CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $238
  • Cash Discount Price: $209
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Poplar Bluff Regional Medical Center is $238. 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 1.31x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$209

Average discount available for prompt cash payment at this facility.

Insurance Median
$238

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: $238 (131%)
Cash: $209 (115% of Medicare)
Ins. Median: $238 (131% 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
Medicaid / KanCare $137 - $233 76%
Blue Cross Blue Shield $138 - $496 76%
Veterans Eval Services $149 82%
Node Champva $179 99%
Tricare $179 99%
Humana $187 - $189 103%
Medicare (plans) $187 103%
Node United Behavioral Health Mcr Adv $187 103%
Node Hospice Non Par Agree $190 105%
Node Va $190 105%
UnitedHealthcare $190 - $233 105%
Node Ahs Mcr Adv $195 108%
Self Pay $196 108%
Node Devoted Health Mcr Adv $197 109%
Node Pphp Mcr Adv $215 119%
Centurion Correctional $238 131%
Us Department Of Labor $238 131%
Naphcare $362 200%
Cigna $443 - $654 244%
Evolutions Healthcare $446 246%
Tyson Foods $450 248%
Access Health Services, Llc $466 257%
Home State Exchange $476 262%
W W Wood $476 262%
Parker Hannifin $491 - $573 271%
Healthlink $511 282%
First Health $532 293%
Blue Access $581 320%
Blue Traditional $605 - $631 334%
Coventry Wc $654 361%
Municipal Health $654 361%
Multiplan $712 393%
Phcs $712 393%
Compresults Wc $736 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals