CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Westfield Memorial Hospital Inc

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $143
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Westfield Memorial Hospital Inc is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.79x the Medicare baseline. Located in 189 E Main St, Westfield, NY.
Cash / Self-Pay
$87

Average discount available for prompt cash payment at this facility.

Insurance Median
$143

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: $87 (48%)
Insurance Median: $143 (79%)
Cash: $87 (48% of Medicare)
Ins. Median: $143 (79% 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
Carelon $81 - $157 45%
UnitedHealthcare $83 - $240 46%
Highmark $97 - $315 53%
Community Care Behavorial Health Healthchoices $98 - $130 54%
Community Care Behavorial Health University Of Pittsburgh Medical Center $98 - $130 54%
Univera $112 - $164 62%
Life Pittsburgh $132 - $190 73%
Medicare (plans) $140 - $196 77%
American Health Plans $145 - $190 80%
Martin'S Point $190 105%
Aetna $198 - $365 109%
Amerihealth $200 110%
Humana $202 111%
Molina $207 114%
Cigna $217 120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 189 E Main St, Westfield, NY 14787
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - RURAL EMERGENCY HOSPITAL (REH)