CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: De Tar Hospital Navarro

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $180
  • Cash Discount Price: $225
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at De Tar Hospital Navarro is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.99x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$225

Average discount available for prompt cash payment at this facility.

Insurance Median
$180

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: $225 (124%)
Insurance Median: $180 (99%)
Cash: $225 (124% of Medicare)
Ins. Median: $180 (99% 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
Medicaid / KanCare $44 - $146 24%
Scott & White $44 24%
Blue Cross Blue Shield $45 - $539 25%
Superior $47 - $362 26%
Amerigroup $105 58%
Veterans Eval Services $152 84%
Tricare $169 - $178 93%
Medicare (plans) $175 97%
UnitedHealthcare $175 97%
Department Of Veterans Affairs $178 98%
Node Hospice Non Par Agree $178 98%
Node Triwest $178 98%
Node Va $178 98%
Aetna $181 - $503 100%
American Health Mcr Adv $182 100%
Node Amerigroup Mcr Adv $184 101%
Node Procare Mcr Adv $184 101%
Provider Partners Health Plan $184 101%
Dars $203 112%
Tx Workforce Commission $203 112%
Industrial Rehab $205 113%
Node Us Dept Of Labor $223 123%
Node Brookshire Brothers $312 172%
Node Brookshire Brothers Work Comp Tx $332 183%
Work Comp $357 197%
Elap $392 216%
Healthsmart $486 - $618 268%
Multiplan $574 - $706 317%
First Health $600 331%
Medcorp Southwest Inc $618 341%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals