CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $227
Cash Discount Price: $553
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Southern Hills Hospital and Medical Center is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $553. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.25x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$553

Average discount available for prompt cash payment at this facility.

Insurance Median

$227

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: $553 (305%)

Insurance Median: $227 (125%)

Cash: $553 (305% of Medicare)

Ins. Median: $227 (125% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health Services Coalition	$75	41%
United	$97 - $121	53%
Molina Healthcare	$100	55%
Ambetter / Centene	$103 - $116	57%
Aetna	$113	62%
Select Health	$119 - $127	66%
Cigna	$124	68%
Corvel	$221	122%
Cmn Global	$232	128%
Olympus Medsave Usa	$233 - $415	128%
Hometown Health Providers	$276	152%
Nv Health & Welfare Trust	$332	183%
Multiplan	$348 - $404	192%
First Health	$365 - $442	201%
Medcare International	$415	229%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $553.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southern Hills Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.