CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sharp Mesa Vista Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $625
Cash Discount Price: $830
vs. Medicare Baseline: 3.45x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Sharp Mesa Vista Hospital is $625. 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 3.45x the Medicare baseline. Located in 7850 Vista Hill Avenue, San Diego, CA.

Cash / Self-Pay

$830

Average discount available for prompt cash payment at this facility.

Insurance Median

$625

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: $625 (345%)

Cash: $830 (458% of Medicare)

Ins. Median: $625 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
Medicare (plans)	$166	92%
Aetna	$310 - $1,084	171%
Blue Cross Blue Shield	$328 - $774	181%
Health Net	$328 - $885	181%
Medi-Cal	$328	181%
San Diego Pace	$328	181%
Community Health Group	$337 - $553	186%
Cigna	$442 - $734	244%
Kaiser	$442 - $625	244%
UnitedHealthcare	$442 - $885	244%
Blue Shield	$465 - $907	256%
Molina	$531 - $995	293%
County Medical Services	$616 - $774	340%
Interplan	$625 - $774	345%
Multiplan	$625	345%
California Health And Wellness	$675	372%
Indian Health Council	$774 - $1,084	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 Mesa Vista Hospital 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.