CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: St Joseph's University Medical Center Inc

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$179

about 1.0× the $181 Medicare rate · typically $161–$200

modeled estimate · not a bill or quote

What this hospital charges insurers

$205

About the fair price

about $26 over the fair price · 1.1× Medicare

Medicare pays $181 Fair price $179 This hospital $205 Cash price $592 Hospital's list price $592

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $133 Priciest $205

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $179 (about 1.0× the $181 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $205, or about $592 in cash — about the fair price. Located in Paterson, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$105 - $379	58%
Blue Cross Blue Shieldmajor	$116 - $600	64%
Aetnamajor	$122 - $430	67%
Cignamajor	$437 - $592	241%
Ambetter (Centene)	$145 - $316	80%
AmeriHealth	$145 - $377	80%
Clover Health	$145 - $211	80%
Fidelis Care	$73 - $221	40%
Health Net	$328 - $533	181%
MagnaCare	$414	228%
Oscar Health	$558	308%
+ 4 smaller / regional plans	$145 - $379

Excludes 2 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 592), 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 St Joseph's University Medical Center Inc 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 (%)

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Other Procedures at St Joseph's University Medical Center Inc

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

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