CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: HCA Houston Healthcare Southeast

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $353
  • Cash Discount Price: $975
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at HCA Houston Healthcare Southeast is $353. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $975. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.95x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$975

Average discount available for prompt cash payment at this facility.

Insurance Median
$353

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: $975 (538%)
Insurance Median: $353 (195%)
Cash: $975 (538% of Medicare)
Ins. Median: $353 (195% 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
Humana $46 25%
Superior Health Plan $55 - $62 30%
Community Health Choice Mcd $119 - $134 66%
Amerigroup $129 - $144 71%
Cigna $136 - $826 75%
Texas Childrens Health Plans $162 - $245 89%
Blue Cross Blue Shield $168 - $361 93%
Oscar $179 - $201 99%
United $185 - $464 102%
Texas Workforce Commission $220 - $248 121%
Healthcare Highways $234 - $263 129%
Aetna $243 - $447 134%
Evry Health $251 - $282 138%
Texas Athletic Network $300 - $600 165%
Imagine Health $321 - $361 177%
Christus (Usfhp) $367 - $413 202%
Healthsmart Preferred Care $395 - $877 218%
Averde Health $413 - $464 228%
Curative Administrators $413 228%
Fidelis Securecare Of Tx $413 - $464 228%
Multiplan $459 - $929 253%
Coventry National First Health $489 - $550 270%
Physicians Cooperative Of Texas $505 - $568 278%
Rockport Workers Comp $505 - $568 278%
Beech Street $551 - $826 304%
Independent Medical System $551 - $619 304%
National Healthcare Solutions $551 - $619 304%
Prime Health Services $551 - $619 304%
Southwest Medical $551 - $619 304%
Coastal Comp $597 - $671 329%
Fiesta Mart, Inc $688 - $774 379%
Physicians, Inc $780 - $877 430%
Affiliated Ppo $826 - $929 455%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals