CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Carolina East Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $190
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Carolina East Medical Center is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.05x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$190

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: $169 (93%)
Insurance Median: $190 (105%)
Cash: $169 (93% of Medicare)
Ins. Median: $190 (105% 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
Pamlico Co Jail-All Plans $57 - $93 31%
UnitedHealthcare $75 - $248 41%
Craven Co. Jail Systems - All Plans $118 - $182 65%
Humana $134 - $170 74%
Inclusive Health (Nchirp)-All Plans $134 - $170 74%
Tricare $134 - $349 74%
Medcost Ppo Employees And Retirees $141 - $229 78%
Medcost Ppo Ultra (Employees) $141 - $218 78%
Blue Cross Blue Shield $150 - $239 83%
Medcost Ppo City Employees $157 - $254 87%
Medcost Ppo County Employee $163 - $264 90%
Benefit Mgmt, Svcs-All Plans $183 - $297 101%
Aetna $190 - $295 105%
Medcost Benefit Svc-All Other Plans $190 - $308 105%
Acs Consult Svc Inc-All Plans $194 - $315 107%
Medcost Ppo Standard $194 - $315 107%
Cigna $196 - $318 108%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals