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CPT 90839 · Medicine/E&M · Evaluation & Management

Psytx crisis initial 60 min

Crisis psychotherapy emergency sessions range from $130.24 to $160.67 across different healthcare settings, making it essential to verify your billing codes match the actual sixty-minute service provided.

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Psytx crisis initial 60 min
Non-facility$99Medicare facility$130Hospital outpatient$161$62 difference between lowest and highest rate
$130
Medicare facility rate
$99
Non-facility rate

Crisis psychotherapy initial session (CPT 90839) is a 60-minute emergency mental health intervention for patients experiencing acute psychological distress or psychiatric emergencies. This code typically applies to individuals in immediate crisis requiring same-day therapeutic intervention. The Medicare benchmark for this procedure is approximately $180, though charges can vary significantly between outpatient clinics and hospital emergency departments.

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Compare by care setting
The same procedure costs different amounts depending on where you receive care.
$161
Hospital Outpatient rate for Psytx crisis initial 60 min
Medicare facility benchmark: $130
Regional rate comparison — Psytx crisis initial 60 min
Top 5 lowest and highest localities by Medicare facility rate
National avg $130REST OF ILLINOIS, IL$150DETROIT, MI$158QUEENS, NY$160MIAMI, FL$198CHICAGO, IL$187NYC SUBURBS/LONG ISLAND, NY$178

Facility rate

$130

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

3

23 data points

Key insights for CPT 90839

Facility vs office setting

$31 difference

Non-facility setting is less expensive for this procedure

What this procedure costs across different settings

The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.

SettingMedicare ratevs lowest
Facility (physician office)$130+32%
Non-facility (office)$99Lowest
Outpatient (APC)$161+62%

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About this data

Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).

This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.

Related procedures

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.

Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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