CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Gibson General Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $155
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Gibson General Hospital is $155. 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 0.85x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$155

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: $155 (85%)
Cash: $104 (57% of Medicare)
Ins. Median: $155 (85% 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
Blue Cross Blue Shield $92 - $146 51%
Medicaid / KanCare $92 51%
Meridiancare (Il) $92 51%
Meridianhealth (Il) $92 51%
Ky Racing Health & Welfare Fund $104 57%
Self-Pay $104 57%
Aetna $132 - $206 73%
Caresource Just For Me $132 73%
Medicare (plans) $132 73%
Meridiancomplete (Il) $132 73%
Mytruadvantage $132 73%
UnitedHealthcare $132 - $229 73%
Va Ccn $132 73%
Caresource $146 81%
Mdwise Plans $146 81%
Mhs $146 81%
Ambetter / Centene $165 91%
Caresource In Marketplace $172 95%
Alliance Coal $185 102%
Claimdoc $185 102%
Encircle/Encore Combined $192 106%
Encircle/Encore Prime $192 106%
Chambercare $196 108%
Deaconess Onecare $198 - $344 109%
Hopetrust $198 109%
Hstechnology $198 109%
Cigna $206 114%
First Health $206 114%
Healthlink Hmo $206 114%
Healthlink Ppo $206 114%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $206 114%
Noncontracted $211 116%
Gibson County Sheriff $253 140%
Integrated Health $268 148%
Principal Health Care $268 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1808 Sherman Drive, Princeton, IN 47670
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals