Family psychotherapy without patient, 50 minutes
Medicare pricing data for 4,338 providers across 50 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
Family psychotherapy without patient, 50 minutes (HCPCS code 90846) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $84.11, but hospitals typically charge $191.98 — a 2.3x 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 $84.11, your out-of-pocket cost would be approximately $16.82. 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 2.3x more than what Medicare allows for this procedure. Medicare actually pays $63.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $106 | $423 | 6 | 22 | +26.3% |
| California | $94 | $232 | 386 | 3,232 | +11.3% |
| Puerto Rico | $93 | $100 | 15 | 30 | +11.2% |
| New York | $91 | $173 | 555 | 4,020 | +8.3% |
| District of Columbia | $91 | $178 | 10 | 23 | +7.7% |
| Massachusetts | $90 | $218 | 209 | 771 | +6.5% |
| Rhode Island | $89 | $219 | 25 | 56 | +5.8% |
| Texas | $86 | $157 | 170 | 949 | +2.5% |
| South Carolina | $85 | $206 | 37 | 135 | +0.9% |
| Oregon | $84 | $227 | 46 | 73 | -0.6% |
| West Virginia | $83 | $208 | 8 | 21 | -1.1% |
| Tennessee | $83 | $146 | 29 | 94 | -1.2% |
| Colorado | $82 | $176 | 72 | 271 | -2.0% |
| Ohio | $82 | $164 | 127 | 369 | -2.0% |
| Minnesota | $82 | $203 | 90 | 279 | -2.4% |
| Connecticut | $82 | $204 | 117 | 625 | -2.7% |
| New Hampshire | $82 | $163 | 33 | 128 | -2.8% |
| Pennsylvania | $81 | $169 | 219 | 961 | -3.6% |
| Oklahoma | $81 | $121 | 20 | 54 | -3.7% |
| Florida | $81 | $170 | 277 | 1,841 | -3.8% |
| Virginia | $81 | $165 | 105 | 351 | -3.8% |
| Illinois | $81 | $216 | 190 | 1,166 | -4.0% |
| Kansas | $80 | $161 | 21 | 38 | -4.3% |
| Maryland | $80 | $160 | 191 | 482 | -4.4% |
| New Jersey | $80 | $201 | 294 | 2,553 | -5.4% |
| Hawaii | $79 | $184 | 17 | 67 | -5.9% |
| Wisconsin | $79 | $258 | 49 | 92 | -6.7% |
| Washington | $78 | $169 | 43 | 147 | -6.9% |
| Delaware | $78 | $152 | 12 | 16 | -7.3% |
| Nevada | $78 | $208 | 31 | 243 | -7.4% |
| Missouri | $78 | $170 | 50 | 141 | -7.8% |
| Michigan | $78 | $164 | 156 | 441 | -7.8% |
| New Mexico | $77 | $148 | 44 | 121 | -8.1% |
| Alabama | $77 | $144 | 23 | 36 | -8.2% |
| Indiana | $77 | $197 | 71 | 224 | -8.4% |
| Wyoming | $77 | $178 | 16 | 28 | -8.4% |
| North Carolina | $77 | $144 | 91 | 278 | -8.5% |
| Arkansas | $77 | $173 | 31 | 108 | -9.0% |
| Nebraska | $76 | $181 | 28 | 49 | -9.4% |
| Georgia | $76 | $269 | 71 | 361 | -9.5% |
| Idaho | $76 | $161 | 44 | 139 | -10.2% |
| Arizona | $73 | $244 | 55 | 510 | -12.7% |
| Utah | $73 | $171 | 18 | 41 | -12.7% |
| Maine | $73 | $129 | 34 | 122 | -12.8% |
| Louisiana | $72 | $189 | 19 | 107 | -13.8% |
| Montana | $71 | $136 | 24 | 45 | -15.2% |
| Kentucky | $70 | $102 | 29 | 218 | -16.5% |
| Vermont | $70 | $263 | 31 | 326 | -16.8% |
| Iowa | $70 | $194 | 11 | 19 | -16.8% |
| Mississippi | $69 | $117 | 4 | 103 | -18.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber