CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Hackensack University Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $413
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 2.28x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Hackensack University Medical Center is $413. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.28x the Medicare baseline. Located in 30 Prospect Ave, Hackensack, NJ.
Cash / Self-Pay
$189

Average discount available for prompt cash payment at this facility.

Insurance Median
$413

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: $189 (104%)
Insurance Median: $413 (228%)
Cash: $189 (104% of Medicare)
Ins. Median: $413 (228% 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 228% of the Medicare baseline (a markup of 128%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Clover $100 55%
Aetna $140 - $529 77%
UnitedHealthcare $151 - $1,673 83%
Seoul Medical Group $159 88%
Blue Cross Blue Shield $189 104%
Horizon $189 - $542 104%
Vaccn $189 104%
Wellcare $189 104%
United Community/Americhoice $199 110%
Karna $223 123%
Qualcare $329 181%
Intergroup $389 215%
Oxford $408 - $1,635 225%
Bergen Risk $417 230%
Lhp Health $439 242%
Cigna $445 - $538 245%
Activecare First McO $473 261%
Chn $473 261%
Multiplan - PHCS $473 261%
Brighton Health Plan $500 276%
Amerihealth $556 307%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 30 Prospect Ave, Hackensack, NJ 07601
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals