CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Ascension St John Jane Phillips

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $169
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Ascension St John Jane Phillips is $169. 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 0.93x the Medicare baseline. Located in 3500 East Frank Phillips Boulevard, Bartlesville, OK.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $169 (93%)
Ins. Median: $169 (93% 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
Aetna $142 - $217 78%
Champva $164 90%
Community Care - St John Network Senior - Govt $164 90%
Communitycare Senior $164 90%
Life Pace $164 90%
Longevity Health Plan Of Oklahoma $164 90%
Medicare (plans) $164 90%
UnitedHealthcare $164 - $169 90%
Va Community Care Network $164 90%
Veterans Administration $164 90%
Humana $165 91%
Blue Cross Blue Shield $172 95%
Communitycare (Standard) $180 99%
Community Care (Select) 7/1/13 $196 108%
Ccl&H $213 117%
Smarthealth $229 126%
Community Care Smarthealth $246 - $393 136%
Communitycare (Select) $246 - $376 136%
Connect Health Benefit $327 180%
Evolutions $327 180%
Kempton Group Administrators $368 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 East Frank Phillips Boulevard, Bartlesville, OK 74006
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals