Psychotherapy, 45 minutes in Washington, DC-VA-MD-WV costs $100 to $480. Here's every hospital's price.
10 hospitals in the Washington-Arlington-Alexandria, DC-VA-MD-WV 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 Washington-Arlington-Alexandria, DC-VA-MD-WV metro area, 10 hospitals list a cash price for psychotherapy, 45 minutes (CPT 90834). The lowest is $100 at Uva Health Culpeper Medical Center, the median is $376 and the highest is $480 at Medstar Montgomery Medical Center. The most expensive hospital lists 4.8 times the cheapest for the same code.
The Washington, DC-VA-MD-WV median of $376 is 78% above the national median of $210 across 319 US hospitals with a cash price for this code.
10 of these hospitals also publish the rates they negotiated with insurers, from $88 to $607. 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. 26 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.
Sorted by cash price
Hospital facility fee onlyCulpeper · 38 mi · File Mar 2026
Manassas · 4 mi · File Mar 2026
Haymarket · 8 mi · File Mar 2026
Alexandria · 21 mi · File Apr 2026
Falls Church · 15 mi · File Apr 2026
Alexandria · 23 mi · File Apr 2026
Washington · 27 mi · File Apr 2026
Olney · 33 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?
Hospitals in Washington, DC-VA-MD-WV without a price for this procedure
Listed so you know who to call. The reason is what we found on their website.
- Adventist Healthcare Fort Washington Medical CtrWebsite blocks automated reading
- Adventist Healthcare Shady Grove Medical CenterWebsite blocks automated reading
- Adventist Healthcare White Oak Medical CenterWebsite blocks automated reading
- Children's National HospitalNo price file found
- Fauquier Hospitalcode not in file
- Frederick Health HospitalWebsite blocks automated reading
- George Washington Univ HospitalWebsite blocks automated reading
- Holy Cross Germantown HospitalNo price file found
- Holy Cross HospitalNo price file found
- Jefferson Medical CenterNo website on record
- Luminis Health Doctors Community Medical Ctr, INCcode not in file
- Mary Washington HospitalWebsite blocks automated reading
- Medstar Georgetown University Hospitalcode not in file
- Medstar Southern Maryland Hospital Centercode not in file
- Reston Hospital CenterNo price file found
- Sentara Northern Virginia Medical CenterFile in an unsupported format
- Sibley Memorial HospitalWebsite blocks automated reading
- Spotsylvania Regional Medical CenterNo price file found
- Stafford Hospital, LLCWebsite blocks automated reading
- Stonesprings Hospital CenterNo price file found
- Suburban HospitalWebsite blocks automated reading
- United Medical CenterNo price file found
- University of MD Capital Region Medical CenterWebsite blocks automated reading
- University of MD Charles Regional Medical CenterWebsite blocks automated reading
- Virginia Hospital CenterWebsite blocks automated reading
- Warren Memorial HospitalWebsite blocks automated reading