CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Clay County Hospital

Billing Code: 90837 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$183
about 1.0× the $181 Medicare rate · typically $130–$437
modeled estimate · not a bill or quote
What this hospital charges insurers
$185
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $181 Fair price $183 This hospital $185 Cash price $437 Hospital's list price $437

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 $185

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

A fair price for a Psychotherapy session (60 minutes) is about $183 (about 1.0× the $181 Medicare rate). Clay County Hospital charges insurers about $185, or about $437 in cash — about the fair price. Located in Flora, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $118 - $350 65%
Blue Cross Blue Shieldmajor $226 - $321 125%
Aetnamajor $118 - $345 65%
Cignamajor $350 193%
Ambetter (Centene) $118 65%
HealthLink $284 - $350 157%
Medica $118 - $271 65%
Meridian $118 65%
WellCare $118 65%
+ 1 smaller / regional plan $415

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Facility Profile & Credentials

  • Address: 911 Stacy Burk Dr, Flora, IL 62839
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals