CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Ohio State University State Health System

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $247
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Ohio State University State Health System is $247. 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 1.36x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$247

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: $247 (136%)
Ins. Median: $247 (136% 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
Aetna $154 - $414 85%
Blue Cross Blue Shield $154 - $501 85%
Medicare (plans) $154 - $166 85%
Mmo $154 - $509 85%
Molina $154 - $257 85%
Upper Ohio Valley $154 - $340 85%
Humana $157 87%
Buckeye Community $158 - $238 87%
Osu Health Plan $160 - $258 88%
Caresource $162 - $238 89%
Healthspan $162 - $247 89%
Medigold $162 89%
Ohio Ppo $192 - $231 106%
Odrc $209 115%
Cigna $335 - $453 185%
Ohiohealth $335 - $386 185%
Lifetrac $350 193%
Frontpath $412 227%
Multiplan $412 227%
Healthsmart $464 256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals