CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: St Peter's Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $324
  • Cash Discount Price: $272
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at St Peter's Hospital is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.79x the Medicare baseline. Located in 315 South Manning Boulevard, Albany, NY.
Cash / Self-Pay
$272

Average discount available for prompt cash payment at this facility.

Insurance Median
$324

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: $272 (150%)
Insurance Median: $324 (179%)
Cash: $272 (150% of Medicare)
Ins. Median: $324 (179% 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
Medicare (plans) $95 - $520 52%
UnitedHealthcare $106 - $418 58%
Blue Cross Blue Shield $123 - $418 68%
Blue Shield - Ca $123 68%
Blue Shield - Id (Regence) $123 68%
Blue Shield - Ny Highmark Northeastern $123 68%
Blue Shield - Ny Highmark Western $123 68%
Blue Shield - Pa (Highmark) $123 68%
Blue Shield - Wa (Regence) $123 68%
Medicaid / KanCare $125 - $418 69%
Carelon Behavioral Health $151 - $540 83%
Capital District Physicians Health Plan $176 97%
Bcn Domestic $210 116%
Blue Care Network $210 116%
Unicare $210 116%
Harvard Pilgrim Healthcare $230 127%
Emblem Health $314 173%
Nova $314 173%
Galaxy Health Network $334 184%
Health Republic $355 196%
Independent Health $355 196%
Magnacare $355 196%
Health New England $376 207%
Multiplan $376 207%
Phcs $376 207%
Albany County Correctional Facility $418 231%
Mvp $635 - $682 350%
Allegiance $760 419%
American Postal Workers Secondary $760 419%
Cigna $760 419%
Diversified Administrators $760 419%
Health Partners $760 419%
Priority Health $760 419%
Tufts Health Plan $760 419%
Webtpa $760 419%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 South Manning Boulevard, Albany, NY 12208
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals