CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $177
  • Cash Discount Price: $209
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Munson Healthcare Manistee Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.98x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$209

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $209 (115%)
Insurance Median: $177 (98%)
Cash: $209 (115% of Medicare)
Ins. Median: $177 (98% 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
Mclaren Health Plan $89 - $184 49%
Meridian $89 - $92 49%
Molina $89 - $191 49%
Priority Health $89 - $227 49%
UnitedHealthcare $89 - $221 49%
Blue Cross Blue Shield $90 - $175 50%
Aetna $135 - $213 74%
Hap (Health Alliance Plan) $135 - $202 74%
Humana $135 - $177 74%
Medicare (plans) $135 - $177 74%
Michigan Amish Medical Board $135 - $177 74%
Northern Michigan Mennonite Group $135 - $177 74%
Prime Health Services $135 - $226 74%
Wellcare Meridian $135 - $177 74%
Hospice Of Michigan $148 82%
Cofinity $162 - $216 89%
Munson Hospice $172 - $852 95%
Cigna $174 - $227 96%
Provider Network Of America $188 - $209 104%
Asr/Physicians Care $197 - $202 109%
Enterprise Group Planning/Employee Benefits Plan $197 109%
Medical Cost Savings Solution $197 109%
Nomi Health $197 - $215 109%
Three Rivers Provider Network $209 115%
Multiplan $216 119%
Great West Healthcare $221 122%
Employee Benefits Logistics $229 - $301 126%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals