CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Banner Payson Medical Center

Billing Code: 90837 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$346

about 1.9× the $181 Medicare rate · typically $181–$602

modeled estimate · not a bill or quote

Medicare pays $181 Fair price $346 Cash price $124 Hospital's list price $286

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente UnitedHealthcare

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$117 - $870	65%
Aetnamajor	$116 - $189	64%
Cignamajor	$117 - $228	65%
Humanamajor	$124	68%
Kaiser Permanentemajor	$117	65%
Banner Health	$97 - $117	53%
Devoted Health	$129	71%
Health Net	$97 - $174	53%
Oscar Health	$193	106%
UPMC Health Plan	$117	65%
+ 13 smaller / regional plans	$97 - $257

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 124), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm Banner Payson Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Banner Payson Medical Center

Compare: Psychotherapy session (60 minutes) at other AZ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.