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Psychotherapy, 60 minutes in St. Louis, MO-IL costs $144 to $298. Here's every hospital's price.

13 hospitals in the St. Louis, MO-IL 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 St. Louis, MO-IL metro area, 13 hospitals list a cash price for psychotherapy, 60 minutes (CPT 90837). The lowest is $144 at Mercy Hospital Lincoln, the median is $235 and the highest is $298 at Touchette Regional Hospital INC. The most expensive hospital lists 2.1 times the cheapest for the same code.

The St. Louis, MO-IL median of $235 is in line with the national median of $239 across 335 US hospitals with a cash price for this code.

13 of these hospitals also publish the rates they negotiated with insurers, from $14 to $729. 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. 22 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.

$144
lowest cash price in St. Louis, MO-IL
Mercy Hospital Lincoln · 38 mi
$91 below the median
$235
median cash price
13 hospitals
2.1×
highest ÷ lowest
same procedure, same metro
13/36
hospitals with a cash price
22 don't · see who

Sorted by cash price

Hospital facility fee only
1
Mercy Hospital Lincoln

Troy · 38 mi · File Jun 2026

$144
list $221 · lowest of 4 lines
2
Mercy Hospital Jefferson

Crystal City · 38 mi · File Jun 2026

$147
list $226 · lowest of 6 lines
3
OSF Saint Anthony's Health Center

Alton · 15 mi · File Mar 2026

$153
list $255 · lowest of 6 lines
4
St Josephs Hospital

Breese · 45 mi · File Mar 2026

$174
list $241 · lowest of 2 lines
5
Ranken Jordan Pediatric Bridge Hospital

Maryland Heights · 4 mi · File Apr 2026

$223
list $279 · lowest of 2 lines
6
Ssm St Joseph Health Center

Saint Charles · 8 mi · File Apr 2026

$235
list $427 · lowest of 4 lines
7
Ssm St Clare Health Center

Fenton · 16 mi · File Apr 2026

$235
list $427 · lowest of 2 lines
8
Ssm Health St Mary's Hospital - St Louis

Saint Louis · 8 mi · File Apr 2026

$235
list $427 · lowest of 4 lines
9
Ssm Health Depaul Hospital St Louis

Bridgeton · 5 mi · File Apr 2026

$235
list $427 · lowest of 4 lines
10
Ssm St Joseph Hospital West

Lake Saint Louis · 24 mi · File Apr 2026

$235
list $427 · lowest of 2 lines
11
Mercy Hospital South

Saint Louis · 16 mi · File Jun 2026

$239
list $368 · lowest of 3 lines
12
Mercy Hospital Washington

Washington · 38 mi · File Jun 2026

$279
list $429 · 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?

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