CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Wayne General Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $268
Cash Discount Price: $357
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Wayne General Hospital is $268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.48x the Medicare baseline. Located in 950 Matthew Dr, Waynesboro, MS.

Cash / Self-Pay

$357

Average discount available for prompt cash payment at this facility.

Insurance Median

$268

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: $357 (197%)

Insurance Median: $268 (148%)

Cash: $357 (197% of Medicare)

Ins. Median: $268 (148% 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
Al Healthcare Adv Mcaid-All Plans	$105	58%
Alabama Community Mcaid-All Plans	$105	58%
Medicaid / KanCare	$105	58%
Univita Healthcare Mcaid-All Plans	$105	58%
Cigna	$107 - $164	59%
Molina Chip-All Other Plans	$116	64%
Ml Healthcare-All Plans	$143	79%
Humana	$148	82%
Amerigroup Mcare Adv-All Plans	$164	90%
Magnolia Mcare Adv	$164	90%
Molina Mcare Adv	$164	90%
Vantage Health Mcare Adv	$164	90%
Wellcare Mcare Adv-All Plans	$164	90%
Phcs-All Plans	$268	148%
Ahs-All Plans	$284	157%
Mhci/Healthlink Op Only-All Plans	$303	167%
Ms Health Partners-All Plans	$303	167%
Ppoplus-All Plans	$303	167%
First Choice-All Other Plans	$321	177%
First Health-All Plans	$321	177%
Geha Ppo-All Plans	$321	177%
Healthcare Advantage-All Plans	$321	177%
United Providers-All Plans	$321	177%
Three Rivers Provider Network-All Plans	$339	187%
Aetna	$357	197%
Magnolia Comm/Exchange-All Other Plans	$357	197%
Vantage Health-All Other Plans	$377	208%
First Choice Hie	$446	246%
Blue Cross Blue Shield	$668	368%

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 $357.
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 Wayne General 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.