CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $158
Cash Discount Price: $173
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Ochsner Stennis Memorial Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$173

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $173 (95%)

Insurance Median: $158 (87%)

Cash: $173 (95% of Medicare)

Ins. Median: $158 (87% 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	$84 - $342	46%
UnitedHealthcare	$106 - $290	58%
Cigna	$118 - $342	65%
Medicaid / KanCare	$118 - $125	65%
Medicare (plans)	$124 - $393	68%
Ambetter / Centene	$125 - $345	69%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$125 - $345	69%
Shared Health Mississippi	$130 - $359	72%
Aetna	$135 - $370	74%
Primewell Health Services Commercial Exchange Plan	$139 - $381	77%
Primewell Health Services – Commercial	$139 - $381	77%
Select Administrative Services Network	$145 - $399	80%
Prime Health Services Ppo	$152 - $455	84%
Blue Cross Blue Shield	$153 - $400	84%
Claritev D/B/A Multiplan/Phcs/American Life Care	$155 - $427	85%
Zelis	$155 - $427	85%
Prime Health Services Ppo -Workers Comp	$172 - $213	95%
Cor Vel	$176 - $215	97%

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 $173.
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 Stennis Memorial 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.