CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Abbeville General Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $213
Cash Discount Price: $142
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Abbeville General Hospital is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.17x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$213

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: $142 (78%)

Insurance Median: $213 (117%)

Cash: $142 (78% of Medicare)

Ins. Median: $213 (117% 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
Triwest Healthcare Alliance	$95	52%
Cigna	$141	78%
Blue Cross Blue Shield	$142 - $253	78%
Self Pay	$142	78%
Humana	$145 - $402	80%
Aetna	$158 - $199	87%
Healthy Blue	$158	87%
People'S Health	$158	87%
UnitedHealthcare	$158 - $227	87%
Medicare (plans)	$161	89%
Sierra Health And Life Insurance	$161	89%
Sterling Life Insurance Company	$161	89%
Office Of Group Benefits	$199	110%
Gilsbar Ppo	$213 - $220	117%
Ppo Plus	$213	117%
United Behavioral Health Inc	$213	117%
Verity Healthnet National	$213	117%
American Lifecare (Phcs)	$220 - $227	121%
Guardian Resources	$227	125%
Coventry Company	$241	133%
Galaxy Health Network	$241	133%
Usa Managed Care	$241	133%
Med-Comp Usa Inc	$246	136%
Health Payors Organization	$255	141%
Miscellaneous Insurance	$284	157%
Wellcare Of Louisiana	$284	157%
Vantage Health Plan	$340 - $511	187%

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 $142.
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 Abbeville General Hospital 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.