CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Jamaica Hospital Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $220
  • Cash Discount Price: $300
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Jamaica Hospital Medical Center is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.21x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.
Cash / Self-Pay
$300

Average discount available for prompt cash payment at this facility.

Insurance Median
$220

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: $300 (165%)
Insurance Median: $220 (121%)
Cash: $300 (165% of Medicare)
Ins. Median: $220 (121% 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
Ghi $104 57%
1999 National Benefit Fund $127 70%
Hotel Trades Council $150 - $1,912 83%
United Behavioral Health $151 - $174 83%
Empire Blue Priority $155 85%
Valueoptions $164 90%
Empire $182 - $220 100%
Healthfirst $187 103%
Fidelis $209 - $220 115%
World Trade Center Program $211 116%
Aetna $220 121%
Beacon Health Strategies $220 121%
Centerlight Healthcare $220 121%
Metroplus $220 - $243 121%
UnitedHealthcare $220 121%
Elderplan $225 124%
Vns $225 124%
Wellcare Of Ny $229 126%
Humana $234 129%
Senior Whole Health $234 129%
Hamaspik Choice $254 140%
Magnacare $254 - $500 140%
Centers Plan For Healthy Living $276 152%
Emblemhealth $364 201%
Create Health Plan $371 205%
Centivo $456 251%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals