CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: North Adams Regional Hospital Corporation

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $199
Cash Discount Price: $282
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at North Adams Regional Hospital Corporation is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.10x the Medicare baseline. Located in 71 Hospital Avenue, North Adams, MA.

Cash / Self-Pay

$282

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $282 (156%)

Insurance Median: $199 (110%)

Cash: $282 (156% of Medicare)

Ins. Median: $199 (110% 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
Medicaid / KanCare	$68 - $130	37%
Tricare	$111 - $158	61%
Blue Cross Blue Shield	$152 - $252	84%
Medicare (plans)	$152 - $180	84%
Mcrmanaged Cca One Care	$153 - $194	84%
Comm Hospice	$154 - $171	85%
Mcr Miscellaneous	$154 - $171	85%
Mcrmanaged Usa Family	$154 - $171	85%
Mcrmanaged Va	$154 - $171	85%
Comm Network Qhpsub	$167 - $179	92%
Mcdmanaged Network	$167 - $181	92%
Comm Fallon Qhp	$168 - $206	93%
Oth United Vaccn	$171	94%
Wc Workers Comp	$180	99%
Comm Network Qhpnonsub	$190 - $213	105%
Aetna	$192 - $224	106%
Comm Nhp	$192	106%
Comm Unicare	$192 - $251	106%
Comm Hne Hmo	$204 - $270	112%
Comm Hne	$216 - $287	119%
Comm Hne Ppo	$217 - $287	120%
Comm Tufts	$235	130%
UnitedHealthcare	$255	141%
Cigna	$267 - $276	147%
Comm Cdphp	$267	147%
Comm Mvp	$267	147%
Comm Oxford	$267	147%
Comm First Health	$276 - $282	152%
Comm Connecticare	$282	156%
Comm Consolidated Health	$282	156%
Comm Harvard	$282	156%
Comm Other	$282	156%
Comm Phcs	$282	156%
Comm Self Pay	$282	156%

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 $282.
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 North Adams Regional Hospital Corporation 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.