CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: University Health System, Inc

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $147
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at University Health System, Inc is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.81x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

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%)
Insurance Median: $147 (81%)
Ins. Median: $147 (81% 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
UnitedHealthcare $47 - $150 26%
Wellpoint $107 - $156 59%
Humana $108 - $147 60%
Blue Cross Blue Shield $116 - $184 64%
Bluecare $119 - $126 66%
Tenncare $126 69%
Nhc $130 - $156 72%
Wellcare $132 - $150 73%
Signature $134 74%
Aetna $135 - $153 74%
Cigna $136 - $225 75%
Devoted Health $137 - $153 76%
American Health $138 - $157 76%
Upmc Health Plan $138 76%
Choicecare $147 81%
Wellcare-Windsor Medadv $154 85%
Medicare (plans) $156 - $157 86%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals