CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Flagstaff Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $224
  • Cash Discount Price: $287
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Flagstaff Medical Center is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $287. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.24x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$287

Average discount available for prompt cash payment at this facility.

Insurance Median
$224

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: $287 (158%)
Insurance Median: $224 (124%)
Cash: $287 (158% of Medicare)
Ins. Median: $224 (124% 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.

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
Carefirst $129 71%
Mercy Care Rhba $129 71%
Ahcccs $134 74%
Ahcccs Other $134 74%
Fmc Jail $134 74%
Health Choice $134 - $389 74%
Health Choice Arizona $134 74%
Health Choice Integrated Care $134 74%
Health Net Of Arizona $134 74%
Mercy Care $134 74%
Nhi Out Of State Ahcccs $134 74%
UnitedHealthcare $134 - $530 74%
University Of Arizona Health Plans $142 - $220 78%
Va Pccc Triwest $166 - $203 92%
Devoted $179 - $210 99%
Health Net Federal $189 104%
Aetna $200 - $488 110%
Fmc 30/70 $200 110%
Humana $200 - $545 110%
Medicare (plans) $200 110%
Mercy Care Advantage $200 110%
Rehabilitation Hospital Of Northern Arizona $200 110%
Snf Fmc $200 110%
Wellcare $200 110%
Wellcare By Allwell $200 110%
Fmc Ihs $203 112%
Ambetter / Centene $229 126%
Self Pay $287 - $573 158%
Self-Pay 50% Discount $287 158%
Naphcare $290 - $406 160%
Pnoa $299 165%
Blue Cross Blue Shield $336 - $420 185%
Workers Comp $373 206%
Copperpoint $420 232%
Nau Athletic Department $459 253%
Cigna $516 285%
Fmc 90/10 $516 285%
Rural Arizona Network Multiplan $516 285%
United Behavioral Health $573 316%
Auto Insurance $5,000 2757%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals