CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: NYU Langone Hospitals

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $1,021
Cash Discount Price: $390
vs. Medicare Baseline: 5.63x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at NYU Langone Hospitals is $1,021. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $390. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 5.63x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$390

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,021

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: $390 (215%)

Insurance Median: $1,021 (563%)

Cash: $390 (215% of Medicare)

Ins. Median: $1,021 (563% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 563% of the Medicare baseline (a markup of 463%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
1199	$127	70%
Fidelis	$133 - $550	73%
Healthfirst	$133 - $550	73%
Healthplus	$133 - $550	73%
Amida	$147	81%
Ghi	$190 - $1,641	105%
Hip	$190 - $1,498	105%
Medicare (plans)	$190	105%
Wellcare	$190	105%
Centerlight	$194	107%
Medicaid / KanCare	$200 - $244	110%
Metroplus	$200 - $550	110%
UnitedHealthcare	$200 - $1,021	110%
Somos	$210 - $330	116%
Hamaspik	$285	157%
Oxford	$909 - $1,038	501%
Blue Cross Blue Shield	$928 - $1,160	512%
Magnacare	$1,026	566%
Aetna	$1,231 - $2,052	679%
Cigna	$1,231	679%
Multiplan	$1,600	882%

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 $390.
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 NYU Langone Hospitals 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.