CPT 90837 Mental Health
Psychotherapy, 53+ minutes Cost
Body System: Nervous
Medicare Facility Rate
$76
CMS PFS CY2026
Medicare Non-Facility Rate
$107
Office/clinic setting
Hospital Outpatient
$181
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.67
Work RVU
0.60
Facility PE RVU
0.08
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA* | $106 | $160 — $266 |
| AL — ALABAMA | $75 | $112 — $187 |
| AR — ARKANSAS | $74 | $112 — $186 |
| AZ — ARIZONA | $77 | $116 — $194 |
| AZ — Phoenix | $78 | $117 — $195 |
| CA — BAKERSFIELD | $80 | $121 — $201 |
| CA — CHICO | $80 | $120 — $200 |
| CA — EL CENTRO | $80 | $120 — $200 |
| CA — FRESNO | $80 | $120 — $200 |
| CA — HANFORD-CORCORAN | $80 | $120 — $200 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $84 | $125 — $209 |
| CA — Los Angeles | $84 | $126 — $210 |
| CA — MADERA | $80 | $120 — $200 |
| CA — MERCED | $80 | $120 — $200 |
| CA — MODESTO | $80 | $120 — $200 |
| CA — NAPA | $87 | $131 — $218 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $83 | $124 — $207 |
| CA — REDDING | $80 | $120 — $200 |
| CA — REST OF CALIFORNIA | $80 | $120 — $200 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $81 | $122 — $203 |
Frequently Asked Questions
How much does Psychotherapy, 53+ minutes cost?
The Medicare facility rate is $76. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $181.
How much does Psychotherapy, 53+ minutes cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $76.