CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $546
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.01x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Atlanticare Regional Medical Center - City Campus is $546. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.01x the Medicare baseline. Located in 1925 Pacific Avenue, Atlantic City, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$546

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%)
Insurance Median: $546 (301%)
Ins. Median: $546 (301% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 301% of the Medicare baseline (a markup of 201%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Americhoice $90 50%
UnitedHealthcare $90 - $497 50%
Horizon $97 - $490 53%
Wellcare $97 53%
Self Pay $105 58%
Tricare $161 89%
Amerigroup $182 100%
Devoted Health Plan $206 114%
Magnacare $280 - $630 154%
Cigna $294 - $353 162%
Global Exchange Managed Care $300 165%
Qualcare Commercial $350 193%
Great West Life $353 195%
Health Partners Plan $399 220%
Aetna $403 - $578 222%
Amerihealth $450 - $588 248%
Active Care Plus $455 251%
First Mco $455 251%
Mutual Of Omaha $455 251%
Qualcare Wc $455 251%
Consumer Health Network (Chn) $490 - $630 270%
Donio Trucking $490 270%
Devon/ Ullicare $525 290%
Oxford $525 290%
Coventry Health Care $560 309%
Private Healthcare System (Phcs) $560 309%
Blue Cross Blue Shield $576 318%
Health Payors Org $595 328%
Health South $595 328%
Metrahealth Of Nj $595 328%
Prime Health Services $595 328%
Three Rivers Provider Network (Trpn) $595 328%
Active Care Nj Pip $630 347%
Beech Street $630 347%
Choice Care $630 347%
Department Of Corrections $630 347%
Galaxy Health Network $630 347%
Health Network Inc $630 347%
Intergroup Preferred Program $630 347%
Mcs Commercial $630 347%
Metracomp $630 347%
Multiplan $630 347%
Provider Select, Inc $630 347%
Atlantis Health Plan $648 357%
Master Care Inc $648 357%
Advance Healthcare System $665 367%
Community Care Network $665 367%
Health Network America $665 367%
Mcsi/Mrsi No Fault $665 367%
Mcsi/Mrsi Worker'S Comp $665 367%
National Health Plan $665 367%
Evernorth $756 417%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1925 Pacific Avenue, Atlantic City, NJ 08401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals