Psychotherapy session (60 minutes)
Facility: Trinity Health Muskegon Hospital
Billing Code: 90837 (CPT)
This hospital's typical commercial price is $120 compared to the $134 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.90× fair market pricing.
A typical price — 2 charge more and 4 charge less, among the 9 MI hospitals compared.
Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.
A fair price for a Psychotherapy session (60 minutes) is about $134 (about 0.7× the $181 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $120, or about $164 in cash — below the fair price — a good deal. Located in Muskegon, MI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $111 - $223 | 61% |
| Blue Cross Blue Shieldmajor | $111 - $170 | 61% |
| Aetnamajor | $107 - $242 | 59% |
| Cignamajor | $111 - $159 | 61% |
| Humanamajor | $111 - $199 | 61% |
| Kaiser Permanentemajor | $123 | 68% |
| Ambetter (Centene) | $111 | 61% |
| AmeriHealth | $166 - $199 | 92% |
| CareSource | $159 | 88% |
| Clover Health | $120 | 66% |
| Dean Health Plan | $166 - $190 | 92% |
| GEHA | $153 - $223 | 84% |
| Health Net | $111 - $199 | 61% |
| HealthPartners | $100 - $111 | 55% |
| MagnaCare | $166 | 92% |
| Medical Mutual | $166 - $199 | 92% |
| Meridian | $111 - $120 | 61% |
| Molina | $111 - $166 | 61% |
| MVP Health Care | $166 - $190 | 92% |
| Oscar Health | $166 | 92% |
| Paramount | $111 - $190 | 61% |
| Presbyterian | $111 - $120 | 61% |
| Priority Health | $146 - $194 | 81% |
| Tufts Health Plan | $100 - $111 | 55% |
| UniCare | $166 - $199 | 92% |
| WellMed | $120 | 66% |
| WellSense | $111 | 61% |
| + 427 smaller / regional plans | $100 - $287 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Trinity Health Muskegon Hospital
Compare: Psychotherapy session (60 minutes) at other MI hospitals
- Henry Ford Health Brighton Center for Recovery · Brighton $86
- Huron Valley-Sinai Hospital · Commerce Township $101
- University of Michigan Health System · Ann Arbor $104
- Harper University Hospital · Detroit $104
- Mercy Health Saint Mary's · Grand Rapids $120
- Mercy Health Lakeshore Campus · Shelby $120
- Trinity Health Ann Arbor Hospital · Ann Arbor $122
- Henry Ford Macomb Hospital · Clinton Township $135
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Trinity Health Muskegon Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $98
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $98).
Self-Pay Cash Rate ($164) Beats Your Bill
Trinity Health Muskegon Hospital's published 45 CFR § 180 self-pay cash rate is $164 (vs. $120 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $134 Fair BaseRate ($181 Medicare)
Your bill ($270) is $136 above the denoised Fair BaseRate ($134) and 1.5× the $181 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.