CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Astria Sunnyside Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $69
Cash Discount Price: $64
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Astria Sunnyside Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.38x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $64 (35%)

Insurance Median: $69 (38%)

Cash: $64 (35% of Medicare)

Ins. Median: $69 (38% 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
Medicare (plans)	$25 - $129	14%
Aetna	$27 - $99	15%
Healthcomp_Ihs	$27	15%
Humana	$27 - $101	15%
Medicaid / KanCare	$27 - $161	15%
Molina	$27	15%
Va	$27	15%
Tricare	$28	15%
Cigna	$67	37%
Li	$69	38%
First_Choice	$84	46%
Tpsc	$87	48%
Kaiser	$88	49%
Premera	$91	50%
UnitedHealthcare	$95	52%
Fhpw	$99	55%
Healthcomp	$101	56%
Bcchp	$112	62%
Great_Rivers	$112	62%
Zenith	$112	62%

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 $64.
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 Astria Sunnyside 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.