CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Metro Nashville General Hospital

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$167

about 0.9× the $181 Medicare rate · typically $76–$191

modeled estimate · not a bill or quote

What this hospital charges insurers

$128

Below the fair price — a good deal

about $39 under the fair price · 0.7× Medicare

Medicare pays $181 Fair price $167 This hospital $128 Cash price $189 Hospital's list price $315

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 TN hospitals compared.

Cheapest $75 Priciest $152

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 $167 (about 0.9× the $181 Medicare rate). Metro Nashville General Hospital charges insurers about $128, or about $189 in cash — below the fair price — a good deal. Located in Nashville, 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	$70 - $128	39%
Blue Cross Blue Shieldmajor	$147 - $194	81%
Aetnamajor	$128 - $173	71%
Cignamajor	$124 - $128	68%
Humanamajor	$128	71%
Ambetter (Centene)	$179	99%
Amerigroup	$112	62%
UPMC Health Plan	$128	71%
WellCare	$128	71%
+ 6 smaller / regional plans	$84 - $218

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 189), 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 Metro Nashville General 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 Metro Nashville General Hospital

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

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