CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Penobscot Valley Hospital

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$228
about 1.3× the $181 Medicare rate · typically $127–$288
modeled estimate · not a bill or quote
What this hospital charges insurers
$168
Below the fair price — a good deal
about $60 under the fair price · 0.9× Medicare
Medicare pays $181 Fair price $228 This hospital $168 Cash price $286 Hospital's list price $357

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 7 of 8 other ME hospitals charge more for the same procedure.

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 $228 (about 1.3× the $181 Medicare rate). Penobscot Valley Hospital charges insurers about $168, or about $286 in cash — below the fair price — a good deal. Located in Lincoln, 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 $165 - $168 91%
Blue Cross Blue Shieldmajor $170 - $265 94%
Aetnamajor $168 - $343 93%
Cignamajor $336 185%
Humanamajor $166 92%
Harvard Pilgrim $341 188%
WellCare $166 92%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals