CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Hca-Healthone DBA Swedish Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $306
Cash Discount Price: $770
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Hca-Healthone DBA Swedish Medical Center is $306. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $770. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.69x the Medicare baseline. Located in 501 E Hampden Ave, Englewood, CO.

Cash / Self-Pay

$770

Average discount available for prompt cash payment at this facility.

Insurance Median

$306

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: $770 (425%)

Insurance Median: $306 (169%)

Cash: $770 (425% of Medicare)

Ins. Median: $306 (169% 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
Vail Health	$117	65%
Kaiser	$154 - $249	85%
United	$159 - $346	88%
Cigna	$182 - $493	100%
Bright Health	$231	127%
Pinnacol Workers Comp	$245	135%
Multiplan	$256 - $693	141%
Colorado Program For Children With Special Needs	$339	187%
Western Plains Community Health	$500	276%
Northcare	$539	297%
Physician Health Partners	$539	297%
Blue Cross Blue Shield	$570	314%
Medical Development International	$616	340%
Prime Health	$693	382%

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 $770.
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 DBA Swedish 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.