CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Atrium Health Cleveland

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$155

about 0.9× the $181 Medicare rate · typically $107–$156

modeled estimate · not a bill or quote

What this hospital charges insurers

$155

About the fair price

0.9× Medicare

Medicare pays $181 Fair price $155 This hospital $155 Cash price $110 Hospital's list price $219

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NC hospitals compared.

Cheapest $111 Priciest $158

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

A fair price for a Psychotherapy session (60 minutes) is about $155 (about 0.9× the $181 Medicare rate). Atrium Health Cleveland charges insurers about $155, or about $110 in cash — about the fair price. Located in Shelby, NC.

What each insurance company pays

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

5 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	$46 - $316	25%
Blue Cross Blue Shieldmajor	$68 - $292	37%
Aetnamajor	$58 - $319	32%
Cignamajor	$95 - $176	52%
Humanamajor	$135 - $154	74%
Ambetter (Centene)	$70 - $80	39%
AmeriHealth	$31 - $92	17%
Health Net	$97	53%
WellCare	$32 - $92	18%
+ 16 smaller / regional plans	$31 - $234

Excludes 3 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 110), 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 Atrium Health Cleveland 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 Atrium Health Cleveland

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

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