CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Southwest General Health Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $142
  • Cash Discount Price: $267
  • vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Southwest General Health Center is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.78x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$267

Average discount available for prompt cash payment at this facility.

Insurance Median
$142

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: $267 (147%)
Insurance Median: $142 (78%)
Cash: $267 (147% of Medicare)
Ins. Median: $142 (78% 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
Medical Mutual $64 - $66 35%
Medical Mutual-Ohio $64 - $193 35%
Buckeye $76 - $201 42%
Caresource $76 - $132 42%
Humana $76 - $193 42%
Molina $76 - $201 42%
UnitedHealthcare $76 - $192 42%
Amerihealth Caritas $79 - $132 44%
Healthsmart $114 63%
Blue Cross Blue Shield $132 - $257 73%
Health Design Plus $132 73%
Clarity Health $142 78%
Healthspan $142 78%
Healthsmart Preferred $160 88%
Ohio Health Choice Plus $172 95%
Summacare $192 106%
Aetna $193 106%
Valor Health $193 106%
Cigna $195 108%
Coventry $246 136%
First Health $246 136%
Ohio Health Choice $275 152%
Private Healthare Systems $285 157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals