CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Southern Coos Hospital & Health Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $150
Cash Discount Price: $167
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Southern Coos Hospital & Health Center is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.83x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$167

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $167 (92%)

Insurance Median: $150 (83%)

Cash: $167 (92% of Medicare)

Ins. Median: $150 (83% 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
Tricare	$97	53%
Advanced Health - All Plans	$105	58%
Aetna	$110 - $150	61%
Atrio Mcr Adv - Allplans	$110	61%
Confederated Tribes - All Plans	$110	61%
Moda Mcr Adv	$110	61%
Pacific Source Mcr Adv	$110	61%
Cigna	$132	73%
Healthnet - All Plans	$139	77%
Moda Health Plan - All Other Plans	$149	82%
Prov Netwrk Of America - All Plans	$150	83%
Three Rivers - All Plans	$150	83%
UnitedHealthcare	$150	83%
First Choice - All Plans	$154	85%
Blue Cross Blue Shield	$155	85%
Multiplan - All Plans	$155	85%
First Health - All Plans	$159	88%
Pacific Source - All Other Plans	$159	88%
Providence Preferred - All Plans	$159	88%

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 $167.
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 Southern Coos Hospital & Health Center 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.