CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $206
  • Cash Discount Price: $228
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Mt Sinai Hospital Medical Center is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.14x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$228

Average discount available for prompt cash payment at this facility.

Insurance Median
$206

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: $228 (126%)
Insurance Median: $206 (114%)
Cash: $228 (126% of Medicare)
Ins. Median: $206 (114% 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
Partners In Hlth - All Plans $118 - $143 65%
Blue Cross Blue Shield $131 - $228 72%
Cigna $165 - $443 91%
Compsych Ip/Op Only - All Plans $176 - $215 97%
Tricare $184 101%
Va Healthnet - All Plans $184 101%
Advocate Physician Prtnrs Mcr $190 105%
Cenpatico Illinicare Dual $190 105%
Cenpatico Illinicare Mcr - All Other Plans $190 105%
Evernorth Behav Hlth Mcr Adv $190 105%
Humana $190 - $1,125 105%
Lawndale Christian - All Plans $190 105%
Meridian/Harmony D-Snp - All Plans $190 105%
Nextlevel Hlth Icp Fhp Aca - All Plans $190 105%
UnitedHealthcare $190 - $196 105%
Healthlink Hmo $191 - $233 105%
Hfn Platinum $191 - $233 105%
Harmony Behavioral Htlh - All Plans $196 108%
Zing Mcr Adv - All Plans $198 109%
Molina Mcr - All Other Plans $200 110%
Healthlink Ppo - All Other Plans $206 - $251 114%
Multiplan Primary Ntwrk/Phcs - All Other Plans $206 - $251 114%
Advocate Physician Prtnrs - All Other Plans $209 115%
Ambetter / Centene $209 - $376 115%
Aetna $228 - $810 126%
Cenpatico Illinicare Bh Mcaid $228 126%
Family Health Network Mcaid - All Plans $228 126%
Hfn Epo $235 - $287 130%
Multiplan Complementary Ntwrk $235 - $287 130%
Molina Mcaid $239 132%
Hfn Ppo - All Other Plans $259 - $315 143%
Oscar - All Plans $323 - $394 178%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals