CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $181
Cash Discount Price: $201
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Baylor Scott & White Medical Center Pflugerville is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.00x the Medicare baseline. Located in 2600 East Pflugerville Parkway, Pflugerville, TX.

Cash / Self-Pay

$201

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

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: $201 (111%)

Insurance Median: $181 (100%)

Cash: $201 (111% of Medicare)

Ins. Median: $181 (100% 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
Superior Health Plan	$60 - $143	33%
Humana	$113 - $234	62%
Baylor Scott & White Health Plan	$122 - $235	67%
Triwest	$143	79%
Corvel	$149	82%
Prime Health Services	$149	82%
American Health Plan	$150	83%
Healthspring	$150	83%
Procare Advantage	$150	83%
Blue Cross Blue Shield	$154 - $187	85%
Cigna	$159 - $185	88%
UnitedHealthcare	$164 - $165	90%
Aetna	$184	101%
Midcoast	$184	101%
Quiktrip	$184	101%
University Of Mary Hardin-Baylor	$194	107%
Independent Medical System	$201	111%
Sedgwick	$213	117%
Curative	$217	120%
First Health	$234	129%
Healthsmart	$234 - $251	129%
Private Health Care System	$251	138%
Three Rivers	$301	166%

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 $201.
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 Baylor Scott & White Medical Center Pflugerville 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.