CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Boulder Community Health

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $320
  • Cash Discount Price: $634
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Boulder Community Health is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $634. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.76x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$634

Average discount available for prompt cash payment at this facility.

Insurance Median
$320

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: $634 (350%)
Insurance Median: $320 (176%)
Cash: $634 (350% of Medicare)
Ins. Median: $320 (176% 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
Multiplan $69 - $876 38%
Phcs $69 - $876 38%
Blue Cross Blue Shield $77 - $754 42%
Colorado Community Health Alliance (Ccha) $129 71%
Humana $132 - $161 73%
UnitedHealthcare $136 - $200 75%
Medicaid / KanCare $137 - $142 76%
Rocky Mountain Health Maintenance Organization $137 - $219 76%
Colorado Access $150 - $184 83%
Aetna $157 - $1,103 87%
Devoted Health $157 - $507 87%
Health Spring $157 - $161 87%
Medicare (plans) $157 - $481 87%
Clear Spring $161 - $166 89%
Kaiser Public Option $194 - $558 107%
Beech Street Community Medical Associates $204 112%
Cigna $215 - $1,014 119%
Select Health Colorado Public Option $219 - $481 121%
Select Health Value Network $219 - $481 121%
Kaiser $225 - $663 124%
Kaiser Ppo $226 - $666 125%
Rocky Mountain Health Maintenance Organization Private Plan $887 489%
Integrated Health Plans Bch $950 524%
Casualty Management Network, Prime Health Services Behavioral Health $1,077 594%
Mines And Associates $1,077 594%
Three Rivers Provider Network $1,077 594%
Zelis (Profee) $1,077 594%
Casualty Management Network, Prime Health Services Community Medical Associates $1,140 629%
National Preferred Provider Network $1,140 629%
Rockport Healthcare Group Community Medical Associates $1,140 629%
Usa $1,140 629%
Rockport Healthcare Group Bch $1,178 650%
Health Payors Organization $1,204 664%
Health Management Network Bch Community Medical Associates $1,216 671%
Health Management Network Community Medical Associates $1,216 671%
National Provider Network $1,229 678%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals