CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Johnson City Medical Center

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$170

about 0.9× the $181 Medicare rate · typically $159–$177

modeled estimate · not a bill or quote

What this hospital charges insurers

$171

About the fair price

about $1 over the fair price · 0.9× Medicare

Medicare pays $181 Fair price $170 This hospital $171 Cash price $50 Hospital's list price $331

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 $171

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 $170 (about 0.9× the $181 Medicare rate). Johnson City Medical Center charges insurers about $171, or about $50 in cash — about the fair price. Located in Johnson City, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$99 - $191	55%
Blue Cross Blue Shieldmajor	$171 - $238	94%
Aetnamajor	$166 - $211	92%
Cignamajor	$128 - $174	71%
Humanamajor	$166	92%
Ambetter (Centene)	$361	199%
Amerigroup	$118 - $166	65%
Devoted Health	$174	96%
Molina	$172 - $193	95%
Sentara	$115 - $185	63%
WellCare	$176 - $331	97%
+ 4 smaller / regional plans	$166 - $331

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 50), 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 Johnson City Medical Center 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 Johnson City Medical Center

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

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