CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Nationwide Children's Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $221
  • Cash Discount Price: $459
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Nationwide Children's Hospital is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $459. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.22x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.
Cash / Self-Pay
$459

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

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: $459 (253%)
Insurance Median: $221 (122%)
Cash: $459 (253% of Medicare)
Ins. Median: $221 (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
Amerihealth $114 - $160 63%
Bchp $114 - $160 63%
Blue Cross Blue Shield $114 - $479 63%
Caresource $114 - $272 63%
Humana $114 - $484 63%
Molina $114 - $160 63%
UnitedHealthcare $114 - $484 63%
Aetna $139 - $530 77%
Tricare $144 79%
Ohg $201 - $530 111%
Ohio Ppo Connect $203 - $474 112%
Osu $203 - $474 112%
Ohc $207 - $530 114%
Ahpo $210 - $479 116%
Cigna $210 - $530 116%
Front Path Health Coalition $210 - $530 116%
Mmo $210 - $509 116%
Unicare $212 - $484 117%
The Health Plan $214 - $530 118%
Emerald Health $219 - $500 121%
First Health $219 - $500 121%
Phcs $219 - $500 121%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 Children's Drive, Columbus, OH 43205
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens