CMS Price Transparency Data
Psychotherapy session (60 minutes)
Facility: Cannon Memorial Hospital
Billing Code: 90837 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90837
- Insurance Median: $185
- Cash Discount Price: $175
- vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Cannon Memorial Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.02x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$175
Average discount available for prompt cash payment at this facility.
Insurance Median
$185
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: $175 (97%)
Insurance Median: $185 (102%)
Cash: $175 (97% of Medicare)
Ins. Median: $185 (102% 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 |
|---|---|---|
| Blue Cross Blue Shield | $88 - $527 | 49% |
| Medicaid / KanCare | $92 - $732 | 51% |
| Absolute Total Care [58] | $94 - $732 | 52% |
| Humana | $96 - $732 | 53% |
| Blue Choice Health Plan [922] | $105 - $319 | 58% |
| Planned Administrators [886] | $105 - $284 | 58% |
| Select Health Of Sc [637] | $105 - $697 | 58% |
| Thomas Cooper & Company [315] | $105 - $284 | 58% |
| Aetna | $130 - $315 | 72% |
| Medicare (plans) | $130 - $555 | 72% |
| UnitedHealthcare | $130 - $555 | 72% |
| Vaccn - Va Community Care Network [16] | $130 | 72% |
| Veterans Administration [633] | $130 | 72% |
| Champva [604] | $131 | 72% |
| Tricare | $131 | 72% |
| Devoted Health Alt Payer [9401] | $132 | 73% |
| Devoted Health [94] | $132 | 73% |
| Cigna | $133 - $555 | 73% |
| Molina Dual Options Alt Payer [1501] | $133 | 73% |
| Molina Dual Options [15] | $133 | 73% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $134 | 74% |
| Absolute Total Care Mcr Plans [41] | $134 | 74% |
| First Choice Vip Careplus Alt Payer [3301] | $136 | 75% |
| First Choice Vip [33] | $136 | 75% |
| Nhc Advantage Alt Payer [6101] | $136 | 75% |
| Nhc Advantage [61] | $136 | 75% |
| Bright Health Alt Payer [1001] | $142 | 78% |
| Employee Benefit Management Services [869] | $155 - $168 | 85% |
| Bright Health [11] | $161 | 89% |
| Ambetter / Centene | $185 | 102% |
| Other Hospital Payers [1991] | $185 - $555 | 102% |
| Geha [302] | $187 - $296 | 103% |
| Golden Rule Ins Co [584] | $187 - $296 | 103% |
| First Choice Next [96] | $188 | 104% |
| Molina Marketplace [97] | $188 | 104% |
| Nalc Health Benefit Plan [291] | $193 - $330 | 106% |
| Workers Compensation [622] | $203 | 112% |
| Mail Handlers Benefit Plan [327] | $207 - $315 | 114% |
| Rural Carrier Benefit Plan [406] | $207 - $315 | 114% |
| Preferred Administrators [19] | $210 - $333 | 116% |
| Medcost [206] | $217 - $500 | 120% |
| Edison Health Solutions [95] | $227 | 125% |
| Healthscope [98] | $227 | 125% |
| Phcs [940] | $300 - $366 | 165% |
| Coventry Health [245] | $347 - $400 | 191% |
| American Continental Ins [778] | $555 | 306% |
| American Republic Life Ins [722] | $555 | 306% |
| Business Office [6000] | $555 | 306% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $555 | 306% |
| First Health [946] | $555 | 306% |
| Guarantee Trust Life Insurance [236] | $555 | 306% |
| Home Health Infusion Payer [6001] | $555 | 306% |
| Manhattan Life Ins Co [932] | $555 | 306% |
| Miscellaneous Commercial [1] | $555 | 306% |
| New Era Life Ins Co [437] | $555 | 306% |
| Non-Contracted [22] | $555 | 306% |
| Physicians Mutual [773] | $555 | 306% |
| Reference Based Pricing/Limited Plan [21] | $555 | 306% |
| State Farm Ins Co [373] | $555 | 306% |
| Sterling Investors Life [244] | $555 | 306% |
| Supermed/Med Mutual Of Ohio [539] | $555 | 306% |
| United American Ins Co [277] | $555 | 306% |