CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Sunrise Hospital and Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $161
  • Cash Discount Price: $498
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Sunrise Hospital and Medical Center is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $498. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.89x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$498

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $498 (275%)
Insurance Median: $161 (89%)
Cash: $498 (275% of Medicare)
Ins. Median: $161 (89% 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
Amerigroup $82 - $111 45%
Health Plan Nevada $82 - $116 45%
Molina $86 - $122 47%
Silver Summit $86 - $192 47%
Humana $91 - $147 50%
United $97 - $191 53%
Molina Healthcare $100 55%
Ambetter / Centene $103 57%
Blue Cross Blue Shield $116 - $288 64%
Healthcare Partners Of Nv $130 - $197 72%
Aetna $133 - $192 73%
Alignment Health Plan $134 - $154 74%
Caremore $141 - $162 78%
Hometown Health Providers $153 - $269 84%
Sierra $160 - $195 88%
Cigna $162 - $306 89%
Multiplan $172 - $197 95%
Legacy Provider Network $198 109%
Culinary Health Fund $201 - $231 111%
Corvel $209 - $221 115%
Comp-Med Workers Comp $213 117%
Olympus Medsave Usa $220 - $233 121%
Select Health $246 - $332 136%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals