CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Banner Behavioral Health Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $174
  • Cash Discount Price: $194
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Banner Behavioral Health Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $194. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.96x the Medicare baseline. Located in 7575 East Earll Drive, Scottsdale, AZ.
Cash / Self-Pay
$194

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

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: $194 (107%)
Insurance Median: $174 (96%)
Cash: $194 (107% of Medicare)
Ins. Median: $174 (96% 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
Aetna $111 - $233 61%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $149 82%
Banner Health $171 94%
Banner University Health Plan $171 94%
Blue Cross Blue Shield $171 - $246 94%
Health Choice Arizona, Inc. $171 - $257 94%
Health Net $171 - $253 94%
Kaiser Foundation Health Plan $171 94%
Triwest Healthcare Alliance Corp - Va Ccn $171 94%
Upmc Health Plan $171 94%
Wellpoint $171 94%
Carelon $180 99%
Devoted Health Services $180 99%
Gold Kidney Health Plan $188 104%
Arizona Medical Network $232 - $255 128%
Humana $507 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7575 East Earll Drive, Scottsdale, AZ 85251
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric