CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: San Gorgonio Memorial Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $239
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at San Gorgonio Memorial Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.32x the Medicare baseline. Located in 600 North Highland Springs Avenue, Banning, CA.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$239

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: $33 (18%)
Insurance Median: $239 (132%)
Cash: $33 (18% of Medicare)
Ins. Median: $239 (132% 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
Lasalle Medical Associates $216 119%
Beaver Medical Group $227 125%
Blue Cross Blue Shield $227 125%
Blue Shield $227 125%
Choice Physicians Network $227 125%
Heritage Provider Network $227 - $243 125%
Inland Empire Health Plan $227 - $250 125%
Kaiser $227 - $682 125%
Providence Health Network $227 125%
Redlands Community Hospital $227 125%
UnitedHealthcare $227 125%
Easy Choice Health Plan $239 132%
Epic Management $239 132%
Velocity $250 138%
Imperial Health Plan $257 142%
Health Net $290 - $884 160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 North Highland Springs Avenue, Banning, CA 92220
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals