CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sharp Chula Vista Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $683
Cash Discount Price: $830
vs. Medicare Baseline: 3.77x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Sharp Chula Vista Medical Center is $683. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $830. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.77x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$830

Average discount available for prompt cash payment at this facility.

Insurance Median

$683

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: $830 (458%)

Insurance Median: $683 (377%)

Cash: $830 (458% of Medicare)

Ins. Median: $683 (377% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 377% of the Medicare baseline (a markup of 277%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Shield	$166 - $774	92%
Blue Cross Blue Shield	$310 - $907	171%
Health Net	$310 - $1,084	171%
Aetna	$328 - $1,084	181%
Community Health Group	$328 - $741	181%
Multiplan	$328 - $830	181%
UnitedHealthcare	$328 - $1,084	181%
Indian Health Council	$332	183%
Humana	$376 - $774	207%
California Health And Wellness	$442 - $531	244%
Medi-Cal	$442 - $830	244%
San Diego Pace	$442 - $530	244%
County Medical Services	$465 - $734	256%
Cigna	$531 - $885	293%
Epic Americas	$531 - $885	293%
Molina	$608 - $885	335%
Kaiser	$664 - $774	366%
Interplan	$763 - $774	421%
Managed Health Network	$774	427%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $830.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Chula Vista Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.