CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Jefferson Healthcare

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $145
Cash Discount Price: $217
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Jefferson Healthcare is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.80x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$217

Average discount available for prompt cash payment at this facility.

Insurance Median

$145

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: $217 (120%)

Insurance Median: $145 (80%)

Cash: $217 (120% of Medicare)

Ins. Median: $145 (80% 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
Chpw Mcaid	$85 - $116	47%
Molina Mcaid	$87 - $116	48%
Amerigroup Mcaid-All Plans	$89 - $104	49%
Coord Care Mcaid Ip/Op Only	$91	50%
Aetna	$95 - $245	52%
Molina Mcr Adv	$95 - $158	52%
Tricare	$95 - $137	52%
Medicare (plans)	$97 - $158	53%
Chpw Mcr Adv	$103 - $148	57%
Molina Marketplace-All Other Plans	$119 - $172	66%
UnitedHealthcare	$152	84%
Regence-All Other Plans	$204	112%
Chpw Commercial-All Other Plans	$206 - $231	114%
Coord Care Comm/Exchge-All Other Plans	$220 - $245	121%
Premera-All Plans	$231	127%
Cigna	$245	135%
Coord Care Cascade Ip/Op Only	$245	135%

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 $217.
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 Jefferson Healthcare 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.