CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Curry General Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $763
Cash Discount Price: $803
vs. Medicare Baseline: 4.21x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Curry General Hospital is $763. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $803. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 4.21x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$803

Average discount available for prompt cash payment at this facility.

Insurance Median

$763

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: $803 (443%)

Insurance Median: $763 (421%)

Cash: $803 (443% of Medicare)

Ins. Median: $763 (421% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 421% of the Medicare baseline (a markup of 321%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Cigna	$98 - $787	54%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$127	70%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$151	83%
Medicare (plans)	$151	83%
Tricare	$250	138%
First Choice Health Admin [1294]	$408	225%
First Choice [528]	$408	225%
Blue Cross Blue Shield	$410 - $803	226%
Medicaid / KanCare	$506 - $522	279%
Department Of Corrections [1051]	$522	288%
Coordinated Care Commercial [1649]	$683	377%
Pacificsource [1148]	$683	377%
Moda [512]	$689 - $723	380%
Multiplan [1131]	$731	403%
Asuris [1258]	$763	421%
Operating Engineers [1144]	$763	421%
Regence [1351]	$763 - $803	421%
Coventry First Health Managed Care [1774]	$787	434%
Coventry Health [1046]	$787	434%
Providence Health Plan Plm Alt [1692]	$787	434%
Providence Health Plan [567]	$787	434%
Aetna	$803	443%
Employee Bene Admin Mgmt [525]	$803	443%
Geha [531]	$803	443%
Mailhandlers Benefit Pln [547]	$803	443%
Meritain [550]	$803	443%
Nw Sheet Metal Workers [597]	$803	443%
Trustmark [524]	$803	443%
UnitedHealthcare	$803	443%
Zenith Administrators [586]	$803	443%
Allcare Alt [2598]	$2,000	1103%
Allcare [1695]	$2,000	1103%

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 $803.
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 Curry General 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.