Price Checker / CPT 90838

How much does Psytx With Pt With E/m 60 Min cost?

CPT 90838 · Based on 2026 Medicare rates and hospital-published pricing

Overpriced

The average hospital charge is about above the fair price. You have grounds to ask for a reduction.

Fair price

$280–$330

What this should cost

With insurance

~$410

Typical out-of-pocket

Overcharged if over

$410

Push back above this

The average hospital charge of $577 is $267 over the fair price.

What hospitals charge for Psytx With Pt With E/m 60 Min

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Gateways Hospital and Mental Health Center

Los Angeles, CA

$1,322868%
Haven Behavioral Hospital of Eastern Pennsylvania

READING, PA

$441223%
Pine Rest Christian Mental Health Services

GRAND RAPIDS, MI

$296$237117%
Highland Springs LLC

BEACHWOOD, OH

$250$95083%

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About Psytx With Pt With E/m 60 Min

CPT code 90838 refers to psytx with pt with e/m 60 min (billing description: "Psytx w pt w e/m 60 min"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $110 in a facility (hospital or surgery center) and $137 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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