CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: OHSU Hospital and Clinics

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$204

about 1.1× the $181 Medicare rate · typically $188–$258

modeled estimate · not a bill or quote

What this hospital charges insurers

$215

About the fair price

about $11 over the fair price · 1.2× Medicare

Medicare pays $181 Fair price $204 This hospital $215 Cash price $337 Hospital's list price $518

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $151 Priciest $215

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $204 (about 1.1× the $181 Medicare rate). OHSU Hospital and Clinics charges insurers about $215, or about $337 in cash — about the fair price. Located in Portland, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$211 - $570	116%
Blue Cross Blue Shieldmajor	$498	275%
Aetnamajor	$215 - $445	119%
Cignamajor	$426 - $521	235%
Humanamajor	$199 - $211	110%
Kaiser Permanentemajor	$159 - $463	88%
Health Net	$159 - $441	88%
Moda Health	$209 - $570	115%
Molina	$466 - $570	257%
Providence Health Plan	$239 - $484	132%
+ 7 smaller / regional plans	$89 - $498

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 337), 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 OHSU Hospital and Clinics 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 OHSU Hospital and Clinics

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

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