CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Hospital of Univ of Pennsylvania

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $151
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Hospital of Univ of Pennsylvania is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.83x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$189

Average discount available for prompt cash payment at this facility.

Insurance Median
$151

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: $189 (104%)
Insurance Median: $151 (83%)
Cash: $189 (104% of Medicare)
Ins. Median: $151 (83% 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
Ibc $21 - $190 12%
Horizon Nj Health $32 - $33 18%
Keystone Mercy Health Plan $38 - $189 21%
Preferred Health Care Eliance $42 23%
Aetna $43 - $198 24%
Pgm - Regie De L'Assurance Maladie Quebec $43 24%
Upmc $47 - $189 26%
Blue Cross Blue Shield $51 - $187 28%
Cigna $65 - $192 36%
Pgm - Kuwait Defense $66 - $85 36%
Qualcare $72 40%
Olympus $74 41%
Coventry $76 - $96 42%
Medicaid / KanCare $76 - $189 42%
Pgm - Chop $76 42%
Wissahickon Hospice $76 42%
Healthamerica/Coventry $85 - $93 47%
Gspp And Wissahickon Hospice $93 51%
First Health Global $94 52%
UnitedHealthcare $102 - $198 56%
Ibc Commercial Hpn $103 57%
Keystone Hmo Proactive $105 58%
Health Net $113 - $189 62%
Kaiser Permanente $113 - $189 62%
Pgm - Royal Embassy Of Saudi Arabia $113 62%
Paired Kidney Exchange $115 63%
Pgm - Embassy Of Qatar $123 68%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $123 68%
Interlink $127 70%
Pgm - Embassy Of The United Emirates/Ipc $132 73%
Health America/Ccn $151 83%
Humana $151 - $192 83%
Intergroup $151 83%
Pgm - Kuwait Health Division $151 83%
Pgm - Kuwait Oil $151 83%
Preferred Care $151 83%
Medicare (plans) $187 - $190 103%
Philadelphia Va Medical Center $187 103%
Tricare $187 103%
Blue Quality Centers For Transplant (Bqct) $189 104%
City Of Philadelphia Behavioral Health $189 104%
Commercial Other $189 104%
Health Partners $189 - $192 104%
International Pfs $189 104%
Pa Medical Assistance $189 104%
United Behavioral Health $189 104%
Workers Compensation $189 104%
Geisinger Health Plan $192 - $592 106%
Devoted Health $196 108%
Pa Health And Wellness $196 - $308 108%
Penn Life (Living Independently For Elders) $196 108%
Clover Health Plan $201 111%
Keystone First $207 114%
Us Family Health Plan $215 119%
Gateway Health Plan $231 127%
Elap $265 146%
Claims Watcher $298 - $336 164%
Oscar Health Plan $317 175%
Centivo $336 185%
Elap Services $347 191%
Highmark $392 216%
Penn Global Medicine $494 272%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals