CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: St Joseph's University Medical Center Inc

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $211
  • Cash Discount Price: $592
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at St Joseph's University Medical Center Inc is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $592. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.16x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$592

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $592 (326%)
Insurance Median: $211 (116%)
Cash: $592 (326% of Medicare)
Ins. Median: $211 (116% 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
Fidelis Care of New Jersey $73 - $221 40%
UnitedHealthcare $105 - $379 58%
Wellpoint $116 - $211 64%
Aetna $122 - $430 67%
Ambetter / Centene $145 - $316 80%
Amerihealth $145 - $377 80%
Clover Health $145 - $211 80%
Horizon New Jersey Total Care $145 - $211 80%
Blue Cross Blue Shield $159 - $600 88%
Amerihealth Behavioral Health $160 - $226 88%
Horizon New Jersey Health $184 - $371 101%
Multiplan $217 - $444 120%
Longevity Health Plan $242 133%
Private Healthcare Systems $284 - $385 157%
Consumer Health Network $328 - $533 181%
Oxford $379 209%
Magnacare $414 228%
Cigna $437 - $592 241%
Oscar $558 308%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals