CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Prisma Health North Greenville Ltach

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $330
Cash Discount Price: $309
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Prisma Health North Greenville Ltach is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $309. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.82x the Medicare baseline. Located in 807 N Main St, Travelers Rest, SC.

Cash / Self-Pay

$309

Average discount available for prompt cash payment at this facility.

Insurance Median

$330

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: $309 (170%)

Insurance Median: $330 (182%)

Cash: $309 (170% of Medicare)

Ins. Median: $330 (182% 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
First Choice Benefits Mgmt [3074]	$46	25%
Medicaid / KanCare	$46 - $143	25%
Medicare (plans)	$46	25%
Humana	$49	27%
UnitedHealthcare	$73 - $861	40%
Prisma Health Seniorcare Pace - Midlands [5400]	$110	61%
Prisma Health Seniorcare Pace-Upstate [5200]	$110	61%
Tricare	$121	67%
Companion Benefit Alternatives [2983]	$162 - $351	89%
Promise Health Plan Contracted [2401]	$167 - $286	92%
Carelon Behavioral Health [3180]	$175 - $375	97%
Orangeburg Senior Helping Center Pace [5401]	$190	105%
Blue Cross Blue Shield	$249 - $497	137%
Bob Jones Univ-Pai [821]	$286	158%
Bluechoice [810]	$297 - $523	164%
Aetna	$305 - $376	168%
Meritain Health Contracted [2200]	$305 - $376	168%
Cigna	$330	182%
Evernorth Behavioral Contracted [2982]	$330	182%
Mvp Health Care [3037]	$330	182%
Preferred Administrators Contracted [2839]	$333	184%
Scdc-Sc Dept Of Corrections [7232]	$348	192%
Medcost [2940]	$352 - $395	194%
Atlantic Packaging Contracted [4833]	$357	197%
Aps Healthcare System [2981]	$381	210%
Multiplan/Phcs Contracted [2950]	$424	234%
Vsp Vision Care [2986]	$428	236%
First Health Contracted [2952]	$443	244%
Furman Int/Allen University Student [2951]	$443	244%
Quiktrip-First Health [3067]	$443	244%
Planned Administrators [820]	$497	274%
Golden Rule Insurance Company [2991]	$861	475%
Oxford Health Plans [2992]	$861	475%
Zzumr-Salt Lake City Ut [3169]	$861	475%

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 $309.
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 Prisma Health North Greenville Ltach 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.