CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Wellmont Bristol Regional Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $175
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Wellmont Bristol Regional Medical Center is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.97x the Medicare baseline. Located in One Medical Park Blvd, Bristol, TN.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $50 (28%)
Insurance Median: $175 (97%)
Cash: $50 (28% of Medicare)
Ins. Median: $175 (97% 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
Sentara Health $55 - $168 30%
UnitedHealthcare $66 - $188 36%
Cigna $88 - $177 49%
Aetna $91 - $190 50%
Medcost $101 - $158 56%
First Health Coventry $163 - $255 90%
Humana $168 93%
Managed Medicaire $168 93%
Medicare (plans) $168 93%
United Mine Workers Of America $168 93%
Blue Cross Blue Shield $173 - $331 95%
Amerigroup $175 97%
Devoted Health Plan $177 98%
Molina Healthcare $177 - $192 98%
Mountain Empire Pace $177 98%
Nhc Advantage $177 98%
Wellcare $178 - $331 98%
Optima Health $189 104%
Seven Corners, Inc. $331 - $404 183%
Ambetter / Centene $367 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Medical Park Blvd, Bristol, TN 37620
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals