CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Neshoba County General Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $176
  • Cash Discount Price: $167
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Neshoba County General Hospital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.97x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$167

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $167 (92%)
Insurance Median: $176 (97%)
Cash: $167 (92% of Medicare)
Ins. Median: $176 (97% 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
Aetna $105 - $134 58%
Magnolia Mcaid $105 58%
Molina Mcaid $105 58%
Mpcn Mcaid $105 58%
UnitedHealthcare $105 - $212 58%
Cigna $136 - $174 75%
Tricare $148 82%
Humana $164 90%
Magnolia Mcr Adv-All Other Plans $164 90%
Molina Comm-All Other Plans $164 90%
Molina Mcr Adv $164 90%
Wellcare Mcr Adv-All Plans $164 90%
Affordable Health Care-All Plans $178 - $228 98%
Health Choice Ip/Op Only-All Plans $178 - $228 98%
Health Link Ip/Op Only-All Plans $178 - $228 98%
Geha-All Plans $189 - $241 104%
Multiplan-All Plans $189 - $241 104%
First Choice Comm Ip/Op Only - All Plans $205 113%
Mpcn Ip/Op Only-All Other Plans $262 - $335 144%
Ahs Ip/Op Only-All Plans $288 159%
Blue Cross Blue Shield $298 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL