CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Jacobi Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $221
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Jacobi Medical Center is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.22x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

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%)
Insurance Median: $221 (122%)
Ins. Median: $221 (122% 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
Carelon $113 - $221 62%
United Behavioral Health $114 - $243 63%
Healthfirst $118 - $496 65%
Fidelis $147 - $496 81%
Wellcare $159 88%
Aetna $161 - $257 89%
Blue Cross Blue Shield $168 - $496 93%
Elderplan $190 105%
Vaccn $190 105%
Vnsny $190 - $225 105%
Centers Plan For Healthy Living $198 109%
Metroplus $204 - $496 112%
Amidacare $221 122%
Senior Whole Health $221 122%
United $221 - $716 122%
Affinity $225 - $496 124%
Carelon (Amida Care) $225 124%
Emblem $276 - $298 152%
Oscar $285 157%
Magnacare $374 206%
Centerlight $448 247%
Oxford $448 - $537 247%
Cigna $671 370%
Multiplan $716 395%
Local 1199 $761 420%
Villagecare Max $761 420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals