CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $97
  • Cash Discount Price: $246
  • vs. Medicare Baseline: 0.53x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Memorial Mission Hospital and Asheville Surgery Ce is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $246. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.53x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.
Cash / Self-Pay
$246

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $246 (136%)
Insurance Median: $97 (53%)
Cash: $246 (136% of Medicare)
Ins. Median: $97 (53% 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
Blue Cross Blue Shield $23 - $246 13%
United $23 - $370 13%
Amerihealth $24 - $119 13%
Partners Health Management $24 - $121 13%
Vaya Health $24 - $121 13%
Wellcare $24 - $118 13%
Apex Health $25 - $125 14%
Oscar $45 - $223 25%
Aetna $46 - $452 25%
Cigna $47 - $311 26%
Caresource $55 - $275 30%
Medcost $55 - $531 30%
Amerihealth Caritas $59 - $294 33%
Magellan $75 - $148 41%
Magellan Behavioral Health $75 - $148 41%
Multiplan $101 - $500 56%
Avalon Administrative Services $107 - $531 59%
Prime Health $111 - $563 61%
Ambetter / Centene $330 182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 Biltmore Ave, Asheville, NC 28801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals