CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $214
Cash Discount Price: $414
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Univ. of Vermont - Fletcher Allen Health Care is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $414. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.18x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$414

Average discount available for prompt cash payment at this facility.

Insurance Median

$214

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: $414 (228%)

Insurance Median: $214 (118%)

Cash: $414 (228% of Medicare)

Ins. Median: $214 (118% 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
Mvp	$80 - $390	44%
UnitedHealthcare	$83 - $656	46%
Blue Cross Blue Shield	$116 - $387	64%
Humana	$116 - $162	64%
Aetna	$133 - $162	73%
St. Regis	$133 - $162	73%
Veterans Affairs Community Care Network	$133 - $162	73%
Capital District Physicians' Health Plan	$153 - $310	84%
Fidelis Care	$153 - $178	84%
Martins Point	$153 - $166	84%
Cigna	$161 - $404	89%
Wellpath	$186 - $243	103%
Ebpa	$319 - $356	176%
Harvard Pilgrim	$331	183%
Magnacare	$331	183%
Coventry	$352	194%
Nppn	$373	206%

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 $414.
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 Univ. of Vermont - Fletcher Allen Health Care 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.