CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $675
Cash Discount Price: $830
vs. Medicare Baseline: 3.72x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Sharp Coronado Hospital and Hlthcr Ctr is $675. 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 3.72x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$830

Average discount available for prompt cash payment at this facility.

Insurance Median

$675

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: $675 (372%)

Cash: $830 (458% of Medicare)

Ins. Median: $675 (372% 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 372% of the Medicare baseline (a markup of 272%). 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
Molina	$66 - $664	36%
Aetna	$70 - $774	39%
Health Net	$166 - $830	92%
Multiplan	$328 - $734	181%
Allianz Global Assistance	$376 - $697	207%
Blue Cross Blue Shield	$376 - $13,972	207%
Interplan	$431 - $852	238%
Blue Shield	$531 - $13,972	293%
California Health And Wellness	$553 - $706	305%
Epic Americas	$553 - $752	305%
Humana	$616	340%
UnitedHealthcare	$616	340%
Community Health Group	$625 - $830	345%
Managed Health Network	$625 - $686	345%
County Medical Services	$664	366%
Medicare (plans)	$675 - $706	372%
Kaiser	$726	400%
Cigna	$774 - $885	427%
Indian Health Council	$774	427%
San Diego Pace	$885	488%

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 Coronado Hospital and Hlthcr Ctr 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.