CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Artesia General Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $290
Cash Discount Price: $222
vs. Medicare Baseline: 1.60x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Artesia General Hospital is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.60x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$222

Average discount available for prompt cash payment at this facility.

Insurance Median

$290

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: $222 (122%)

Insurance Median: $290 (160%)

Cash: $222 (122% of Medicare)

Ins. Median: $290 (160% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Presbyterian Health Plan	$80 - $156	44%
Zelis	$100 - $187	55%
Blue Cross Blue Shield	$124 - $248	68%
Molina Healthcare Of New Mexico	$126 - $262	69%
UnitedHealthcare	$126 - $156	69%
First Health	$141 - $373	78%
Triwest	$153	84%
Geha	$156 - $331	86%
Humana	$156 - $171	86%
Vistacare Hospice	$156	86%
Omni Networks	$256 - $290	141%
New Mexico Health Connections	$265	146%
Three Rivers Provider Network	$274 - $310	151%
Cigna	$311 - $373	172%
Providence Risk & Insurance Services	$311 - $393	172%
Galaxy Health	$329 - $373	181%
One Health Plan	$329 - $373	181%
Multiplan	$333 - $377	184%
United Payors & United Providers	$340 - $385	187%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $222.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Artesia General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.