CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Oro Valley Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $235
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Oro Valley Hospital is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.30x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$271

Average discount available for prompt cash payment at this facility.

Insurance Median
$235

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $271 (149%)
Insurance Median: $235 (130%)
Cash: $271 (149% of Medicare)
Ins. Median: $235 (130% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $96 - $103 53%
Magellan $101 - $493 56%
Blue Cross Blue Shield $126 - $698 69%
Veterans Eval Services $153 84%
Aetna $156 - $275 86%
Caremore Health Plan $186 103%
Cigna $186 - $246 103%
Humana $186 - $325 103%
Medicare (plans) $186 103%
Scan Health $186 103%
Pascua Yaqui Tribe $188 104%
Department Of Veterans Affairs $189 104%
Node Non Par Hospice Agree $189 104%
Node Triwest $189 104%
Node Va $189 104%
Tricare $189 104%
Fresenius Health $190 105%
Clover Health Mcr Adv $191 105%
Node Devoted Health Mcr Adv $192 106%
Node Banner Mcr Adv $196 108%
Wellcare Mcr Adv $196 108%
Self Pay $197 - $345 109%
Node Us Dept Of Labor $237 131%
Ambetter / Centene $267 147%
Node Health Choice Exchange $282 156%
Node Fusion Network $341 188%
Node J Allen Inmate Health Svcs $360 199%
Health Net $398 219%
Beacon Health Options $410 226%
Mtc $410 226%
First Health Coventry $431 238%
Seven Corners $436 240%
Coventry Work Comp Al $493 272%
Multiplan $681 376%
Prime Health $698 385%
Three Rivers $698 385%
Healthsmart $739 408%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals