CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Atrium Health Floyd Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $235
Cash Discount Price: $229
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Atrium Health Floyd Medical Center is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.30x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$229

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: $229 (126%)

Insurance Median: $235 (130%)

Cash: $229 (126% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup	$77	42%
Caresource	$78 - $235	43%
Peach State Health Plan	$78	43%
Awc Networks	$89	49%
Oscar Health Plan	$89 - $160	49%
Blue Cross Blue Shield	$157 - $344	87%
Cigna	$157 - $275	87%
Georgia Assurance	$157	87%
Humana	$157 - $298	87%
UnitedHealthcare	$157 - $344	87%
Aetna	$158 - $311	87%
Wellcare	$160	88%
Clover	$161	89%
Alliant Health Plans	$183 - $235	101%
Beacon	$229	126%
Evernorth	$229	126%
Ambetter / Centene	$235	130%
Occunet	$235	130%
Multiplan	$321	177%
Beech Street	$357	197%
Private Health Care Systems	$389	215%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $229.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Floyd Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.