CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Ochsner Rush Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $152
Cash Discount Price: $71
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Ochsner Rush Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.84x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $71 (39%)

Insurance Median: $152 (84%)

Cash: $71 (39% of Medicare)

Ins. Median: $152 (84% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$104 - $147	57%
UnitedHealthcare	$108 - $197	60%
Cigna	$115 - $170	63%
Medicaid / KanCare	$118 - $125	65%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$132 - $147	73%
Medicare (plans)	$132 - $169	73%
Aetna	$135 - $194	74%
Shared Health Mississippi	$138 - $154	76%
Select Administrative Services Network	$145 - $175	80%
Prime Health Services Ppo	$152 - $200	84%
Blue Cross Blue Shield	$153 - $344	84%
Claritev D/B/A Multiplan/Phcs/American Life Care	$155 - $188	85%
Prime Health Services Ppo -Workers Comp	$172 - $213	95%
Cor Vel	$176 - $215	97%
Ambetter / Centene	$185 - $206	102%
Primewell Health Services Commercial Exchange Plan	$210 - $411	116%
Primewell Health Services – Commercial	$210 - $411	116%
Zelis	$212 - $242	117%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $71.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Rush Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.