CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Medstar Washington Hospital Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $316
  • Cash Discount Price: $354
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Medstar Washington Hospital Center is $316. 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 1.74x the Medicare baseline. Located in 110 Irving Street Nw, Washington, DC.
Cash / Self-Pay
$354

Average discount available for prompt cash payment at this facility.

Insurance Median
$316

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: $316 (174%)
Cash: $354 (195% of Medicare)
Ins. Median: $316 (174% 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
UnitedHealthcare $158 - $212 87%
Kaiser Permanente $182 - $277 100%
Carefirst Advantage Inc $210 116%
Tricare $210 116%
Aetna $216 - $348 119%
Health Care Service Corporation $220 121%
Humana $220 121%
Medstar Family Choice Inc $261 - $316 144%
Amerigroup $316 174%
Amerihealth Caritas District Of Columbia $316 174%
Hscsn $316 174%
Cigna $325 179%
Carefirst Blue Choice Inc $354 195%
Pfc $354 195%
Ncppo Healthlink Ppo $408 225%
Private Healthcare Systems (Phcs) $436 240%
First Health $463 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Irving Street Nw, Washington, DC 20010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals