CPT90837

Psychotherapy (60 min) Cost in Arkansas

Psytx w pt 60 minutes

$317Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Arkansas Medicare physician rate (2026)

-3.6% vs national

Single statewide locality.

Arkansas (Hospital)
$133.77
Facility physician fee
Private plan est.
$209–$322
~130–200% of Medicare
Cash / self-pay est.
$129–$242
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Physician fee alone
$135
Only 43% of the hospital total

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Arkansas

Try a ZIP lookup to see rates for your corner of Arkansas, whether around Little Rock, the fast-growing Fayetteville and Springdale corridor, Fort Smith, Jonesboro, or the rural Delta.

What psychotherapy (60 min) costs at hospitals near you

Everything above is a national average. The hospital you pick in Arkansas moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Arkansas the office and hospital physician lines for this CPT differ by $27.26.

National vs Arkansas

National office$167.00
National hospital (physician)$135.27
Arkansas vs national4% below the national office rate of $167.00

Where Arkansas ranks for this CPT

Rank (lowest physician fee first)#1 of 51
Lowest stateArkansas ($161.03)
Highest stateAlaska ($232.44)

Psychotherapy (60 min) and how Arkansas is priced

One payment locality covers the whole of Arkansas, and its geographic indices are among the lowest CMS publishes, so Medicare-approved amounts here sit near the bottom of the national range. A clinic visit in Little Rock is priced with the same adjustments as one in the Delta or the Ozarks. For consumers this means the statewide numbers on this site are a close match for almost any Arkansas address. The bigger price swings come from whether a procedure is billed in a hospital department or an independent office.

Little Rock is the state's referral hub, home to its academic medical center and the densest concentration of specialists, with Northwest Arkansas growing quickly as a second center of care. Large parts of the Delta and the mountain counties have limited local options, so traveling for procedures is routine. Lower area wages also mean cash prices for care in Arkansas often undercut national averages.

This procedure: This is an extended individual psychotherapy session of about 60 minutes, used when clinical work benefits from more time, such as trauma-focused therapies like EMDR or prolonged exposure, complex cases, or clients who simply progress better with longer sessions. The experience is the same as any therapy session, just longer, in office or via telehealth. Many private-practice therapists use this as their default session length.

What Is Psychotherapy (60 min)?

This is an extended individual psychotherapy session of about 60 minutes, used when clinical work benefits from more time, such as trauma-focused therapies like EMDR or prolonged exposure, complex cases, or clients who simply progress better with longer sessions. The experience is the same as any therapy session, just longer, in office or via telehealth. Many private-practice therapists use this as their default session length.

What Affects the Cost

  • The 60-minute code both charges and reimburses more than the 45-minute 90834, so session length is itself a cost decision.
  • Some insurers scrutinize routine use of the longer code and effectively pressure therapists toward 45-minute billing, affecting what is offered in network.
  • Trauma protocols that clinically require longer sessions can lock you into the higher per-session rate for an extended course.
  • Cash rates for 60-minute sessions in major metropolitan areas run well above national averages.
  • Weekly frequency at the higher session rate compounds fastest of the common therapy configurations.

Questions to Ask Before Booking

  • 1.Do you bill 45 or 60 minute sessions, and how does that change my cost per visit?
  • 2.Does my treatment approach genuinely need the longer session, or would 45 minutes serve?
  • 3.What is my plan's allowed amount for 90837 out of network?
  • 4.Has my insurer ever pushed back on your 60-minute billing, and what happens to my sessions if it does?
  • 5.Is telehealth billed at the same rate as in-person for the hour session?

Psychotherapy (60 min) in Arkansas: questions

Arkansas is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 90837 is $161.03 in an office and $133.77 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Arkansas uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $32 for the office physician line or $27 for the hospital physician line in Arkansas. Medigap may cover that 20%. This is not the hospital facility fee.

No. $161.03 is only the physician's share. Adding Medicare's facility payment brings the total to about $317 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Arkansas ranks #1 of 51 states on the physician line (4% below the national office rate of $167.00).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.