CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $426
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.35x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at University of Texas M. D. Anderson Cancer Center is $426. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 2.35x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$426

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%)
Insurance Median: $426 (235%)
Ins. Median: $426 (235% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 235% of the Medicare baseline (a markup of 135%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Texaschildrens $95 - $268 52%
Tricare $117 - $456 65%
Vacare $117 - $268 65%
Aetna $152 - $456 84%
Medicare (plans) $165 - $268 91%
Blue Cross Blue Shield $227 - $438 125%
Cigna $252 - $456 139%
Humana $290 - $468 160%
UnitedHealthcare $339 - $456 187%
Ontarioministriesofhealth $358 - $450 197%
Beijingst.Lucia $363 - $456 200%
Embassyofqatar $363 - $456 200%
Memorialhermannhealth $363 - $456 200%
Emergingtherapysolutions_Cancercare $387 - $486 213%
Interlink_Cancercare $387 - $486 213%
Saudiarmedforces $387 - $486 213%
Uae_Medical $387 - $486 213%
Uaepoliceattache $387 - $486 213%
Healthsmart $411 - $517 227%
Vantage $411 - $517 227%
Multiplan $436 - $523 240%
Phcs $436 - $523 240%
Emergingtherapysolutions $456 - $486 251%
Interlink $456 - $517 251%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL