CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Hamilton Memorial Hospital

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$172

about 1.0× the $181 Medicare rate · typically $131–$384

modeled estimate · not a bill or quote

What this hospital charges insurers

$164

About the fair price

about $8 under the fair price · 0.9× Medicare

Medicare pays $181 Fair price $172 This hospital $164 Cash price $517 Hospital's list price $608

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $75 Priciest $164

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Psychotherapy session (60 minutes) is about $172 (about 1.0× the $181 Medicare rate). Hamilton Memorial Hospital charges insurers about $164, or about $517 in cash — about the fair price. Located in McLeansboro, IL.

What each insurance company pays

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

5 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	$164 - $435	90%
Blue Cross Blue Shieldmajor	$164 - $553	90%
Aetnamajor	$164 - $547	90%
Cignamajor	$477	263%
Humanamajor	$243	134%
HealthLink	$517 - $547	285%
WellCare	$164 - $243	90%
+ 6 smaller / regional plans	$164 - $547

Government programs also on file: Medicare, Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 517), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90837.

Insurance Before you use insurance

Call your insurance company to confirm Hamilton Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90837.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Hamilton Memorial Hospital

Compare: Psychotherapy session (60 minutes) at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.