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TherapyExplained

HSA & FSA Therapy Savings Calculator

See how much you can save on therapy by paying with pre-tax dollars through a Health Savings Account (HSA) or Flexible Spending Account (FSA).

Your Details

What you pay per therapy session

$

Your marginal federal income tax rate

Your state income tax rate (0% if no state tax)

%

Affects HSA contribution limits

Choose which account you want to use

You save

$1,121

per year with your HSA

Annual Therapy Cost

Monthly cost$800
Total annual cost$9,600
Sessions per year48

Tax Savings with HSA

Federal tax saved$913
State tax saved$208
FICA tax saved (7.65%)--
Total annual savings$1,121
Effective cost per session$176.66
Effective discount11.7% off

Contribution Limit Check

Annual therapy cost$9,600
2024 HSA limit (individual)$4,150

Your therapy costs exceed the annual HSA contribution limit.

You can cover $4,150 with pre-tax dollars and pay $5,450 after-tax.

Tax savingsEffective costExceeds limit

HSA vs FSA Comparison

HSA savings$1,121
FSA savings$1,109
HSA: federal + state$1,121
FSA: federal + state + FICA$1,109

Key difference: FSA saves an additional $245 in payroll taxes, but unused FSA funds may be forfeited at year-end.

This calculator provides estimates for educational purposes only. Actual savings depend on your specific tax situation, employer plan rules, and contribution timing. Consult a tax advisor for guidance tailored to your circumstances.