CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Akron Children's Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $222
  • Cash Discount Price: $389
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Akron Children's Hospital is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.22x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$389

Average discount available for prompt cash payment at this facility.

Insurance Median
$222

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: $389 (215%)
Insurance Median: $222 (122%)
Cash: $389 (215% of Medicare)
Ins. Median: $222 (122% 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 $78 - $536 43%
Blue Cross Blue Shield $80 - $616 44%
Buckeye Community Health Plan $80 - $145 44%
Caresource $80 - $142 44%
Humana $80 - $579 44%
Molina $80 - $145 44%
UnitedHealthcare $80 - $536 44%
Amerihealth Caritas Ohio $82 - $149 45%
Autlcare $127 - $492 70%
Summacare $131 - $511 72%
Cenpatico $145 80%
Cigna $163 - $538 90%
Mmo $183 - $614 101%
Healthplan (Hometown) $212 117%
Northern Ohio Handicapped Fund (Nohf $224 124%
Ohio Crippled Childrens Fund (Occf $224 124%
Amish Church Fund $312 172%
Medben $473 261%
Summa Health Employee $486 268%
Summacare Preferred Choice Network $490 270%
The Health Plan (Mountaineer Region) $502 277%
Avita-Osu Health Plan $511 282%
The Health Plan (Fna Hometown Health Network) $523 288%
Healthsmart (Fna Emerald Health Network) $545 301%
Embs/Thomas Steel $548 302%
Ohio Health Choice $548 302%
Phcs/Multiplan $548 302%
Enterprise Group Planning $561 309%
Prime Health Services $561 309%
Primenet $561 309%
Quality Care Partners $561 309%
Beechstreet $579 319%
Ohio Preferred Network $579 319%
Paramount $579 319%
Cofinity $586 323%
Health Reach Ohio Health Group $586 323%
Direct Care America $592 326%
First Health Network $592 326%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens