CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: St David's Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $306
  • Cash Discount Price: $764
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at St David's Medical Center is $306. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $764. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.69x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$764

Average discount available for prompt cash payment at this facility.

Insurance Median
$306

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: $764 (421%)
Insurance Median: $306 (169%)
Cash: $764 (421% of Medicare)
Ins. Median: $306 (169% 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
Superior Health Plan $38 - $130 21%
Oscar $147 - $164 81%
Moda $180 99%
United $190 - $344 105%
Covenant Management Systems $220 121%
Healthcare Highways $222 - $229 122%
Imo Med - Select Network $229 126%
Blue Cross Blue Shield $244 135%
Cigna $245 - $313 135%
Aetna $270 - $422 149%
Moda Health $275 - $283 152%
Texas Healthcare Foundation Heb $283 156%
Texas Workforce Commission $298 164%
Averde Health $344 190%
Comanche County $382 211%
National Choicecare $382 211%
Healthsmart Preferred Care $420 - $611 232%
Independent Medical Systems $420 232%
Physicians Cooperative Of Texas $420 232%
Prime Health $458 253%
First Health $481 - $549 265%
Coastal Comp Health Networks $497 274%
National Health Care $497 274%
Occunet $535 295%
Texas Municipal League $535 295%
Medcorp Southwest $573 316%
Rockport Healthcare Group $611 - $688 337%
Bce Emergis Corporation $688 379%
Beech Street $688 379%
Medical Control Network Solutions $688 379%
Multiplan $688 379%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals