CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Cook Childrens Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $327
  • Cash Discount Price: $615
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Cook Childrens Medical Center is $327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $615. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.80x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.
Cash / Self-Pay
$615

Average discount available for prompt cash payment at this facility.

Insurance Median
$327

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: $615 (339%)
Insurance Median: $327 (180%)
Cash: $615 (339% of Medicare)
Ins. Median: $327 (180% 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
Health Plan W. Uhrip $114 - $344 63%
Health Plan W/O Uhrip $114 - $303 63%
Rightcare $119 - $398 66%
Aetna $163 - $769 90%
Beacon $176 - $398 97%
Firstcare $176 - $724 97%
United Community $258 - $318 142%
Wellpoint $258 - $318 142%
Blue Cross Blue Shield $265 - $815 146%
Molina $271 - $335 149%
El Paso Health First $323 - $398 178%
Superior Health $323 - $398 178%
Tx Children Health $323 - $398 178%
UnitedHealthcare $323 - $769 178%
S&W Health $616 - $760 340%
Cigna $624 - $769 344%
Healthscope $624 - $769 344%
Imagine Health $624 - $769 344%
Humana $638 - $796 352%
Multiplan $638 - $787 352%
First Health $646 - $796 356%
Galaxy Health $660 - $815 364%
Healthsmart $660 - $815 364%
Usamco $675 - $833 372%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 Seventh Avenue, Fort Worth, TX 76104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens