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Psychotherapy, 60 minutes in Richmond, KY costs $230 to $1,161. Here's every hospital's price.

4 hospitals in the Richmond-Berea, KY metro area publish a cash price for psychotherapy, 60 minutes (CPT 90837). 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, 60 minutes (CPT 90837). The lowest is $230 at Rockcastle County Hospital, INC., the median is $308 and the highest is $1,161 at Marcum and Wallace Memorial Hospital. The most expensive hospital lists 5.1 times the cheapest for the same code.

The Richmond, KY median of $308 is 34% above the national median of $229 across 773 US hospitals with a cash price for this code.

3 of these hospitals also publish the rates they negotiated with insurers, from $67 to $1,438. 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.

$230
lowest cash price in Richmond, KY
Rockcastle County Hospital, INC. · 18 mi
$78 below the median
$308
median cash price
4 hospitals
5.1×
highest ÷ lowest
same procedure, same metro
4/4
hospitals with a cash price

Sorted by cash price

Hospital facility fee only
1
Rockcastle County Hospital, INC.

Mount Vernon · 18 mi · File Jul 2026

$230
list $302
2
Chi Saint Joseph Berea Nf

Berea · 5 mi · File Feb 2026

$308
list $638 · lowest of 2 lines
3
Baptist Health Richmond

Richmond · 10 mi · File Sep 2026

$560
list $746
4
Marcum and Wallace Memorial Hospital

Irvine · 15 mi · File Apr 2026

$1,161
list $1,935 · lowest of 4 lines
1

What's in the price

The hospital facility fee for CPT 90837. 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 90837, in writing, and whether it covers facility, physician and anesthesia."

About psychotherapy, 60 minutes

CPT 90837 is a 60-minute individual psychotherapy session (53 minutes or more). It is used for trauma work, intensive therapy and initial sessions where more time is needed. Some insurers question frequent use of the 60-minute code, which is one reason many practices default to 45 minutes.

What the price covers

The session only. At hospital-owned clinics a facility fee may be added. Medication management is a separate code.

Why prices vary

Hospital-based therapy is generally more expensive than private practice for the same session length. Private-practice cash rates for 60 minutes commonly range from $120 to $300; many therapists offer sliding scales, and community clinics charge by income.

Questions to ask

  • What is the self-pay price for 90837, and is there a facility fee?
  • Would 45-minute sessions (90834) meet the same need at a lower price?
  • Is a sliding scale available?

Questions people ask