CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $195
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Rockcastle County Hospital, Inc. is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.08x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$195

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: $230 (127%)
Insurance Median: $195 (108%)
Cash: $230 (127% of Medicare)
Ins. Median: $195 (108% 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
Humana $101 56%
Tricare $101 56%
Blue Cross Blue Shield $134 74%
Caresource Mcr Adv-All Other Plans $134 74%
Molina Marketplace - All Other Plans $134 74%
Molina Mcr Adv $134 74%
Signature Mcr Adv-All Plans $134 74%
Wellcare Mcr Adv-All Other Plans $134 74%
Multiplan-All Plans $257 142%
Prime Health Services-All Plans $272 150%
Caresource Mcaid $302 167%
Coventry Mcaid-All Plans $302 167%
Medicaid / KanCare $302 167%
Molina Mcaid $302 167%
Passport Hp Hmo - All Plans $302 167%
UnitedHealthcare $302 167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals