CMS Price Transparency Data
Psychotherapy session (60 minutes)
Facility: Trinity Health Oakland Hospital
Billing Code: 90837 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90837
- Insurance Median: $207
- Cash Discount Price: $185
- vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Trinity Health Oakland Hospital is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.14x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$185
Average discount available for prompt cash payment at this facility.
Insurance Median
$207
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: $185 (102%)
Insurance Median: $207 (114%)
Cash: $185 (102% of Medicare)
Ins. Median: $207 (114% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $65 - $102 | 36% |
| Wc Accident Fund | $86 | 47% |
| Wc Advantage | $86 | 47% |
| Wc Aig | $86 | 47% |
| Wc Allied | $86 | 47% |
| Wc Amerisure | $86 | 47% |
| Wc Amtrust | $86 | 47% |
| Wc Asu Risk Mgt | $86 | 47% |
| Wc Berkley Admin | $86 | 47% |
| Wc Broadspire | $86 | 47% |
| Wc Bunch & Associates | $86 | 47% |
| Wc Ccmsi | $86 | 47% |
| Wc Emc Insurance Company | $86 | 47% |
| Wc Esis | $86 | 47% |
| Wc Fcci | $86 | 47% |
| Wc Federated | $86 | 47% |
| Wc Gallagher Bassett | $86 | 47% |
| Wc Genex Care For Ohio | $86 | 47% |
| Wc Guard Insurance Company | $86 | 47% |
| Wc Hartford | $86 | 47% |
| Wc Liberty Mutual | $86 | 47% |
| Wc Meijers | $86 | 47% |
| Wc Michigan | $86 | 47% |
| Wc Mitchell Frankenmuth | $86 | 47% |
| Wc Pma | $86 | 47% |
| Wc Sedgwick | $86 | 47% |
| Wc Sentry | $86 | 47% |
| Wc Travelers | $86 | 47% |
| Wc Tristar | $86 | 47% |
| Wc Walmart | $86 | 47% |
| Wc Zurich | $86 | 47% |
| Aetna | $89 - $178 | 49% |
| Bcn Domestic | $102 | 56% |
| Blue Benefit Administrators Of Massachusetts | $102 | 56% |
| Blue Care Network | $102 | 56% |
| Blue Distinction Transplant | $102 | 56% |
| Blue Shield - Ca | $102 | 56% |
| Blue Shield - Id (Regence) | $102 | 56% |
| Blue Shield - Ny Highmark Northeastern | $102 | 56% |
| Blue Shield - Ny Highmark Western | $102 | 56% |
| Blue Shield - Pa (Highmark) | $102 | 56% |
| Blue Shield - Wa (Regence) | $102 | 56% |
| Health Choices | $102 - $208 | 56% |
| Kaiser Domestic | $102 | 56% |
| Acs Benefit Services | $125 | 69% |
| Allied Benefit Systems | $125 | 69% |
| Claimchoice Adminstrators | $125 | 69% |
| Consociate | $125 | 69% |
| Cypress Benefit Administrators | $125 | 69% |
| Forest County Potawatomi | $125 | 69% |
| Health Smart | $125 | 69% |
| Healthgram | $125 | 69% |
| Healthscope | $125 | 69% |
| Secureone Preferred United Plans | $125 | 69% |
| Sisco Benefits | $125 | 69% |
| The Health Plan | $125 | 69% |
| Trustmark Small Business Benefits | $125 | 69% |
| Unified Group Services | $125 | 69% |
| Webtpa | $125 | 69% |
| Mclaren Health | $137 - $149 | 76% |
| Carelon Behavioral Health | $142 | 78% |
| Magellan Behavioral Health | $170 | 94% |
| Geha | $178 - $213 | 98% |
| Medical Mutual | $178 | 98% |
| Meritain | $178 | 98% |
| 1199 National Benefit Fund | $193 | 106% |
| Allied National Global Care | $193 | 106% |
| Asrm - Reliance Standard Life Insurance | $193 | 106% |
| Christian Care Ministry | $193 | 106% |
| Dean Health | $193 | 106% |
| Fallon Health | $193 | 106% |
| Family Life Insurance Company | $193 | 106% |
| Ghc Scw | $193 | 106% |
| Group Pension Administrators | $193 | 106% |
| International Benefit Administrators | $193 | 106% |
| Lifetime Benefit Solutions | $193 | 106% |
| Manhattan Life | $193 | 106% |
| Medi Share | $193 | 106% |
| Multiplan | $193 | 106% |
| Mvp | $193 | 106% |
| Pai | $193 | 106% |
| Pan-American Life | $193 | 106% |
| Paramount Hmo | $193 | 106% |
| Phcs | $193 | 106% |
| Trinity Health Share | $193 | 106% |
| Hap | $207 - $349 | 114% |
| Health Partners | $207 | 114% |
| Tufts Health Plan | $207 | 114% |
| Access Health | $208 | 115% |
| Acclaim | $208 | 115% |
| Administrative Concepts | $208 | 115% |
| Allegeant | $208 | 115% |
| Ameriben | $208 | 115% |
| American Family | $208 | 115% |
| American Healthcare Alliance | $208 | 115% |
| American National | $208 | 115% |
| American Republic | $208 | 115% |
| Amerihealth | $208 | 115% |
| Aultcare | $208 | 115% |
| Automated Benefit Services | $208 | 115% |
| Auxiant | $208 | 115% |
| Benefit Administrative Systems,Llc | $208 | 115% |
| Boon Chapman | $208 | 115% |
| Cam Administrative Services | $208 | 115% |
| Christian Brother Services | $208 | 115% |
| Christian Brothers Holy Cross | $208 | 115% |
| Comprehensive Benefits | $208 | 115% |
| Continental Life Insurance | $208 | 115% |
| Custom Benefit Administrators | $208 | 115% |
| Employee Benefit Concepts | $208 | 115% |
| Employee Benefit Management | $208 | 115% |
| Enterprise Group Planning | $208 | 115% |
| Freedom Life Insurance Company | $208 | 115% |
| Group Administrators | $208 | 115% |
| Group Marketing Services | $208 | 115% |
| Guardian | $208 | 115% |
| Health America | $208 | 115% |
| Healthcare Management Admin | $208 | 115% |
| Healthez | $208 | 115% |
| Humana | $208 | 115% |
| Insight | $208 | 115% |
| Intercare | $208 | 115% |
| Jfp Benefit Management | $208 | 115% |
| Jp Farley Corporation | $208 | 115% |
| Key Benefit Administrator | $208 | 115% |
| Liberty Union Life Assurance Co | $208 | 115% |
| Lucent Health | $208 | 115% |
| Luminare Health | $208 | 115% |
| Luminare Health (Detroit) | $208 | 115% |
| Magnacare | $208 | 115% |
| Medben | $208 | 115% |
| Medcost | $208 | 115% |
| Mutual Health Services | $208 | 115% |
| Mutual Of Omaha | $208 | 115% |
| Ncas | $208 | 115% |
| Nippon Life Ins | $208 | 115% |
| Nova | $208 | 115% |
| Painters Union Insurance Fund | $208 | 115% |
| Physicians Mutual | $208 | 115% |
| Plumbers Local 98 Insurance Fund | $208 | 115% |
| Prairie States | $208 | 115% |
| Preferred One | $208 | 115% |
| Primary Physician Care | $208 | 115% |
| Professional Benefit Administrators | $208 | 115% |
| Siho Insurance Services | $208 | 115% |
| The Loomis Company | $208 | 115% |
| Unicare | $208 | 115% |
| Us Health And Life | $208 | 115% |
| Valenz | $208 | 115% |
| Western & Southern Financial Group | $208 | 115% |
| Wps | $208 | 115% |
| Cigna | $210 | 116% |
| UnitedHealthcare | $213 | 117% |
| Coventry | $214 | 118% |
| First Health | $214 | 118% |
| Prime Health Services | $227 | 125% |
| Three Rivers Provider Network | $256 | 141% |
| Priority Health | $261 - $290 | 144% |
| U Of M Health Plan | $272 | 150% |
| Cmh Detroit Wayne Integrated Health Network | $284 | 157% |
| Cmh Lenawee County | $284 | 157% |
| Cmh Livingston County | $284 | 157% |
| Cmh Misc | $284 | 157% |
| Cmh Monroe County | $284 | 157% |
| Cmh Oakland County | $284 | 157% |
| Cmh Washtenaw County | $284 | 157% |
| Asr Health Benefits | $349 | 192% |
| Caresource | $349 | 192% |
| Varipro | $349 | 192% |