CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Uh Regional Hospitals

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $223
Cash Discount Price: $316
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Uh Regional Hospitals is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.23x the Medicare baseline. Located in 13207 Ravenna Road, Chardon, OH.

Cash / Self-Pay

$316

Average discount available for prompt cash payment at this facility.

Insurance Median

$223

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: $316 (174%)

Insurance Median: $223 (123%)

Cash: $316 (174% of Medicare)

Ins. Median: $223 (123% 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
Medical Mutual Of Ohio	$109 - $295	60%
Aetna	$149 - $286	82%
Blue Cross Blue Shield	$149 - $265	82%
Cigna	$149 - $307	82%
Devoted Health	$149	82%
Humana	$149	82%
Molina	$149	82%
Primetime Health Plan	$149	82%
Summacare	$149 - $215	82%
The Health Plan	$149 - $278	82%
UnitedHealthcare	$149 - $258	82%
Wellcare By Allwell	$149	82%
Paramount	$153	84%
Perennial Advantage Of Ohio	$156	86%
Valor Health Plans	$156	86%
University Health Employee Plan (Contigo)	$168	93%
Amish Aid Community Plan	$194	107%
Amish Church Fund And Workers Aid Plan	$194	107%
Buckeye Plain Ministries	$194	107%
Clarity	$202	111%
Jp Farley	$202	111%
Christian Healthcare Ministries	$210	116%
Immergrun	$210	116%
Sunrise Plan Communities	$210	116%
Aultcare	$232	128%
Ambetter / Centene	$268	148%
Caresource	$268	148%
Healthsmart	$274	151%
Ohio Health Choice	$274 - $379	151%
Beech Street	$337 - $379	186%
Ohio Preferred Network	$337 - $379	186%
First Health	$349	192%
Century Health Network	$358	197%
Private Healthcare System	$362	200%
Configurenet	$379	209%
Fortified Provider Network	$379	209%
Multiplan	$379	209%

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 $316.
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 Uh Regional 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.