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Psychotherapy, 60 minutes in Seattle, WA costs $68 to $376. Here's every hospital's price.

5 hospitals in the Seattle-Tacoma-Bellevue, WA 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 Seattle-Tacoma-Bellevue, WA metro area, 5 hospitals list a cash price for psychotherapy, 60 minutes (CPT 90837). The lowest is $68 at Virginia Mason Medical Center, the median is $284 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 $284 is 19% above the national median of $239 across 326 US hospitals with a cash price for this code.

6 of these hospitals also publish the rates they negotiated with insurers, from $4 to $1,253. 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
$216 below the median
$284
median cash price
5 hospitals
5.5×
highest ÷ lowest
same procedure, same metro
5/27
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
Providence Regional Medical Center Everett

Everett · 39 mi · File Apr 2026

$123
list $236 · lowest of 6 lines
3
Valley Medical Center

Renton · 18 mi · File Mar 2026

$284
list $406
4
Swedish Medical Center / Cherry Hill

Seattle · 24 mi · File Apr 2026

$376
list $783 · lowest of 6 lines
5
Swedish Issaquah

Issaquah · 9 mi · File Apr 2026

$376
list $783 · lowest of 6 lines
6
Overlake Hospital Medical Center & Clinics

Bellevue · 19 mi · File Apr 2026

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?

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