CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Adventist Health Tillamook

Billing Code: 90837 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$147

about 0.8× the $181 Medicare rate · typically $86–$320

modeled estimate · not a bill or quote

What this hospital charges insurers

$151

About the fair price

about $4 over the fair price · 0.8× Medicare

Medicare pays $181 Fair price $147 This hospital $151 Cash price $123 Hospital's list price $227

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

Cheapest $151 Priciest $203

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 $147 (about 0.8× the $181 Medicare rate). Adventist Health Tillamook charges insurers about $151, or about $123 in cash — about the fair price. Located in Tillamook, OR.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$147 - $286	81%
Blue Cross Blue Shieldmajor	$73 - $332	40%
Aetnamajor	$81 - $212	45%
Cignamajor	$147	81%
Devoted Health	$79 - $146	44%
Health Net	$146 - $359	81%
Moda Health	$73 - $138	40%
PacificSource	$48 - $149	26%
+ 7 smaller / regional plans	$74 - $374

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (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 123), 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 Adventist Health Tillamook 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 Adventist Health Tillamook

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

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