CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$147

about 0.8× the $181 Medicare rate · typically $143–$254

modeled estimate · not a bill or quote

What this hospital charges insurers

$149

About the fair price

about $2 over the fair price · 0.8× Medicare

Medicare pays $181 Fair price $147 This hospital $149 Cash price $316 Hospital's list price $421

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $132 Priciest $149

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 $147 (about 0.8× the $181 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $149, or about $316 in cash — about the fair price. Located in Cleveland, 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	$149 - $296	82%
Blue Cross Blue Shieldmajor	$149 - $274	82%
Aetnamajor	$149 - $335	82%
Cignamajor	$149 - $272	82%
Humanamajor	$149	82%
Ambetter (Centene)	$236	130%
CareSource	$227	125%
Devoted Health	$149	82%
Health Net	$358	197%
Medical Mutual	$140 - $334	77%
Molina	$149	82%
Paramount	$153	84%
WellCare	$149	82%
+ 21 smaller / regional plans	$149 - $379

Excludes 5 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 316), 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 Rainbow Babies and Childrens Hospital 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 Rainbow Babies and Childrens Hospital

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

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