ssm St Joseph Health Center

Saint Charles · 8 mi · File Apr 2026

$151
list $274 · lowest of 3 lines
6
Ssm St Clare Health Center

Fenton · 16 mi · File Apr 2026

$151
list $274 · lowest of 3 lines
7
Ssm Health St Mary's Hospital - St Louis

Saint Louis · 8 mi · File Apr 2026

$151
list $274 · lowest of 3 lines
8
Ssm Health Depaul Hospital St Louis

Bridgeton · 5 mi · File Apr 2026

$151
list $274 · lowest of 3 lines
9
St Josephs Hospital

Breese · 45 mi · File Mar 2026

$174
list $241
10
Touchette Regional Hospital INC

Centreville · 17 mi · File Apr 2026

$216
list $348
11
Mercy Hospital Washington

Washington · 38 mi · File Jun 2026

$251
list $386 · lowest of 2 lines
12
Ssm Health Saint Louis University Hospital

Saint Louis · 10 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 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