CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Southern Ohio Medical Center

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$142

about 0.8× the $181 Medicare rate · typically $122–$197

modeled estimate · not a bill or quote

What this hospital charges insurers

$133

About the fair price

about $9 under the fair price · 0.7× Medicare

Medicare pays $181 Fair price $142 This hospital $133 Cash price $258 Hospital's list price $515

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 6 of 8 other OH hospitals charge more for the same procedure.

Cheapest $132 Priciest $148

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $142 (about 0.8× the $181 Medicare rate). Southern Ohio Medical Center charges insurers about $133, or about $258 in cash — about the fair price. Located in Portsmouth, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$80 - $453	44%
Blue Cross Blue Shieldmajor	$76 - $402	42%
Aetnamajor	$208 - $397	115%
Cignamajor	$176 - $427	97%
Humanamajor	$94 - $438	52%
Ambetter (Centene)	$133	73%
CareSource	$160 - $200	88%
Medical Mutual	$133 - $422	73%
Molina	$94 - $181	52%
WellCare	$95 - $133	52%
+ 5 smaller / regional plans	$133 - $453

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 258), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm Southern Ohio Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Southern Ohio Medical Center

Compare: Psychotherapy session (60 minutes) at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.