CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: OHSU Hospital and Clinics

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $269
  • Cash Discount Price: $337
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at OHSU Hospital and Clinics is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $337. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.48x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$337

Average discount available for prompt cash payment at this facility.

Insurance Median
$269

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: $337 (186%)
Insurance Median: $269 (148%)
Cash: $337 (186% of Medicare)
Ins. Median: $269 (148% 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
Community Health Plan Of Washington $89 - $279 49%
Care Oregon $159 - $235 88%
Intercommunity Health Network $159 88%
Kaiser Foundation Hospitals $159 - $463 88%
Medicare (plans) $159 - $319 88%
Pacific Source $159 - $443 88%
Humana $199 - $211 110%
Trillium $199 110%
Moda $209 - $570 115%
UnitedHealthcare $211 - $570 116%
Aetna $215 - $445 119%
Health Net Health Plan Of Oregon, Inc. $229 - $441 126%
Providence Health Plan $239 - $484 132%
Samaritan Health Plan $256 - $498 141%
Coventry First Health $350 - $428 193%
First Choice $353 - $432 195%
Tuality Health $359 198%
Cigna $426 - $521 235%
Molina Exchange $466 - $570 257%
Blue Cross Blue Shield $498 275%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals