CPT 90804
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PSYTX OFFICE 20-30 MIN UNSCHEDULED
Low
$43
Average
$2.3k
Median
$145
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 53.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 20 | $97 | $154 | $141 | 91% | — | $21 – $412 |
| 2 | Anthem per diem · outpatient · +5 other terms | 12 | $180 | $187 | $46 | 24% | — | $109 – $286 |
| 3 | Aetna facility · fee schedule · outpatient · +9 other terms | 6 | $140 | $473 | $2.1k | 450% | — | $63 – $13.9k |
| 4 | First Health fee schedule · both · +8 other terms | 5 | $68 | $68 | — | — | — | $68 – $68 |
| 5 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +5 other terms | 5 | $83 | $75 | $18 | 24% | — | $44 – $91 |
| 6 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $44 | $44 | — | — | — | $44 – $44 |
| 7 | Ambetter professional · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 3 | $81 | $67 | $19 | 28% | — | $41 – $81 |
| 8 | Cigna other · both · +8 other terms | 3 | $218 | $219 | $3 | 1% | — | $212 – $220 |
| 9 | Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $215 | $180 | $50 | 28% | — | $109 – $215 |
| 10 | Phcs professional · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 3 | $236 | $198 | $55 | 28% | — | $120 – $236 |
← Hospitals reporting CPT 90804 · Snapshot 20261113T090226Z-3ce6c0b8