CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Memorial Hospital and Health Care Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $168
Cash Discount Price: $104
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Memorial Hospital and Health Care Center is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.93x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$168

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: $104 (57%)

Insurance Median: $168 (93%)

Cash: $104 (57% of Medicare)

Ins. Median: $168 (93% 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
Blue Cross Blue Shield	$101 - $274	56%
Patoka Valley	$120	66%
Mdwise	$128	71%
Mhs Hoosier Care Connect	$128	71%
UnitedHealthcare	$129 - $505	71%
Aetna	$132 - $206	73%
Caresource In Marketplace	$132 - $210	73%
Humana	$132 - $168	73%
Tricare	$132 - $143	73%
Immergrun	$159	88%
Ambetter / Centene	$172 - $219	95%
Chamber Care	$196	108%
Onecare	$198	109%
Siho	$198	109%
Cigna	$206	114%
Sagamore	$206	114%
Noncontracted	$211 - $269	116%
Encore Elite +	$404	223%

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 $104.
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 Memorial Hospital and Health Care 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.