CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: El Paso Children's Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $345
Cash Discount Price: $111
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at El Paso Children's Hospital is $345. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.90x the Medicare baseline. Located in 4845 Alameda Avenue, El Paso, TX.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$345

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: $111 (61%)

Insurance Median: $345 (190%)

Cash: $111 (61% of Medicare)

Ins. Median: $345 (190% 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
El Paso Health Plans	$100	55%
Blue Cross Blue Shield	$104 - $415	57%
Uh Military Va	$119	66%
Health Net Fed Svcs	$128	71%
El Paso First Health Plan	$155	85%
Molina Nm	$271	149%
Western Sky	$293	162%
UnitedHealthcare	$397	219%
Aetna	$398 - $442	219%
Cigna	$434	239%
Coventry Health Care	$442	244%
Fortified Provider Network	$442	244%
Multiplan	$442	244%

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 $111.
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 El Paso Children's Hospital 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.