CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $271
  • Cash Discount Price: $457
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Childrens Hospital of the Kings Daughters Inc is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $457. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.49x the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.
Cash / Self-Pay
$457

Average discount available for prompt cash payment at this facility.

Insurance Median
$271

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: $457 (252%)
Insurance Median: $271 (149%)
Cash: $457 (252% of Medicare)
Ins. Median: $271 (149% 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
Evernorth $77 - $105 42%
Carolina Complete Health $101 56%
UnitedHealthcare $110 - $220 61%
Blue Cross Blue Shield $114 - $610 63%
Sentara Community Plan $114 - $257 63%
Humana $137 - $269 76%
Aetna $148 - $417 82%
Sentara Health Plans $148 - $198 82%
Trillium Behavioral Health $161 89%
Virginia Health Network $224 - $406 124%
Medcost $272 - $467 150%
First Health $288 - $457 159%
Multiplan $294 - $467 162%
Johns Hopkins Healthcare $304 - $482 168%
Phcs $304 - $482 168%
Vhn $304 - $482 168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 Children's Lane, Norfolk, VA 23507
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens