CPT 90847 Psychiatry

How Much Does Family Therapy Session (With Patient Present) Cost?

Also known as: Family psytx w/pt 50 min (CPT 90847)

A family therapy session where a therapist works with multiple family members together.

Family Therapy Session (With Patient Present) (CPT 90847) costs $103 at Medicare rates.

Medicare (Facility)
$103
CMS PFS 2026 national rate
Medicare Physician Fee (Office/Clinic)
$110
Non-facility setting

Patient Guide: Family Therapy Session (With Patient Present)

What you need to know before your appointment

What to Expect

A therapist will facilitate a session with you and your family members to improve communication, resolve conflicts, and address family dynamics affecting mental health.

How Long Does It Take?

50-60 minutes

Common Reasons Doctors Order This

Family conflicts, child behavioral issues, substance abuse affecting the family, grief, divorce adjustment, family communication problems

How to Prepare

All participating family members should be present. Be willing to listen as well as share. The therapist goal is to help the whole family, not take sides.

Procedures Commonly Done Together

These procedures are frequently performed alongside Family psytx w/pt 50 min

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How to Reduce Your Cost for Family psytx w/pt 50 min

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($110) differs from the facility rate ($103). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

2.86
Work RVU
0.20
Practice Expense RVU
0.02
Malpractice RVU
3.28
Total RVU

Payment = Total RVU (3.28) x CF ($33.40) = $110

Frequently Asked Questions

How much does Family psytx w/pt 50 min cost?

The Medicare facility rate for Family psytx w/pt 50 min is $103. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Family psytx w/pt 50 min cost without insurance?

Without insurance, the cost of Family psytx w/pt 50 min can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Family psytx w/pt 50 min?

Most commercial health insurance plans and Medicare cover Family psytx w/pt 50 min when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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