CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Holland Community Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $135
  • Cash Discount Price: $102
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Holland Community Hospital is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.74x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$102

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $102 (56%)
Insurance Median: $135 (74%)
Cash: $102 (56% of Medicare)
Ins. Median: $135 (74% 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
Molina Mcaid - All Plans $19 - $112 10%
Ph Mcaid $19 - $112 10%
Nomi Health - All Plans $33 - $192 18%
Aetna $42 - $280 23%
Cofinity -All Plans $42 - $245 23%
UnitedHealthcare $50 - $135 28%
Multiplan - All Plans $52 - $304 29%
Benefit Source Inc-All Plans $54 - $315 30%
First Health-All Plans $54 - $315 30%
Usa Managed Care-All Plans $54 - $315 30%
Integrated Health Plans-All Plans $57 - $332 31%
Meridian Mcaid Profee Only-All Plans $102 56%
Sisco Epi $115 63%
Sisco-All Other Plans $115 - $190 63%
Lifesynch Bh Comm - All Other Plans $120 66%
Lifesynch Bh Mcr $120 66%
Life Circles-All Plans $128 - $168 71%
Health Alliance Mcr Adv $135 - $177 74%
Ph Mcr Adv $135 - $177 74%
Va Ccn - All Plans $135 - $177 74%
Longevity Health Plan-All Plans $145 - $191 80%
Cigna $152 - $218 84%
Priority Health - All Other Plans $174 - $241 96%
Blue Cross Blue Shield $175 97%
Blue Care Network - All Plans $187 - $225 103%
Asr - All Plans $217 - $419 120%
Health Alliance Ahl - All Other Plans $217 - $419 120%
Health Alliance Hmo $217 - $401 120%
United Behav Hlth Mcr $264 146%
United Behav Hlth - All Other Plans $301 166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals