CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Elmhurst Hospital Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $198
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Elmhurst Hospital Center is $198. 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 1.09x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

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: $198 (109%)
Ins. Median: $198 (109% 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 - $195 62%
United Behavioral Health $114 - $215 63%
Healthfirst $117 - $439 65%
Fidelis $146 - $439 81%
Wellcare $158 87%
Aetna $161 - $257 89%
Blue Cross Blue Shield $168 - $439 93%
Metroplus $179 - $439 99%
Elderplan $190 105%
Vaccn $190 105%
Vnsny $190 - $199 105%
Amidacare $195 108%
Senior Whole Health $195 108%
United $195 - $716 108%
Centers Plan For Healthy Living $198 109%
Affinity $199 - $439 110%
Carelon (Amida Care) $199 110%
Emblem $244 - $264 135%
Oscar $285 157%
Magnacare $374 - $394 206%
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: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals