CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Mercy Health Lakeshore Campus

Billing Code: 90837 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$121
about 0.7× the $181 Medicare rate · typically $106–$174
modeled estimate · not a bill or quote
What this hospital charges insurers
$120
About the fair price
about $1 under the fair price · 0.7× Medicare
Medicare pays $181 Fair price $121 This hospital $120 Hospital's list price $287

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 2 charge more and 4 charge less, among the 9 MI hospitals compared.

Cheapest $86 Priciest $131

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 $121 (about 0.7× the $181 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $120 — about the fair price. Located in Shelby, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 $114 - $159 63%
Blue Cross Blue Shieldmajor $111 - $170 61%
Aetnamajor $111 - $242 61%
Cignamajor $111 - $137 61%
Humanamajor $111 - $166 61%
Ambetter (Centene) $111 61%
AmeriHealth $166 92%
Clover Health $120 66%
Dean Health Plan $166 92%
GEHA $153 84%
Health Net $111 - $199 61%
HealthPartners $100 - $111 55%
MagnaCare $166 92%
Medical Mutual $166 92%
Meridian $111 - $120 61%
Molina $111 - $166 61%
MVP Health Care $166 92%
Oscar Health $166 92%
Paramount $111 61%
Presbyterian $111 - $120 61%
Priority Health $146 81%
Tufts Health Plan $100 - $111 55%
UniCare $166 92%
WellMed $120 66%
WellSense $111 61%
+ 422 smaller / regional plans $100 - $287
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals