CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $132
  • Cash Discount Price: $110
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Carolinas Medical Center/Behav Health is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.
Cash / Self-Pay
$110

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $110 (61%)
Insurance Median: $132 (73%)
Cash: $110 (61% of Medicare)
Ins. Median: $132 (73% 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
Aetna $42 - $319 23%
Blue Cross Blue Shield $42 - $292 23%
Cigna $42 - $176 23%
Humana $42 - $180 23%
Alliance $48 - $93 26%
Amerihealth Caritas $48 - $92 26%
Partners $48 - $91 26%
Sandhills $48 - $91 26%
Carolina Complete Health $49 - $219 27%
Healthy Blue $49 - $92 27%
Vaya $49 - $92 27%
Wellcare $49 - $92 27%
Trillium $50 - $92 28%
Molina $53 29%
Ambetter / Centene $64 - $104 35%
Medcost $68 - $321 37%
UnitedHealthcare $72 - $316 40%
Employers Health Network $97 53%
Physician Reach Out $110 61%
Magellan $132 73%
Gmmi $143 79%
Quik Trip $143 79%
Carolina Behavioral Health $158 - $176 87%
Choicecare $158 - $234 87%
Ortho Carolina $166 - $201 92%
First Health $176 - $193 97%
Healthgram $176 97%
Private Health Care Systems $176 - $180 97%
Provider Select $178 - $197 98%
Lifesynch Community Choice Care $180 99%
Beechstreet $191 - $193 105%
Multiplan $197 109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Blythe Blvd, Charlotte, NC 28203
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals