CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Saint Mary's Regional Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $232
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Saint Mary's Regional Medical Center is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.28x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $193 (106%)
Insurance Median: $232 (128%)
Cash: $193 (106% of Medicare)
Ins. Median: $232 (128% 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
Access To Healthcare Network $56 31%
Occunet $87 - $386 48%
Aetna $193 106%
Blue Cross Blue Shield $193 - $372 106%
Health Plan Of Nevada $193 106%
Medicare (plans) $193 106%
Molina Healthcare Of Nv $193 106%
Saint Mary Health Plan $193 - $222 106%
Sierra $193 106%
Silver Summit $193 - $338 106%
Tricare $193 106%
Triwest $193 106%
Alignment $197 109%
UnitedHealthcare $199 110%
Pam $222 122%
Veterans Evaluation Service Ves $241 133%
Employer Direct $270 149%
Home Town Test $270 149%
Naphcare $270 149%
Asserta Health $290 160%
Imperial Insurance Company $290 - $357 160%
Nevada Health Partners $359 198%
6 Degrees $386 213%
Nv Preferred $411 - $438 227%
Custom Ink $419 231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals