CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: HCA Healthone Rose

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $55
Cash Discount Price: $354
vs. Medicare Baseline: 0.30x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at HCA Healthone Rose is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $354. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.30x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$354

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $354 (195%)

Insurance Median: $55 (30%)

Cash: $354 (195% of Medicare)

Ins. Median: $55 (30% 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.

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
Cigna	$17 - $411	9%
Kaiser	$17	9%
Bright Health	$20 - $193	11%
Aetna	$21 - $34	12%
Colorado Program For Children With Special Needs	$29 - $289	16%
United	$29 - $289	16%
Western Plains Community Health	$42 - $417	23%
Multiplan	$46 - $578	25%
Northcare	$46 - $449	25%
Physician Health Partners	$46 - $449	25%
Blue Cross Blue Shield	$48 - $475	26%
Medical Development International	$52 - $514	29%
Rocky Mtn Planned Parenthood	$55 - $546	30%
Prime Health	$58 - $578	32%
Vail Health	$98	54%
Pinnacol Workers Comp	$245	135%

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 $354.
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 HCA Healthone Rose 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.