CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Children's Hospital Colorado

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $348
  • Cash Discount Price: $371
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Children's Hospital Colorado is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $371. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.92x the Medicare baseline. Located in 13123 E 16Th Ave, Aurora, CO.
Cash / Self-Pay
$371

Average discount available for prompt cash payment at this facility.

Insurance Median
$348

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: $371 (205%)
Insurance Median: $348 (192%)
Cash: $371 (205% of Medicare)
Ins. Median: $348 (192% 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
Ccha Behavioral Health $24 - $163 13%
Integrated Health Plan $37 - $124 20%
Kaiser $83 - $606 46%
Rocky Mountain Health Plan Behavioral Health $98 - $332 54%
Carelon Behavioral Health $110 - $581 61%
Denver Health Medical Plan $110 - $622 61%
Presbyterian Health Plan $117 - $473 65%
Colorado Access $120 - $157 66%
Colorado Access Behavioral Health $120 - $157 66%
Molina Healthcare Of Nebraska $134 - $456 74%
Molina Healthcare Of New Mexico $134 - $456 74%
Peak Health Alliance/Ebms $134 - $498 74%
Rocky Mountain Health Plan $134 - $540 74%
Healthy Blue Of Nebraska $142 - $481 78%
Humana $149 - $581 82%
UnitedHealthcare $151 - $556 83%
Evernorth Behavioral Health $159 - $540 88%
Interlink National $159 - $622 88%
Centivo $168 - $573 93%
Select Health $171 - $581 94%
Uchealth Plan Administrators $171 - $581 94%
Blue Cross Blue Shield $173 - $622 95%
Cigna $176 - $599 97%
Aetna $178 - $664 98%
Department Of Corrections $190 - $647 105%
Comppsych Behavioral Health $207 - $706 114%
First Choice Health $207 - $706 114%
Midlands Choice $207 - $706 114%
National Preferred Provider Network $207 - $706 114%
Multiplan $210 - $714 116%
Cofinity $220 - $747 121%
First Choice Of The Midwest $220 - $747 121%
Usa Managed Care Organization $220 - $747 121%
First Health Network $224 - $764 124%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13123 E 16Th Ave, Aurora, CO 80045
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens