CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $228
  • Cash Discount Price: $183
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Novant Health Presbyterian Medical Center is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.26x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.
Cash / Self-Pay
$183

Average discount available for prompt cash payment at this facility.

Insurance Median
$228

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: $183 (101%)
Insurance Median: $228 (126%)
Cash: $183 (101% of Medicare)
Ins. Median: $228 (126% 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
Carolina Complete $63 - $64 35%
Nc Department Of Public Safety $63 - $345 35%
Amerihealth $65 36%
Blue Cross Blue Shield $65 - $265 36%
UnitedHealthcare $65 - $215 36%
Wellcare $65 36%
Caresource North Carolina $120 - $121 66%
Atlantic Corporation Dba Atlantic Packaging $167 - $169 92%
Humana $172 - $265 95%
Pace Of The Southern Piedmont $172 95%
Aetna $177 - $294 98%
Cigna $178 - $190 98%
Liberty Health $181 100%
Amps $200 - $202 110%
Plotkin Health $218 - $221 120%
Medcost $258 - $276 142%
Primary Physician Care $269 - $272 148%
Multiplan $273 - $276 151%
Phcs $273 - $276 151%
Employers Choice Network $353 - $357 195%
Three Rivers Provider Network $353 - $357 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hawthorne Lane Box 33549, Charlotte, NC 28233
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals