CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Atrium Health Anson

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $135
  • Cash Discount Price: $110
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Atrium Health Anson is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.74x the Medicare baseline. Located in 2301 Us Highway 74 West, Wadesboro, NC.
Cash / Self-Pay
$110

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $110 (61%)
Insurance Median: $135 (74%)
Cash: $110 (61% of Medicare)
Ins. Median: $135 (74% 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
Alliance $33 - $93 18%
Amerihealth Caritas $33 - $92 18%
Carolina Complete Health $33 - $92 18%
Healthy Blue $33 - $92 18%
Partners $33 - $92 18%
Wellcare $33 - $91 18%
Trillium $34 - $91 19%
Vaya $34 - $92 19%
UnitedHealthcare $48 - $316 26%
Aetna $58 - $319 32%
Ambetter / Centene $67 - $214 37%
Blue Cross Blue Shield $88 - $292 49%
Cigna $95 - $160 52%
Employers Health Network $97 53%
Physician Reach Out $110 61%
Medcost $130 - $321 72%
Humana $135 - $156 74%
Gmmi $143 79%
Quik Trip $143 79%
Choicecare $197 - $234 109%
First Health $197 109%
Healthgram $197 109%
Provider Select $197 109%
Private Health Care Systems $202 111%
Beechstreet $208 115%
Multiplan $208 115%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2301 Us Highway 74 West, Wadesboro, NC 28170
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals