District of Columbia Medicaid FFS is parsed from DCPFS26001 2026 Professional Fee Update (workbook 2026-01-29; Transmittal 26-10 dated 2026-03-31) (District of Columbia Department of Health Care Finance). File effective 2026-01-01. Last verified 2026-09-10. Official source.
Last updated
Last verified 2026-09-10 · file effective 2026-01-01. Psychiatric add-ons, age-band variants, and extra procedure types are cited on each rate page, not blended. See Methodology and Data Sources.
| CPT | Medicaid FFS | Facility | Effective | Compare Medicare |
|---|---|---|---|---|
| CPT 90791 | $150.61 | $116.62 | 2026-01-01 | 90791 / District of Columbia |
| CPT 90792 | $176.36 | $136.06 | 2026-01-01 | 90792 / District of Columbia |
| CPT 90832 | $74.45 | $59.02 | 2026-01-01 | 90832 / District of Columbia |
| CPT 90834 | $98.82 | $78.05 | 2026-01-01 | 90834 / District of Columbia |
| CPT 90837 | $144.82 | $114.92 | 2026-01-01 | 90837 / District of Columbia |
| CPT 90839 | $139.18 | $110.22 | 2026-01-01 | 90839 / District of Columbia |
| CPT 90846 | $90.65 | $84.35 | 2026-01-01 | 90846 / District of Columbia |
| CPT 90847 | $93.74 | $87.44 | 2026-01-01 | 90847 / District of Columbia |
| CPT 90853 | $26.41 | $20.74 | 2026-01-01 | 90853 / District of Columbia |
How District of Columbia Medicaid compares with Medicare and UnitedHealthcare
In District of Columbia, Medicaid fee-for-service pays $144.82 for CPT 90837, from the DHCF DCPFS26001 file effective 2026-01-01. Medicare pays $181.03 in an office setting (CMS RVU26D, effective 2026-10-01), so Medicaid is 80% of the lowest Medicare amount in the state. The UnitedHealthcare (Optum Behavioral Health) median is $138.13, and the middle 80% of published UHC rates run from $110.30 to $206.35 (UHC price transparency file dated 2026-09-01).
Related official rates
- CPT 90837 Medicare and Medicaid FFS in District of Columbia
- Compare a 90837 offer in District of Columbia
- All Medicaid FFS state hubs
- What UnitedHealthcare pays in District of Columbia
- CPT 90834 Medicare and Medicaid FFS in District of Columbia
- UnitedHealthcare Optum Behavioral Health medians
- How Parite sources rates
Questions
Which psychotherapy codes have official District of Columbia Medicaid FFS amounts?
District of Columbia Medicaid FFS is parsed for CPT 90791 $150.61; CPT 90792 $176.36; CPT 90832 $74.45; CPT 90834 $98.82; CPT 90837 $144.82; CPT 90839 $139.18; CPT 90846 $90.65; CPT 90847 $93.74; CPT 90853 $26.41.
What is the District of Columbia Medicaid FFS amount for CPT 90837?
$144.82 (facility $114.92) from DHCF DCPFS26001, effective 2026-01-01, last verified 2026-09-10.
What official file is the District of Columbia Medicaid FFS extract from?
District of Columbia Department of Health Care Finance: DCPFS26001 2026 Professional Fee Update (workbook 2026-01-29; Transmittal 26-10 dated 2026-03-31). Last verified 2026-09-10. MCO and commercial amounts are not copied from this FFS file.
Are District of Columbia Medicaid MCO or commercial rates in these tables?
This hub lists official Medicaid fee-for-service cells. Commercial price transparency percentiles and Medicaid MCO rates stay Coming soon.
How does District of Columbia Medicaid pay for 90837 compared with Medicare and UnitedHealthcare?
District of Columbia Medicaid fee-for-service pays $144.82 for CPT 90837, which is 80% of the lowest District of Columbia Medicare non-facility amount ($181.03, CMS RVU26D). The UnitedHealthcare median is $138.13 (76.3% of Medicare), from the UHC price transparency file dated 2026-09-01. Medicaid health plan and other commercial rates can differ.