CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Erlanger Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $186
  • Cash Discount Price: $246
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Erlanger Medical Center is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $246. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.03x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$246

Average discount available for prompt cash payment at this facility.

Insurance Median
$186

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: $246 (136%)
Insurance Median: $186 (103%)
Cash: $246 (136% of Medicare)
Ins. Median: $186 (103% 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
Bluecare $107 - $382 59%
Humana $110 - $209 61%
UnitedHealthcare $110 - $382 61%
Amerigroup $111 - $352 61%
Caresource $111 - $295 61%
Peach State Hlth Plan $111 61%
Blue Cross Blue Shield $123 - $343 68%
Occunet $140 - $325 77%
Alexian $147 - $186 81%
Cigna $147 - $233 81%
Clover $147 - $186 81%
Upmc $147 - $186 81%
Aetna $152 - $187 84%
American Health $152 - $191 84%
Devoted Health $153 - $193 84%
Nhc $155 - $195 85%
Atrio Health $162 - $204 89%
Ambetter / Centene $184 - $232 101%
Bluecard - Network S $186 - $382 103%
Medicare (plans) $186 103%
Pruitthealth Premier $190 105%
Bluecard - Network P $191 - $382 105%
Simpra Advantage $204 112%
Caresource Ga $272 - $488 150%
Caresource Tn $272 - $488 150%
Olympus $279 - $316 154%
Alliant $297 164%
Pnoa $325 - $466 179%
Point Comfort Underwriters $326 - $335 180%
Caresource Nc $329 - $488 181%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 E 3Rd St, Chattanooga, TN 37403
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals