CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Hancock County Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $158
Cash Discount Price: $49
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Hancock County Hospital is $158. 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 0.87x the Medicare baseline. Located in 1519 Main Street Hwy 33, Sneedville, TN.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $158 (87%)

Cash: $49 (27% of Medicare)

Ins. Median: $158 (87% 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
Sentara Health	$55 - $151	30%
UnitedHealthcare	$55 - $207	30%
Cigna	$98 - $158	54%
Medcost	$101	56%
Blue Cross Blue Shield	$148 - $212	82%
Aetna	$151 - $209	83%
Ambetter / Centene	$151	83%
Amerigroup	$151 - $174	83%
Managed Medicaire	$151	83%
Medicare (plans)	$151	83%
United Mine Workers Of America	$151	83%
Wellcare	$151 - $212	83%
Humana	$153	84%
Devoted Health Plan	$158	87%
Molina Healthcare	$158 - $211	87%
Nhc Advantage	$158	87%
First Health Coventry	$170	94%
Optima Health	$207	114%
Seven Corners, Inc.	$212	117%

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 $49.
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 Hancock County Hospital 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.