CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Mercy Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $163
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Mercy Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.90x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $214 (118%)
Insurance Median: $163 (90%)
Cash: $214 (118% of Medicare)
Ins. Median: $163 (90% 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
United $76 - $395 42%
Caresource $78 - $87 43%
Buckeye $80 - $87 44%
Amerihealth $83 - $93 46%
Molina $83 - $89 46%
Summacare $84 - $875 46%
Blue Cross Blue Shield $89 - $347 49%
Oscar $99 - $334 55%
Cc Ehp $129 - $131 71%
Aetna $133 - $1,250 73%
Cigna $133 - $208 73%
Humana $133 - $148 73%
The Health Plan $133 - $329 73%
Aultcare $135 - $153 74%
Mmo $137 - $875 76%
Communicare $140 - $156 77%
Perennial Health $144 - $160 79%
Zing Health $147 - $163 81%
Amish Community Aid Plan $148 - $164 82%
Ohcp $160 - $486 88%
Immergrun $164 - $938 90%
Omas $164 - $625 90%
Ohio Healthy $178 98%
Php $197 109%
Phphi $197 - $750 109%
Gms $230 - $875 127%
Medical Benefit Corp $230 127%
Consociate Health $247 136%
Frontpath $296 163%
Managed Care Services $296 163%
Multiplan $296 - $1,125 163%
Tertiary Care Network $296 163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals