CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Columbia Memorial Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $158
Cash Discount Price: $213
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Columbia Memorial Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$213

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $213 (117%)

Insurance Median: $158 (87%)

Cash: $213 (117% of Medicare)

Ins. Median: $158 (87% 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
Medicaid / KanCare	$48 - $190	26%
UnitedHealthcare	$57 - $197	31%
Blue Cross Blue Shield	$85 - $2,449	47%
Cdphp	$96 - $428	53%
Mvp	$100 - $400	55%
Medicare (plans)	$107 - $164	59%
Tricare	$107 - $164	59%
Hamaspik	$117 - $259	65%
Blue Shield Highmark	$128 - $162	71%
Fidelis	$135 - $428	74%
Aetna	$146 - $353	81%
Cigna	$160 - $184	88%
Magnacare	$164 - $377	90%
Empire Plan Nyship	$181	100%
Multiplan	$192 - $441	106%
Emblem Health Ghi	$195 - $225	108%
Herrington Diversified Pdh	$213 - $285	117%
Mvp Commercial	$213 - $490	117%
Emblem	$215 - $348	119%
Blue Shield	$276 - $472	152%

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 $213.
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 Columbia Memorial Hospital 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.