CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $186
  • Cash Discount Price: $225
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Atrium Health Navicent the Medical Center is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.03x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.
Cash / Self-Pay
$225

Average discount available for prompt cash payment at this facility.

Insurance Median
$186

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: $225 (124%)
Insurance Median: $186 (103%)
Cash: $225 (124% of Medicare)
Ins. Median: $186 (103% 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 $133 - $310 73%
Blue Cross Blue Shield $133 - $489 73%
Georgia Health Advantage $133 - $157 73%
Humana $133 - $308 73%
UnitedHealthcare $133 - $157 73%
Ambetter / Centene $135 - $229 74%
Care Source $136 - $160 75%
Clover $136 - $160 75%
Eon Health $136 - $160 75%
Kaiser $137 - $292 76%
Pruitt Health $140 - $157 77%
Multiplan $151 - $359 83%
Securehealth $157 - $205 87%
Alliant $160 - $358 88%
Cigna $184 - $295 101%
Beechstreet $186 - $418 103%
Ibg $186 - $317 103%
Novanet $186 - $359 103%
Three Rivers Provider Network $197 - $382 109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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