CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Mayers Memorial Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $217
  • Cash Discount Price: $228
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Mayers Memorial Hospital is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.20x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.
Cash / Self-Pay
$228

Average discount available for prompt cash payment at this facility.

Insurance Median
$217

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: $228 (126%)
Insurance Median: $217 (120%)
Cash: $228 (126% of Medicare)
Ins. Median: $217 (120% 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
Medi-Cal $141 78%
Blue Cross Blue Shield $175 - $332 97%
Blue Shield Ca Exchange $195 108%
Blue Shield-All Other Plans $217 120%
Cigna $217 120%
Corvel Ppo-All Plans $217 120%
Coventry/First Health-All Plans $217 120%
Hmn-All Plans $217 120%
Integrated Hp-All Plans $217 120%
Interplan-All Plans $217 120%
Multiplan Phcs-All Plans $217 120%
Pfmc-All Plans $217 120%
Superior Ca-All Plans $217 120%
Health Net-All Other Plans $227 125%
Pacificare-All Plans $228 126%
Partnership Hp-All Plans $228 126%
Blue Shield Ca Va $313 173%
Blue Shield Mcr Adv $313 173%
Arcadian Health Services-All Plans $329 181%
Health Net Mcr Adv $329 181%
Tricare $329 181%
Health Net Prison $359 198%
Imperial Health Plan-All Plans $372 205%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43563 Hwy 299 East, Fall River Mills, CA 96028
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals