CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Harlem Hospital Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $210
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Harlem Hospital Center is $210. 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 1.16x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$210

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: $210 (116%)
Ins. Median: $210 (116% 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 - $210 62%
United Behavioral Health $114 - $231 63%
Healthfirst $117 - $472 65%
Fidelis $146 - $472 81%
Wellcare $158 87%
Aetna $161 - $257 89%
Blue Cross Blue Shield $170 - $472 94%
Elderplan $190 105%
Vaccn $190 105%
Vnsny $190 - $214 105%
Metroplus $194 - $472 107%
Centers Plan For Healthy Living $198 109%
Amidacare $210 116%
Senior Whole Health $210 116%
United $210 - $716 116%
Affinity $214 - $472 118%
Carelon (Amida Care) $214 118%
Emblem $262 - $283 144%
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: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals