CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: UPMC Hanover

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $246
  • Cash Discount Price: $302
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at UPMC Hanover is $246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $302. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.36x the Medicare baseline. Located in 300 Highland Ave, Hanover, PA.
Cash / Self-Pay
$302

Average discount available for prompt cash payment at this facility.

Insurance Median
$246

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: $302 (167%)
Insurance Median: $246 (136%)
Cash: $302 (167% of Medicare)
Ins. Median: $246 (136% 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
Amerihealth Caritas $66 36%
Highmark Wholecare (Prev Gateway) $66 36%
UnitedHealthcare $68 37%
Upmc Health Plan $68 - $353 37%
Health Partners Plans (Jefferson Health Plan) $71 39%
Geisinger $76 - $364 42%
Pa Health & Wellness $89 - $166 49%
Blue Cross Blue Shield $96 - $546 53%
Keystone Health Plan $96 - $343 53%
Prime Net $122 - $157 67%
Humana $153 84%
Aetna $160 - $367 88%
Cigna $161 - $393 89%
Upmc Work Partners $175 97%
Keystone Autism Services $246 136%
Carefirst $428 236%
Multiplan $428 236%
Wellspan Population Health $438 242%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Highland Ave, Hanover, PA 17331
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals