CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$160
about 0.9× the $181 Medicare rate · typically $144–$171
modeled estimate · not a bill or quote
What this hospital charges insurers
$157
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $160 This hospital $157 Cash price $225 Hospital's list price $449

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 3 charge more and 3 charge less, among the 9 GA hospitals compared.

Cheapest $96 Priciest $161

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $160 (about 0.9× the $181 Medicare rate). Atrium Health Navicent the Medical Center charges insurers about $157, or about $225 in cash — about the fair price. Located in Macon, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $133 - $157 73%
Blue Cross Blue Shieldmajor $133 - $489 73%
Aetnamajor $133 - $310 73%
Cignamajor $184 - $295 101%
Humanamajor $133 - $308 73%
Kaiser Permanentemajor $137 - $292 76%
Ambetter (Centene) $135 - $229 74%
Clover Health $136 - $160 75%
+ 9 smaller / regional plans $133 - $418
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 777 Hemlock Street, Macon, GA 31201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals