CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: El Centro Regional Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $235
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at El Centro Regional Medical Center is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.30x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$227

Average discount available for prompt cash payment at this facility.

Insurance Median
$235

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: $227 (125%)
Insurance Median: $235 (130%)
Cash: $227 (125% of Medicare)
Ins. Median: $235 (130% 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
Aetna $143 79%
UnitedHealthcare $162 - $228 89%
Pacificare-All Plans $201 111%
Blue Shield-All Plans $206 114%
Blue Cross Blue Shield $215 - $228 119%
Mulitplan Primary - All Other Plans $220 121%
Brand New Day Comm - All Other Plans $228 126%
Brand New Day Mcr $228 126%
Healthnet Mcr Adv $228 126%
Molina Mcr Adv $228 126%
Scp Managed Care - All Plans $228 126%
Tricare $228 126%
Cigna $243 134%
Easy Choice Mcr Adv-All Plans $251 138%
Multiplan Comp $259 143%
Trident - All Plans $275 152%
Healthnet Hmo $285 157%
Healthnet Comm-All Other Plans $292 161%
Cdcr Correctional-All Plans $296 163%
Humana $301 166%
Ahccs/Medi-Cal Misc - All Plans $324 179%
Brand New Day Mcal $324 179%
Medi-Cal $324 179%
Molina Exchange - All Other Plans $324 179%
Ambetter / Centene $334 184%
Molina Mcal $356 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals