CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Grady Memorial Hospital

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$192

about 1.1× the $181 Medicare rate · typically $162–$299

modeled estimate · not a bill or quote

What this hospital charges insurers

$157

Below the fair price — a good deal

about $35 under the fair price · 0.9× Medicare

Medicare pays $181 Fair price $192 This hospital $157 Cash price $658 Hospital's list price $658

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 3 charge more and 3 charge less, among the 9 GA hospitals compared.

Cheapest $96 Priciest $161

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychotherapy session (60 minutes) is about $192 (about 1.1× the $181 Medicare rate). Grady Memorial Hospital charges insurers about $157, or about $658 in cash — below the fair price — a good deal. Located in Atlanta, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$135 - $474	74%
Blue Cross Blue Shieldmajor	$135 - $526	74%
Aetnamajor	$135 - $293	74%
Cignamajor	$135 - $389	74%
Humanamajor	$135 - $160	74%
Kaiser Permanentemajor	$135 - $499	74%
Ambetter (Centene)	$97 - $160	53%
Amerigroup	$107 - $111	59%
CareSource	$98 - $256	54%
Clover Health	$142 - $168	78%
Oscar Health	$184 - $428	101%
WellCare	$135 - $160	74%
+ 1 smaller / regional plan	$142 - $168

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 658), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm Grady Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Grady Memorial Hospital

Compare: Psychotherapy session (60 minutes) at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.