CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Cleveland Clinic Children's Hospital for Rehab

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $197
Cash Discount Price: $214
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Cleveland Clinic Children's Hospital for Rehab is $197. 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 1.09x the Medicare baseline. Located in 2801 Martin Luther King, Jr Drive, Cleveland, OH.

Cash / Self-Pay

$214

Average discount available for prompt cash payment at this facility.

Insurance Median

$197

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: $197 (109%)

Cash: $214 (118% of Medicare)

Ins. Median: $197 (109% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Oscar	$99 - $126	55%
Aultcare	$112	62%
Cigna	$142 - $192	78%
UnitedHealthcare	$144 - $241	79%
Amish Community Aid Plan	$148 - $164	82%
Paramount	$156	86%
Blue Cross Blue Shield	$159 - $249	88%
Molina	$159	88%
Ohcp	$160	88%
Caresource	$162	89%
United	$162 - $189	89%
Summacare	$163 - $165	90%
Amerihealth	$167	92%
Buckeye	$180 - $218	99%
Healthsmart	$181	100%
Php	$197	109%
Phphi	$197	109%
The Health Plan	$197	109%
Upmc	$197	109%
Aetna	$211 - $329	116%
Gms	$230	127%
Medical Benefit Corp	$230	127%
Quality Care Partners	$230	127%
Cc Ehp	$233	128%
Consociate Health	$247	136%
Ohio Healthy	$263	145%
Managed Care Services	$296	163%
Multiplan	$296	163%
Three Rivers	$296	163%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $214.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cleveland Clinic Children's Hospital for Rehab is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.