CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Cleveland Clinic

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $191
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Cleveland Clinic is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

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: $214 (118%)
Insurance Median: $191 (105%)
Cash: $214 (118% of Medicare)
Ins. Median: $191 (105% 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
UnitedHealthcare $72 - $800 40%
Paramount $78 - $112 43%
Buckeye $80 - $114 44%
Caresource $80 - $109 44%
United $81 - $369 45%
Amerihealth $83 46%
Molina $83 - $114 46%
Summacare $87 - $264 48%
Cc Ehp $91 - $253 50%
Oscar $99 - $334 55%
Blue Cross Blue Shield $114 - $360 63%
Cigna $114 - $358 63%
United Bh $120 - $285 66%
Aetna $133 - $1,250 73%
Devoted Health $133 - $149 73%
Humana $133 - $280 73%
The Health Plan $133 - $688 73%
Upmc $133 - $750 73%
Valor $133 - $149 73%
Communicare $140 - $156 77%
Perennial Health $144 - $161 79%
Pphp $144 - $164 79%
Zing Health $147 - $164 81%
Amish Community Aid Plan $148 - $562 82%
Mmo $149 - $875 82%
Ohcp $160 - $486 88%
Aultcare $161 - $538 89%
Omas $164 - $625 90%
Ohio Healthy $178 - $500 98%
Healthsmart $181 - $688 100%
Php $197 109%
Phphi $197 - $750 109%
Clarity Health $214 - $812 118%
Gms $230 - $875 127%
Medical Benefit Corp $230 127%
Parkview Health Plan $230 127%
Quality Care Partners $230 - $875 127%
Consociate Health $247 - $938 136%
Community Health Alliance $263 145%
Frontpath $296 163%
Managed Care Services $296 163%
Multiplan $296 - $1,125 163%
Tertiary Care Network $296 163%
Three Rivers $296 - $1,125 163%
Usa Managed Care $1,125 620%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals