CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$290

about 1.6× the $181 Medicare rate · typically $173–$480

modeled estimate · not a bill or quote

What this hospital charges insurers

$228

Below the fair price — a good deal

about $62 under the fair price · 1.3× Medicare

Medicare pays $181 Fair price $290 This hospital $228 Cash price $183 Hospital's list price $366

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $111 Priciest $228

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 $290 (about 1.6× the $181 Medicare rate). Novant Health Presbyterian Medical Center charges insurers about $228, or about $183 in cash — below the fair price — a good deal. Located in Charlotte, 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	$65 - $215	36%
Blue Cross Blue Shieldmajor	$65 - $265	36%
Aetnamajor	$177 - $294	98%
Cignamajor	$178 - $190	98%
Humanamajor	$172 - $265	95%
AmeriHealth	$65	36%
CareSource	$120 - $121	66%
WellCare	$65	36%
+ 9 smaller / regional plans	$63 - $357

Excludes 4 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 183), 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 Novant Health Presbyterian Medical Center 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 Novant Health Presbyterian Medical Center

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

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