CMS Price Transparency Data
Psychotherapy session (60 minutes)
Facility: Pennsylvania Hospital
Billing Code: 90837 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90837
- Insurance Median: $30
- Cash Discount Price: $41
- vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Pennsylvania Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.17x the Medicare baseline. Located in 800 Spruce Street, Philadelphia, PA.
Cash / Self-Pay
$41
Average discount available for prompt cash payment at this facility.
Insurance Median
$30
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: $41 (23%)
Insurance Median: $30 (17%)
Cash: $41 (23% of Medicare)
Ins. Median: $30 (17% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $18 - $457 | 10% |
| Blue Cross Blue Shield | $18 - $457 | 10% |
| Cigna | $18 - $191 | 10% |
| Coventry | $18 - $233 | 10% |
| Devon | $18 - $205 | 10% |
| First Health Global | $18 - $228 | 10% |
| Health Net | $18 - $457 | 10% |
| Healthamerica/Coventry | $18 - $224 | 10% |
| Medicaid / KanCare | $18 - $457 | 10% |
| Olympus | $18 - $222 | 10% |
| Pgm - Chop | $18 - $183 | 10% |
| Pgm - Royal Embassy Of Saudi Arabia | $18 - $274 | 10% |
| Qualcare | $18 - $173 | 10% |
| Urn-Cancer Resource Services | $18 - $228 | 10% |
| Wissahickon Hospice | $18 - $183 | 10% |
| Ibc Commercial Hpn | $19 - $184 | 10% |
| Keystone Hmo Proactive | $19 - $188 | 10% |
| Pgm - Embassy Of Qatar | $20 - $297 | 11% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $20 - $297 | 11% |
| Pgm - Embassy Of The United Emirates/Ipc | $21 - $320 | 12% |
| Pgm - Kuwait Defense | $21 - $205 | 12% |
| Devon Health Services Inc | $24 - $365 | 13% |
| Health America/Ccn | $24 - $365 | 13% |
| Humana | $24 - $365 | 13% |
| Intergroup | $24 - $365 | 13% |
| Pgm - Kuwait Health Division | $24 - $365 | 13% |
| Pgm - Kuwait Oil | $24 - $365 | 13% |
| Preferred Care | $24 - $365 | 13% |
| UnitedHealthcare | $24 - $365 | 13% |
| Commercial Other | $30 - $457 | 17% |
| Community Behavioral Health | $30 - $457 | 17% |
| Health Partners | $30 - $457 | 17% |
| International Pfs | $30 - $457 | 17% |
| Quest Behavioral Health | $30 - $457 | 17% |
| United Behavioral Health | $30 - $457 | 17% |
| Upmc | $30 - $457 | 17% |
| Workers Compensation | $30 - $457 | 17% |
| Horizon Nj Health | $32 - $80 | 18% |
| Keystone Mercy Health Plan | $38 - $91 | 21% |
| Pgm - Regie De L'Assurance Maladie Quebec | $44 - $105 | 24% |
| Preferred Health Care Eliance | $50 - $119 | 28% |
| Medicare (plans) | $186 - $189 | 103% |
| Philadelphia Va Medical Center | $186 | 103% |
| Tricare | $187 | 103% |
| Ibc | $189 | 104% |
| Geisinger Health Plan | $191 - $589 | 105% |
| Pa Health And Wellness | $195 - $306 | 108% |
| Penn Life (Living Independently For Elders) | $195 | 108% |
| Clover Health Plan | $200 | 110% |
| Keystone First | $206 | 114% |
| Us Family Health Plan | $215 | 119% |
| Gateway Health Plan | $230 | 127% |
| Elap | $264 | 146% |
| Claims Watcher | $297 - $334 | 164% |
| Oscar Health Plan | $316 | 174% |
| Centivo | $334 | 184% |
| Elap Services | $345 | 190% |
| Highmark | $390 | 215% |
| Penn Global Medicine | $492 | 271% |