CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Alliancehealth Madill

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $220
  • Cash Discount Price: $172
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Alliancehealth Madill is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.21x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$172

Average discount available for prompt cash payment at this facility.

Insurance Median
$220

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: $172 (95%)
Insurance Median: $220 (121%)
Cash: $172 (95% of Medicare)
Ins. Median: $220 (121% 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
Preferred Community Choice Ppo $74 41%
Blue Cross Blue Shield $75 - $104 41%
Humana $101 - $141 56%
Medicare (plans) $101 56%
Node Global Health Mcr Adv $101 56%
Node Indian Health Service Managed Care $103 57%
Node Va $103 - $237 57%
Node Champva $106 58%
Tricare $106 58%
Aetna $141 - $392 78%
Medicaid / KanCare $141 78%
Self Pay $172 95%
Node Us Dept Of Labor $204 112%
Coventry $245 135%
Ok Work Comp $266 147%
Globalhealth $304 168%
Healthcare Highways $306 169%
Healthchoice $321 177%
Phcs $343 189%
Multiplan $368 - $382 203%
First Health $402 222%
Cigna $416 229%
Evolutions Healthcare Systems $416 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals