CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Texas Health Presbyterian Hospital Plano

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $236
Cash Discount Price: $488
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Texas Health Presbyterian Hospital Plano is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $488. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.30x the Medicare baseline. Located in 6200 W Parker Rd, Plano, TX.

Cash / Self-Pay

$488

Average discount available for prompt cash payment at this facility.

Insurance Median

$236

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: $488 (269%)

Insurance Median: $236 (130%)

Cash: $488 (269% of Medicare)

Ins. Median: $236 (130% 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
Amerigroup	$82 - $187	45%
Blue Cross Blue Shield	$82 - $672	45%
Parkland	$82 - $100	45%
Superior Wellcare	$86 - $196	47%
Molina	$89 - $187	49%
UnitedHealthcare	$100 - $446	55%
American Health	$161 - $178	89%
Healthspring	$164 - $182	90%
Humana	$167 - $185	92%
Aetna	$334 - $571	184%
City Of Fort Worth	$383	211%
Cigna	$450 - $766	248%
Quick Trip	$488 - $513	269%
Fort Worth Firefighters	$497 - $777	274%
Phcs	$566 - $606	312%
Healthsmart	$610 - $684	336%
Multiplan	$708	390%
Galaxy	$716	395%
Usa	$716	395%

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 $488.
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 Texas Health Presbyterian Hospital Plano 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.