CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Trinity Health Muskegon Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $166
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Trinity Health Muskegon Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.92x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$164

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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: $164 (90%)
Insurance Median: $166 (92%)
Cash: $164 (90% of Medicare)
Ins. Median: $166 (92% 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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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
Hap $100 - $201 55%
Health Partners $100 55%
Tufts Health Plan $100 55%
Aetna $107 - $242 59%
Albany County Correctional Facility $111 61%
Ambetter / Centene $111 61%
Amish Mennonite $111 61%
Ascension St. Vincent Public Safety Medical $111 61%
Bccp $111 61%
Blue Cross Blue Shield $111 - $170 61%
Bmc Healthnet $111 61%
Breast Grant-Connecticut $111 61%
Broward County Dept Of Health $111 61%
California Health And Wellness $111 61%
Can Community Health Inc $111 61%
Cardinal Innovations Lme $111 61%
Care Connections Of Northern Iowa $111 61%
Care Oregon Ohp $111 61%
Cencal Health Plan $111 61%
Cenpatico $111 61%
Champva $111 61%
Chhuny $111 61%
Childrens Comm Health Plan $111 61%
Childrens Medical Services Title 19 $111 61%
Cigna $111 - $159 61%
City Of Philadelphia $111 61%
Cmh Allegan County $111 - $253 61%
Cmh Ausable Valley $111 61%
Cmh Barry County $111 - $253 61%
Cmh Bay-Arenac County $111 61%
Cmh Berrien County $111 - $253 61%
Cmh Cass County $111 - $253 61%
Cmh Central Mi County $111 61%
Cmh Clinton-Eaton-Ingham County $111 61%
Cmh Detroit Wayne Integrated Health Network $111 61%
Cmh Genesee County $111 61%
Cmh Ionia County $111 61%
Cmh Jackson County/Lifeways $111 61%
Cmh Kalamazoo $111 - $253 61%
Cmh Kent County $111 - $253 61%
Cmh Lenawee County $111 61%
Cmh Livingston County $111 61%
Cmh Macomb $111 61%
Cmh Misc $111 - $253 61%
Cmh Monroe County $111 61%
Cmh Montcalm County $111 61%
Cmh Muskegon County $111 - $253 61%
Cmh Newaygo County $111 61%
Cmh North Country $111 - $253 61%
Cmh Northern Lakes County $111 - $253 61%
Cmh Oakland County $111 61%
Cmh Ottawa County $111 - $253 61%
Cmh Van Buren County $111 - $253 61%
Cmh Washtenaw County $111 61%
Cmh Wayne County/Carelink $111 61%
Cmh Wayne Cty/Com Liv Svcs $111 61%
Cmh West Mi County $111 - $253 61%
Community Benefit Health $111 61%
Community Care Behavorial Health $111 61%
Community Care Partners $111 61%
Community Health Choice $111 61%
Connections Csp $111 61%
County Coroner $111 61%
County Funding Generic $111 61%
Covid19 Hrsa Uninsured Testing And Treatment Fund $111 61%
Dean Wi Badgercare $111 61%
Delaware County Department Of Health $111 61%
Delaware First Health $111 61%
Delta Dental Nj $111 61%
Dph Tb Program $111 61%
Dscc $111 61%
Eastpointe Lme $111 61%
Family Health Network $111 61%
Freedom First Healthcare $111 61%
Fresno County Ccs $111 61%
Ghc Scw Wi Badgercare $111 61%
Harbor Health $111 61%
Health Safety Net $111 61%
Healthy Blue Ne $111 61%
Hennepin Health $111 61%
Humana $111 - $199 61%
Id County Ada $111 61%
Id County Canyon $111 61%
Id County Cat Fund $111 61%
Id County Other $111 61%
Id County Payette $111 61%
Idaho Dept Health And Wellfare $111 61%
Idaho Womens Health Check $111 61%
Indiana Breast Cervical Cancer $111 61%
Inland Empire Health Plan $111 61%
Intercommunity Health Ohp $111 61%
Iowa Total Care $111 61%
Jai Medical System $111 61%
Kern Family Health Plan $111 61%
Keystone First $111 61%
Keystone First Chip $111 61%
La Care Health Plan $111 61%
Lakeland Care Inc $111 61%
Managed Health Services - Indiana $111 61%
Maryland Breast & Cervical Program $111 61%
Maryland Healthy Smiles - Scion Dental $111 61%
Maryland Physicians Care $111 61%
Massachusetts Behavioral Health Partnership $111 61%
Mdwise $111 61%
Medi-Cal $111 61%
Medi-Cal Healthnet $111 61%
Medicaid / KanCare $111 - $287 61%
Medstar Dc Healthy Family $111 61%
Medstar Md Health Choice $111 61%
Mo Home State Health Plan $111 61%
Molina Centennial Care $111 61%
Nascentia Health Options $111 61%
Nebraska Total Care $111 61%
New York Cancer Services Program $111 61%
Nextlevel Health $111 61%
Oregon Screenwise $111 61%
Pace Of Southwest Michigan $111 - $120 61%
Paramount Advantage $111 61%
Parkland Community Health Plan $111 61%
Partners Behavioral Lme $111 61%
Peach State Healthplan $111 61%
Philadelphia County Funding $111 61%
Presbyterian Centennial Care $111 61%
Prestige Health Choice $111 61%
Priority Partners $111 61%
Robert F Sing Program $111 61%
Rx 340B Pass Along $111 61%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $111 61%
Rx Medi-Cal $111 61%
Rx Meridian Rx $111 61%
Ryan White Florida Mssrp $111 61%
Sandhills Center Lme $111 61%
Screening For Life $111 61%
St Joseph County Hlth Dpt $111 61%
Stephenson Cty Health $111 61%
Sunshine State Health Plan $111 61%
Superior Health $111 61%
Tenncare $111 61%
Texas Children'S Health Plan $111 61%
Tricare $111 61%
Trillium Community Ohp $111 61%
Triwest Health Alliance $111 61%
Tufts Health Public Plans $111 61%
UnitedHealthcare $111 - $223 61%
Us Family Health Plan $111 61%
Vaya Health Lme $111 61%
Veterans Eval Services $111 61%
Washtenaw Health Plan $111 61%
Wellsense Health Plan $111 61%
Wi Womens Wellness $111 61%
Ally Align Care Adv $120 66%
American Health Advantage Of Idaho $120 66%
American Health Plan $120 66%
Aurora Special Needs $120 66%
Blue Care Network Advantage $120 66%
Blue Shield - De (Highmark) Medciare Advantage $120 66%
Care Dimensions $120 66%
Care Improvement Plus $120 66%
Care Resources Pace $120 66%
Careplus Health Plans $120 66%
Cca Senior Care Options $120 66%
Central Valley Medical Services Corp Pace $120 66%
Champion Health Plan Mcr Advantage $120 66%
Clear Spring Health $120 66%
Clover Health $120 66%
Commonwealth Care Alliance $120 66%
Community Pace At Home $120 66%
Eddy Senior Care-Pace $120 66%
Eddy Seniorcare Pace $120 66%
Elementcare $120 66%
Evercare $120 66%
Everence $120 66%
Gateway Health Plan $120 66%
Genesys Pace Of Genesee County $120 66%
Georgia Health Advantage $120 66%
Gold Advantage $120 66%
Gpa Croell Redi Mix $120 66%
Health America Advantra $120 66%
Highmark Health Options Dual Plan $120 66%
Hope Select Pace $120 66%
Horizon Nj Total Care $120 66%
Hudson Headwaters Pace $120 66%
Huron Valley Pace $120 66%
Innovative Integrated Health Community Plans $120 66%
Iowa Health Advantage $120 66%
Johns Hopkins Advantage Md $120 66%
Lasso Healthcare Msa $120 66%
Life St Marys Pace $120 66%
Lifecircles Pace $120 66%
Longevity Health Plan $120 66%
Martins Point Generations Advantage $120 66%
Mass General Brigham Mcr Adv $120 66%
Medicare (plans) $120 - $136 66%
Medipak Advantage $120 66%
Mercy Life $120 66%
Mercyone Cedar Valley $120 66%
Meridian Complete $120 66%
Michigan Complete Health $120 66%
Nascentia Health Plus $120 66%
New Centry Health Careplus $120 66%
Osu Prime Care Advantage $120 66%
Pace Cny $120 66%
Pace Iowa Immanuel Pathways $120 66%
Pace Southeast $120 66%
Pace-Trinity Health $120 66%
Peak Pace Solutions $120 66%
Perennial Advantage $120 66%
Preferred Care Partners $120 66%
Presbyterian Senior Plan $120 66%
Provider Partners Health Plan Of Illinois $120 66%
Provider Partners Health Plan Of Indiana $120 66%
Pruitthealth Premier $120 66%
Reliance Community Care Partners Care Resources Pace $120 66%
Rx Allwin $120 66%
Rx Grane Grnmedd $120 66%
Rx Retiree Rx Care $120 66%
Scan Health Plan Mcr Ipa Meritage Oon $120 66%
Secure Horizons Ma Pffs $120 66%
Serenity Pace $120 66%
Siouxland Pace $120 66%
Solis Health Plans $120 66%
Sunnyview-Pace Finance Dept $120 66%
Texan Plus $120 66%
The Health Plan $120 - $166 66%
Thome Pace $120 66%
Todays Options $120 66%
Tribute Health Plans $120 66%
Um Health Advantage $120 66%
Union Health Service $120 66%
Welbe Health $120 66%
Wellmed $120 66%
Align Senior Care $123 68%
Bcn Domestic $123 68%
Blue Benefit Administrators Of Massachusetts $123 - $170 68%
Blue Care Network $123 - $152 68%
Blue Distinction Transplant $123 - $170 68%
Blue Shield - Ca $123 - $170 68%
Blue Shield - Id (Regence) $123 - $170 68%
Blue Shield - Ny Highmark Northeastern $123 - $170 68%
Blue Shield - Ny Highmark Western $123 - $170 68%
Blue Shield - Pa (Highmark) $123 - $170 68%
Blue Shield - Wa (Regence) $123 - $170 68%
Health Choices $123 - $199 68%
Kaiser Domestic $123 68%
Veterans Administration $123 68%
Acs Benefit Services $132 73%
Allied Benefit Systems $132 - $166 73%
Cca - Zing Health $132 73%
Claimchoice Adminstrators $132 - $166 73%
Consociate $132 - $166 73%
Cypress Benefit Administrators $132 - $166 73%
Forest County Potawatomi $132 - $166 73%
Health Smart $132 - $166 73%
Healthgram $132 - $166 73%
Healthscope $132 - $166 73%
Preferred One $132 - $166 73%
Secureone Preferred United Plans $132 - $166 73%
Sisco Benefits $132 - $166 73%
Trustmark Small Business Benefits $132 - $166 73%
Unified Group Services $132 - $166 73%
Webtpa $132 - $166 73%
Asr Health Benefits $133 - $134 73%
Wc Accident Fund $135 - $189 74%
Wc Advantage $135 - $189 74%
Wc Aig $135 - $189 74%
Wc Allied $135 - $189 74%
Wc Amerisure $135 - $189 74%
Wc Amtrust $135 - $189 74%
Wc Asu Risk Mgt $135 - $189 74%
Wc Berkley Admin $135 - $189 74%
Wc Broadspire $135 - $189 74%
Wc Bunch & Associates $135 - $189 74%
Wc Ccmsi $135 - $189 74%
Wc Emc Insurance Company $135 - $189 74%
Wc Esis $135 - $189 74%
Wc Fcci $135 - $189 74%
Wc Federated $135 - $189 74%
Wc Gallagher Bassett $135 - $189 74%
Wc Genex Care For Ohio $135 - $189 74%
Wc Guard Insurance Company $135 - $189 74%
Wc Hartford $135 - $189 74%
Wc Liberty Mutual $135 - $189 74%
Wc Meijers $135 - $189 74%
Wc Michigan $135 - $189 74%
Wc Mitchell Frankenmuth $135 - $189 74%
Wc Pma $135 - $189 74%
Wc Sedgwick $135 - $189 74%
Wc Sentry $135 - $189 74%
Wc Travelers $135 - $189 74%
Wc Tristar $135 - $189 74%
Wc Walmart $135 - $189 74%
Wc Zurich $135 - $189 74%
Access Health $137 76%
American Postal Workers Secondary $137 76%
Longevity Ipa Of Michigan Llc Health Plan Isnp $138 76%
Hospice Of Michigan $139 77%
Nomi Health $142 - $190 78%
Priority Health $146 - $194 81%
Varipro $146 - $190 81%
Us Health And Life $149 - $199 82%
Geha $153 - $223 84%
Caresource $159 88%
1199 National Benefit Fund $166 - $190 92%
Acclaim $166 - $199 92%
Administrative Concepts $166 - $199 92%
Allegeant $166 - $199 92%
Allied National Global Care $166 - $190 92%
Ameriben $166 - $199 92%
American Family $166 - $199 92%
American Healthcare Alliance $166 - $199 92%
American National $166 92%
American Republic $166 - $199 92%
Amerihealth $166 - $199 92%
Asrm - Reliance Standard Life Insurance $166 - $190 92%
Aultcare $166 - $199 92%
Automated Benefit Services $166 - $199 92%
Auxiant $166 - $199 92%
Benefit Administrative Systems,Llc $166 - $199 92%
Boon Chapman $166 - $199 92%
Cam Administrative Services $166 - $199 92%
Christian Brother Services $166 - $199 92%
Christian Brothers Holy Cross $166 - $199 92%
Christian Care Ministry $166 - $190 92%
Comprehensive Benefits $166 - $199 92%
Continental Life Insurance $166 - $199 92%
Coventry $166 92%
Custom Benefit Administrators $166 - $199 92%
Dean Health $166 - $190 92%
Employee Benefit Concepts $166 - $199 92%
Employee Benefit Management $166 - $199 92%
Enterprise Group Planning $166 - $199 92%
Fallon Health $166 - $190 92%
Family Life Insurance Company $166 - $190 92%
First Health $166 - $208 92%
Freedom Life Insurance Company $166 - $199 92%
Group Administrators $166 - $199 92%
Group Marketing Services $166 - $199 92%
Group Pension Administrators $166 - $190 92%
Guardian $166 - $199 92%
Health America $166 - $199 92%
Healthcare Management Admin $166 92%
Healthez $166 - $199 92%
Insight $166 - $199 92%
Intercare $166 - $199 92%
International Benefit Administrators $166 - $190 92%
Jfp Benefit Management $166 - $199 92%
Jp Farley Corporation $166 - $199 92%
Key Benefit Administrator $166 - $199 92%
Liberty Union Life Assurance Co $166 - $199 92%
Lifetime Benefit Solutions $166 - $190 92%
Lucent Health $166 - $199 92%
Luminare Health $166 - $199 92%
Luminare Health (Detroit) $166 - $199 92%
Magnacare $166 92%
Manhattan Life $166 - $190 92%
Medben $166 - $199 92%
Medcost $166 - $199 92%
Medical Mutual $166 - $199 92%
Molina Marketplace $166 92%
Multiplan $166 - $190 92%
Mutual Health Services $166 - $199 92%
Mutual Of Omaha $166 - $199 92%
Mvp $166 - $190 92%
Ncas $166 - $199 92%
Nippon Life Ins $166 - $199 92%
Nova $166 - $199 92%
Oscar $166 92%
Pai $166 - $190 92%
Painters Union Insurance Fund $166 - $199 92%
Pan-American Life $166 - $190 92%
Phcs $166 - $190 92%
Physicians Mutual $166 - $199 92%
Plumbers Local 98 Insurance Fund $166 - $199 92%
Prairie States $166 - $199 92%
Primary Physician Care $166 - $199 92%
Professional Benefit Administrators $166 - $199 92%
Siho Insurance Services $166 92%
The Loomis Company $166 - $199 92%
Trinity Health Share $166 - $190 92%
Unicare $166 - $199 92%
Valenz $166 - $199 92%
Wellpath $166 92%
Western & Southern Financial Group $166 - $199 92%
Wps $166 - $199 92%
Meritain $172 - $242 95%
Partners Direct Health - Brio $178 98%
Claimdoc $190 105%
Ghc Scw $190 105%
Kent County Jail $190 105%
Medi Share $190 105%
Muskegon County Jail $190 105%
Paramount Hmo $190 105%
Andrie Inc $199 110%
East Greenbush Central School District $199 110%
Genex Wc $199 110%
Healthsmart Workers Comp $199 110%
Jag Source $199 110%
New York State Insurance Fund $199 110%
Njm Insurance Group $199 110%
Rx Heatlhcomp $199 110%
Rx Restat $199 110%
Rx Saif Opdp Wc $199 110%
Rx Worker'S Comp $199 110%
U Of M Health Plan $199 - $272 110%
Wc Ace $199 110%
Wc Acs Federal Employees $199 110%
Wc Acuity $199 110%
Wc Aegis $199 110%
Wc Aims $199 110%
Wc Alaska National Ins $199 110%
Wc Align Network $199 110%
Wc Am Trust N America $199 110%
Wc American Claims Mgmt $199 110%
Wc Benetech $199 110%
Wc Broward County $199 110%
Wc California State Comp Ins $199 110%
Wc California State Ins Fund $199 110%
Wc Capitol Area Health Consortium $199 110%
Wc Chartis $199 110%
Wc Chubb $199 110%
Wc Cirma $199 110%
Wc City Of Albany $199 110%
Wc City Of Sioux City $199 110%
Wc Claims Mgmt Inc $199 110%
Wc Cna $199 110%
Wc Comp One Admin C/O Manageability $199 110%
Wc Compone Admin $199 110%
Wc Corvel $199 110%
Wc Ct Healthcare Trust $199 110%
Wc Donegal Insurance Group $199 110%
Wc Employee Mutual $199 110%
Wc Enablecomp $199 110%
Wc Encore Health Network $199 110%
Wc Erie $199 110%
Wc Evolutions $199 110%
Wc Fed Ex $199 110%
Wc Federal Black Lung $199 110%
Wc Finley Occupational Health $199 110%
Wc First Agency/Occunet $199 110%
Wc Ford Motor $199 110%
Wc Fresno Unified Emp $199 110%
Wc General Motors $199 110%
Wc Generic $199 110%
Wc Great West Casualty $199 110%
Wc Guarantee Insurance $199 110%
Wc Hab $199 110%
Wc Hastings $199 110%
Wc Health Management $199 110%
Wc Heritage Summit $199 110%
Wc Hireright $199 110%
Wc Horizon $199 110%
Wc Icw Group $199 110%
Wc Idaho State Ins Fund $199 110%
Wc Intercare Insurance $199 110%
Wc Intermountain $199 110%
Wc Johns Eastern $199 110%
Wc Kemberton $199 110%
Wc Key Ins & Benefit Solutions $199 110%
Wc Mac Risk Management $199 110%
Wc Massachusetts $199 110%
Wc Mdia $199 110%
Wc Meadowbrook Claim $199 110%
Wc Medical Administrators $199 110%
Wc Memic $199 110%
Wc Mercy Workcare $199 110%
Wc Michigan Millers Mutual $199 110%
Wc Mra $199 110%
Wc Nationwide $199 110%
Wc Nca Comp $199 110%
Wc New York $199 110%
Wc New York Special Funds $199 110%
Wc North American Rishces $199 110%
Wc Northeast Health $199 110%
Wc Notre Dame $199 110%
Wc Novanet $199 110%
Wc O'Hara Corp $199 110%
Wc Occ Health Allen $199 110%
Wc Ohio Bureau $199 110%
Wc One Call Medical $199 110%
Wc Paradigm $199 110%
Wc Peerless $199 110%
Wc Praxis Health Network $199 110%
Wc Price Chopper $199 110%
Wc Procura Management $199 110%
Wc Qualcare $199 110%
Wc Quiktrip $199 110%
Wc Reny Company $199 110%
Wc Rev Claims $199 110%
Wc Risico $199 110%
Wc Rural Mutual $199 110%
Wc Saif Oregon $199 110%
Wc Secura $199 110%
Wc Sheakley Unicomp $199 110%
Wc Smile Lodge $199 110%
Wc Society $199 110%
Wc Srs $199 110%
Wc Taconic (Mro) $199 110%
Wc Taconic Farms $199 110%
Wc Triad Group $199 110%
Wc Troy Ny $199 110%
Wc Tyson $199 110%
Wc Unified Health Services $199 110%
Wc United Heartland $199 110%
Wc Us Dept Of Labor $199 110%
Wc Velocity $199 110%
Wc West Bend $199 110%
Wc West Bend Mutual/Argent $199 110%
Wc Winnebago Industries $199 110%
Wc Yankee Trails $199 110%
Wc York Risk $199 110%
Wc Zenith $199 110%
Barinet $253 140%
Bcccp-Michigan $287 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Sherman Blvd, Muskegon, MI 49441
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals