CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Henry Ford Macomb Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $133
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Henry Ford Macomb Hospital is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$133

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%)
Insurance Median: $133 (73%)
Ins. Median: $133 (73% 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.

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
Cofinity Group Health $46 - $93 25%
Aetna $56 - $173 31%
UnitedHealthcare $63 - $166 35%
Hap $65 - $156 36%
Mclaren Health $66 - $157 36%
Blue Cross Blue Shield $73 - $192 40%
Mclaren $73 40%
Meridian Health Plan Of Mi $73 - $126 40%
Priority Health $73 - $157 40%
Multiplan, Inc. $83 46%
Beacon Health $88 - $132 49%
Humana $88 - $174 49%
Amerihealth Michigan $89 - $154 49%
Hap Caresource $89 - $157 49%
Mclaren Health Plan Inc. $89 - $156 49%
Meridian $89 - $156 49%
Molina $93 - $172 51%
Priority $93 - $156 51%
Cigna $101 - $330 56%
University Of Michigan $101 56%
Pace Se Mi $130 - $148 72%
Bcn $137 - $171 76%
Cca Health Mi $137 - $156 76%
Health Alliance Plan Of Michigan $137 - $156 76%
Mount Carmel Health Plan $137 - $157 76%
United Behavioral Health, Inc. $137 - $156 76%
Wellcare Ma $137 76%
Wellcare $138 76%
Vaccn $147 - $169 81%
Pace Of Se Mi $150 83%
Cca Health Michigan $157 87%
Molina Mi Health Link $157 87%
Vitalcore Physicians Group Of Mi $178 - $362 98%
Wellpoint Behavioral Health, Inc. $400 221%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals