CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Lincolnhealth

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$186
about 1.0× the $181 Medicare rate · typically $152–$245
modeled estimate · not a bill or quote
What this hospital charges insurers
$213
About the fair price
about $27 over the fair price · 1.2× Medicare
Medicare pays $181 Fair price $186 This hospital $213

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 6 of 8 other ME hospitals charge less.

Cheapest $160 Priciest $252

Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.

A fair price for a Psychotherapy session (60 minutes) is about $186 (about 1.0× the $181 Medicare rate). Lincolnhealth charges insurers about $213 — about the fair price. Located in Damariscotta, ME.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $152 - $262 84%
Blue Cross Blue Shieldmajor $152 - $961 84%
Aetnamajor $130 - $268 72%
Cignamajor $265 146%
Humanamajor $149 82%
Harvard Pilgrim $294 162%
WellCare $158 87%
+ 1 smaller / regional plan $282
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 35 Miles Street, Damariscotta, ME 04543
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals