CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $309
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Arthur G James Cancer Hospital and Research Institute is $309. 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 1.70x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$309

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: $309 (170%)
Ins. Median: $309 (170% 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
Healthspan $113 - $5,413 62%
Medigold $113 62%
Upper Ohio Valley $113 - $5,413 62%
Medicare (plans) $114 - $5,467 63%
Humana $115 - $5,521 63%
Medicaid / KanCare $130 - $179 72%
Aetna $137 - $5,388 76%
United $143 - $469 79%
Caresource $170 - $254 94%
Mmo $170 - $435 94%
Molina $170 - $5,388 94%
Odrc $179 - $209 99%
Blue Cross Blue Shield $189 - $488 104%
Buckeye Community $190 - $252 105%
Amerihealth $192 - $277 106%
Osu Health Plan $235 - $341 130%
Lifetrac $335 - $350 185%
Ohio Ppo $338 186%
Ohiohealth $371 - $376 205%
Cigna $373 - $453 206%
Frontpath $412 227%
Healthsmart $464 256%
Multiplan $479 264%
Ohio Dept Of Health $4,289 2365%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 460 W 10Th Ave, Columbus, OH 43210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL