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CPT 90840 · Medicine/E&M · Evaluation & Management

Psytx crisis ea addl 30 min

Extended psychiatric crisis intervention beyond the initial hour costs around $63 per additional 30-minute period based on Medicare rates, making it essential to verify your provider's actual charges before treatment.

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

Medicare + CMS benchmark data
Publicly available pricing
Updated 2026-04-03
Rate comparison — Psytx crisis ea addl 30 min
Medicare facility$63Non-facility$99
$63
Medicare facility rate
$99
Non-facility rate

Code 90840 covers extended psychiatric crisis intervention services beyond the initial hour, billed in 30-minute increments for patients experiencing acute mental health emergencies. This add-on code is typically used for individuals in severe psychological distress requiring prolonged stabilization in emergency departments or crisis centers. The Medicare benchmark is $145, though facilities may charge 2.5x to 4.0x this amount depending on the care setting.

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Regional rate comparison — Psytx crisis ea addl 30 min
Top 5 lowest and highest localities by Medicare facility rate
National avg $63REST OF ILLINOIS, IL$72DETROIT, MI$76QUEENS, NY$77MIAMI, FL$95CHICAGO, IL$90NYC SUBURBS/LONG ISLAND, NY$86

Facility rate

$63

National Medicare benchmark

Non-facility rate

$99

Office setting benchmark

Data sources

2

22 data points

Key insights for CPT 90840

Facility vs office setting

$36 difference

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)$63Lowest
Non-facility (office)$99+58%

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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: Federal physician fee schedules, hospital payment data, surgery center rates, lab fee schedules, and drug pricing data. FY 2024. All publicly available from federal sources.

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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