Psychotherapy for crisis, first hour
Medicare pricing data for 4,141 providers across 49 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Psychotherapy for crisis, first hour (HCPCS code 90839) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $115.02, but hospitals typically charge $285.70 — a 2.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $115.02, your out-of-pocket cost would be approximately $23.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.5x more than what Medicare allows for this procedure. Medicare actually pays $88.50 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $167 | $358 | 13 | 52 | +45.0% |
| California | $129 | $290 | 360 | 2,481 | +12.5% |
| New Hampshire | $126 | $411 | 75 | 579 | +9.9% |
| New York | $124 | $311 | 315 | 1,265 | +8.1% |
| Pennsylvania | $123 | $251 | 104 | 302 | +6.9% |
| Maryland | $122 | $248 | 105 | 606 | +6.3% |
| Illinois | $122 | $314 | 175 | 1,242 | +5.8% |
| New Jersey | $120 | $498 | 126 | 460 | +4.7% |
| Hawaii | $120 | $219 | 10 | 20 | +4.3% |
| Michigan | $120 | $242 | 167 | 701 | +4.1% |
| West Virginia | $119 | $271 | 11 | 28 | +3.6% |
| Tennessee | $119 | $267 | 39 | 109 | +3.6% |
| Alabama | $119 | $254 | 22 | 59 | +3.5% |
| Washington | $118 | $254 | 61 | 142 | +2.6% |
| Mississippi | $117 | $206 | 11 | 20 | +1.9% |
| Georgia | $117 | $219 | 48 | 119 | +1.9% |
| Florida | $117 | $240 | 186 | 664 | +1.5% |
| Massachusetts | $116 | $209 | 161 | 679 | +1.1% |
| Texas | $115 | $219 | 185 | 439 | -0.1% |
| Delaware | $115 | $204 | 12 | 28 | -0.3% |
| Rhode Island | $114 | $238 | 30 | 78 | -1.2% |
| North Carolina | $113 | $253 | 101 | 296 | -2.0% |
| Louisiana | $110 | $270 | 22 | 227 | -4.2% |
| Nevada | $110 | $219 | 54 | 150 | -4.3% |
| Vermont | $109 | $314 | 57 | 298 | -5.3% |
| South Carolina | $109 | $262 | 28 | 89 | -5.3% |
| Oregon | $109 | $345 | 73 | 245 | -5.6% |
| Missouri | $107 | $188 | 48 | 150 | -6.6% |
| New Mexico | $107 | $187 | 31 | 59 | -7.3% |
| North Dakota | $107 | $215 | 26 | 43 | -7.3% |
| Oklahoma | $106 | $185 | 30 | 61 | -7.9% |
| Virginia | $106 | $234 | 107 | 357 | -8.2% |
| Colorado | $106 | $282 | 117 | 521 | -8.2% |
| Wisconsin | $105 | $295 | 66 | 144 | -8.7% |
| Connecticut | $105 | $301 | 50 | 235 | -8.7% |
| Ohio | $105 | $292 | 152 | 578 | -8.9% |
| Utah | $104 | $175 | 50 | 236 | -9.6% |
| Arizona | $104 | $408 | 77 | 532 | -9.7% |
| Arkansas | $103 | $205 | 82 | 204 | -10.5% |
| Kansas | $103 | $198 | 72 | 239 | -10.7% |
| Wyoming | $102 | $231 | 18 | 62 | -11.0% |
| Nebraska | $102 | $226 | 15 | 27 | -11.2% |
| Minnesota | $102 | $390 | 194 | 648 | -11.6% |
| Iowa | $101 | $227 | 48 | 95 | -12.0% |
| Kentucky | $101 | $191 | 55 | 194 | -12.5% |
| Idaho | $100 | $203 | 46 | 99 | -13.2% |
| Montana | $98 | $294 | 39 | 165 | -14.9% |
| Indiana | $98 | $254 | 127 | 705 | -15.1% |
| Maine | $93 | $286 | 69 | 354 | -18.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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