CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $134
Cash Discount Price: $167
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Cameron Memorial Community Hospital Inc is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.74x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$167

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $167 (92%)

Insurance Median: $134 (74%)

Cash: $167 (92% of Medicare)

Ins. Median: $134 (74% 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
Buckeye Health	$76	42%
Molina Healthcare Of Oh	$76	42%
Humana	$88 - $132	49%
Aetna	$132	73%
Cigna	$132	73%
Corvel	$132	73%
Encore	$132	73%
Phcs	$132	73%
Plain Church Group Ministry	$132	73%
Sagamore Health Network	$132	73%
Signature Care	$132	73%
Blue Cross Blue Shield	$134	74%
Php	$135	74%
UnitedHealthcare	$139 - $144	77%
Caresource Indiana Of In	$145 - $152	80%
Frontpath	$145	80%
Managed Health Services	$146	81%
Mdwise	$146	81%
Three Rivers Preferred	$152 - $15,200	84%
Coventry	$159	88%
Lutheran Preferred	$165	91%
Lucent	$185	102%
Centivo	$205	113%

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 $167.
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 Cameron Memorial Community Hospital Inc 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.