CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Metro Nashville General Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $128
Cash Discount Price: $189
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Metro Nashville General Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.71x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.

Cash / Self-Pay

$189

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $189 (104%)

Insurance Median: $128 (71%)

Cash: $189 (104% of Medicare)

Ins. Median: $128 (71% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$70 - $128	39%
Corizon	$84	46%
Amerigroup	$112	62%
Amerivantage	$112	62%
Cigna	$124 - $128	68%
Aetna	$128 - $173	71%
Blue	$128	71%
Humana	$128	71%
Medicare (plans)	$128	71%
Upmc	$128	71%
Wellcare	$128	71%
Farm Bureau	$131	72%
Corecivic	$141	78%
Blue Cross Blue Shield	$147 - $194	81%
Ambetter / Centene	$179	99%
Naphcare	$192	106%
Provider Network Of America	$218	120%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $189.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Metro Nashville General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.