CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Trident Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $742
Cash Discount Price: $1,726
vs. Medicare Baseline: 4.09x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Trident Medical Center is $742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,726. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 4.09x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$1,726

Average discount available for prompt cash payment at this facility.

Insurance Median

$742

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: $1,726 (952%)

Insurance Median: $742 (409%)

Cash: $1,726 (952% of Medicare)

Ins. Median: $742 (409% 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 409% of the Medicare baseline (a markup of 309%). 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
Absolute Total Care	$252 - $311	139%
Blue Choice Health Plan	$253	140%
Blue Cross Blue Shield	$253 - $1,640	140%
Molina	$311	172%
Nhc Advantage	$328	181%
Pruitt Health	$328	181%
Sc State Employees	$348	192%
Aetna	$368 - $816	203%
Medcost	$659 - $970	363%
Select Health	$742	409%
Employers Health Network	$777	428%
Occunet	$863	476%
Vocational Rehab	$932	514%
Humana	$1,122 - $1,294	619%
First Health	$1,260	695%
Evernorth	$1,381	762%
Multiplan	$1,467	809%
Prime Health	$1,467	809%
Novanet	$1,553	856%

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 $1,726.
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 Trident Medical 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.