CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Saint Thomas Rutherford Hospital

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$179

about 1.0× the $181 Medicare rate · typically $155–$187

modeled estimate · not a bill or quote

What this hospital charges insurers

$154

Below the fair price — a good deal

about $25 under the fair price · 0.9× Medicare

Medicare pays $181 Fair price $179 This hospital $154

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $154

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $179 (about 1.0× the $181 Medicare rate). Saint Thomas Rutherford Hospital charges insurers about $154 — below the fair price — a good deal. Located in Murfreesboro, TN.

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✓ Humana CignaKaiser 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	$154	85%
Blue Cross Blue Shieldmajor	$160 - $162	88%
Aetnamajor	$92 - $157	51%
Humanamajor	$154	85%
Ambetter (Centene)	$200	110%
Amerigroup	$158	87%
Cigna HealthSpring	$154	85%
Oscar Health	$215	119%
+ 5 smaller / regional plans	$138 - $215

Government programs also on file: Medicare, Military & VA.

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, 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 Saint Thomas Rutherford Hospital 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 Saint Thomas Rutherford Hospital

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

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