CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: UPMC Chautauqua at Wca

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $248
Cash Discount Price: $240
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at UPMC Chautauqua at Wca is $248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $240. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.37x the Medicare baseline. Located in 207 Foote Avenue, Jamestown, NY.

Cash / Self-Pay

$240

Average discount available for prompt cash payment at this facility.

Insurance Median

$248

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: $240 (132%)

Insurance Median: $248 (137%)

Cash: $240 (132% of Medicare)

Ins. Median: $248 (137% 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
Upmc Health Plan	$65 - $240	36%
United Behavioral Health	$69	38%
Geisinger	$72	40%
Fidelis	$78	43%
Health Partners Plans (Jefferson Health Plan)	$78	43%
Ccbhn	$108	60%
Aetna	$117 - $260	65%
Univera	$138	76%
Independent Health	$185 - $235	102%
Magnacare	$207 - $300	114%
UnitedHealthcare	$256 - $260	141%
Humana	$300 - $320	165%
Multiplan	$300	165%
Ghi/Emblem Health	$320	176%
Statewide Independent Ppo	$352	194%
Affordable First Health	$360	199%

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 $240.
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 UPMC Chautauqua at Wca 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.