CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Portsmouth Regional Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $576
Cash Discount Price: $1,007
vs. Medicare Baseline: 3.18x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Portsmouth Regional Hospital is $576. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,007. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.18x the Medicare baseline. Located in 333 Borthwick Ave, Portsmouth, NH.

Cash / Self-Pay

$1,007

Average discount available for prompt cash payment at this facility.

Insurance Median

$576

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: $1,007 (555%)

Insurance Median: $576 (318%)

Cash: $1,007 (555% of Medicare)

Ins. Median: $576 (318% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 318% of the Medicare baseline (a markup of 218%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerihealth Caritas	$41	23%
Well Sense Health Plan	$82	45%
United	$259 - $665	143%
Maine Community Health	$315 - $534	174%
Cigna	$367 - $424	202%
Tufts Health Plan	$379 - $576	209%
Blue Cross Blue Shield	$446	246%
Aetna	$637	351%
Mvp Health Plan	$705	389%
Corvel	$725	400%
Mutual Of Omaha	$806	444%
Multiplan	$816	450%
First Health	$916	505%
Healthcare Value Mgmt	$916	505%
Oxford Health Plans	$957	528%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,007.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Portsmouth Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.