CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Carnegie Tri-County Municipal Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $342
Cash Discount Price: $264
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Carnegie Tri-County Municipal Hospital is $342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $264. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.89x the Medicare baseline. Located in 102 North Broadway, Carnegie, OK.

Cash / Self-Pay

$264

Average discount available for prompt cash payment at this facility.

Insurance Median

$342

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: $264 (146%)

Insurance Median: $342 (189%)

Cash: $264 (146% of Medicare)

Ins. Median: $342 (189% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$248 - $500	137%
Blue Cross Blue Shield	$263 - $425	145%
Global Health Mcr Adv	$263 - $265	145%
Health Choice - All Plans	$263	145%
Humana	$263 - $500	145%
UnitedHealthcare	$263 - $265	145%
Wellcare Mcr Adv - All Plans	$263 - $265	145%
Ambetter / Centene	$342 - $344	189%
Community Care Comm Ip/Op Only - All Plans	$397 - $400	219%
Preferred Comm Ppo - All Plans	$397 - $400	219%
Global Health Ip/Op Only - All Other Plans	$422 - $425	233%
First Health - All Plans	$446 - $450	246%
Multiplan - All Plans	$456 - $460	251%
Soonerselect Mcaid - All Plans	$496 - $500	274%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $264.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Carnegie Tri-County Municipal Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.