CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Good Samaritan Hospital of Suffern

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $342
Cash Discount Price: $579
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Good Samaritan Hospital of Suffern is $342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $579. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.89x the Medicare baseline. Located in 255 Lafayette Avenue, Suffern, NY.

Cash / Self-Pay

$579

Average discount available for prompt cash payment at this facility.

Insurance Median

$342

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: $579 (319%)

Insurance Median: $342 (189%)

Cash: $579 (319% of Medicare)

Ins. Median: $342 (189% 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)	$92 - $236	51%
Value Options Ghi Bmp	$105	58%
Value Options (Non-Hmo)	$113	62%
Mvp Exchange	$144	79%
Value Options Comm (Chcs)	$153	84%
Self-Pay - Cc 30%	$174	96%
Mvp Gold (McR)	$220	121%
Hamaspik (McR)	$220	121%
Tricare	$222	122%
Affinity By Molina McR	$232	128%
Beacon Exchange	$265	146%
Beacon Commercial	$287	158%
Cdphp	$290	160%
Self-Pay - Cc 50%	$290	160%
Aetna	$342 - $376	189%
Blue Cross Blue Shield	$352 - $434	194%
Emblem Select Care (Exchange)	$394	217%
Magnacare Standard	$405	223%
Oxford Exchange	$405	223%
UnitedHealthcare	$406 - $478	224%
PHCS	$434	239%
Multiplan	$434	239%
Emblem Ghi/Hip Hmo/Epo/Pos	$463	255%
Emblem Ghi/Hip PPO	$463	255%
First Health	$492	271%
Magnacare Preferred	$521	287%
Oxford Commercial	$546	301%
Geisinger Health Commercial/Exchange	$728	401%
Mvp Hmo/Ppo	$1,133	625%

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 $579.
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 Good Samaritan Hospital of Suffern 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.