CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Grady Memorial Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $160
Cash Discount Price: $658
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Grady Memorial Hospital is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $658. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.88x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$658

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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: $658 (363%)

Insurance Median: $160 (88%)

Cash: $658 (363% of Medicare)

Ins. Median: $160 (88% 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
Peach State	$94 - $111	52%
Ambetter / Centene	$97 - $160	53%
Caresource	$98 - $256	54%
Amerigroup	$107 - $111	59%
Aetna	$135 - $293	74%
Blue Cross Blue Shield	$135 - $526	74%
Cigna	$135 - $389	74%
Humana	$135 - $160	74%
Kaiser	$135 - $499	74%
Medicare (plans)	$135 - $160	74%
UnitedHealthcare	$135 - $474	74%
Vaccn	$135 - $160	74%
Wellcare	$135 - $160	74%
Clear Spring Health	$142 - $168	78%
Clover	$142 - $168	78%
Usp Naphcare	$148 - $395	82%
Oscar Health	$184 - $428	101%
Multiplan	$507	280%

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 $658.
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 Grady Memorial Hospital 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.