CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Johnson County Community Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $82
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 0.45x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Johnson County Community Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.45x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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: $49 (27%)
Insurance Median: $82 (45%)
Cash: $49 (27% of Medicare)
Ins. Median: $82 (45% 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
Aetna $61 - $209 34%
Amerigroup $61 - $176 34%
Managed Medicaire $61 34%
Medicare (plans) $61 34%
Sentara Health $61 - $72 34%
United Mine Workers Of America $61 34%
UnitedHealthcare $61 - $207 34%
Wellcare $61 34%
Humana $62 34%
Blue Cross Blue Shield $63 - $207 35%
Molina Healthcare $64 - $209 35%
Cigna $65 - $102 36%
Devoted Health Plan $65 36%
Nhc Advantage $65 36%
Ambetter / Centene $68 37%
Medcost $74 41%
First Health Coventry $159 88%
Optima Health $201 111%
Seven Corners, Inc. $212 117%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals