CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Northside Hospital Duluth

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$227

about 1.3× the $181 Medicare rate · typically $173–$326

modeled estimate · not a bill or quote

What this hospital charges insurers

$180

Below the fair price — a good deal

about $47 under the fair price · 1.0× Medicare

Medicare pays $181 Fair price $227 This hospital $180 Cash price $457 Hospital's list price $609

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $96 Priciest $180

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

A fair price for a Psychotherapy session (60 minutes) is about $227 (about 1.3× the $181 Medicare rate). Northside Hospital Duluth charges insurers about $180, or about $457 in cash — below the fair price — a good deal. Located in Duluth, 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	$175	97%
Blue Cross Blue Shieldmajor	$170 - $424	94%
Aetnamajor	$177 - $414	98%
Cignamajor	$92 - $384	51%
Humanamajor	$177 - $182	98%
Kaiser Permanentemajor	$180 - $530	99%
Ambetter (Centene)	$77 - $286	42%
Amerigroup	$92 - $138	51%
CareSource	$79 - $227	44%
Clover Health	$184	101%
Health Net	$378	208%
Oscar Health	$286	158%
WellCare	$180	99%
+ 27 smaller / regional plans	$77 - $609

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

Excludes 9 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 457), 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 Northside Hospital Duluth 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 Northside Hospital Duluth

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

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