CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: The Medical Center of Southeast Texas

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $188
  • Cash Discount Price: $515
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at The Medical Center of Southeast Texas is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $515. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.04x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$515

Average discount available for prompt cash payment at this facility.

Insurance Median
$188

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: $515 (284%)
Insurance Median: $188 (104%)
Cash: $515 (284% of Medicare)
Ins. Median: $188 (104% 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
Community Health Choice $30 - $169 17%
Amerigroup $41 - $139 23%
Community Health Choice Uhrip $41 23%
Harbor Hospice $41 23%
Medicaid / KanCare $41 - $79 23%
Superior Healthplan $41 - $139 23%
Texas Childrens Health Plan $41 - $43 23%
Molina Healthcare $43 - $190 24%
UnitedHealthcare $43 - $176 24%
Beacon Health $47 26%
Self Pay Emergent $77 42%
Medsolutions $125 69%
Humana $134 - $340 74%
Healthspring $139 77%
Medicare (plans) $139 77%
Provider Partners Health Plan $139 77%
Selectcare $139 77%
Tihp (Texas Independence Health Plan) $139 77%
Caresact $141 78%
Employer Direct Healthcare $141 - $186 78%
Hospice $141 78%
Rice Land Hospice $141 78%
Texas Medical Management Partners $141 - $186 78%
Tricare $141 78%
Triwest $141 78%
Cccn Pro Advantage $146 81%
Wellcare Of Texas $146 81%
Blue Cross Blue Shield $148 - $515 82%
League Medical Concepts $153 - $161 84%
Wellpath $155 85%
Cigna $182 - $361 100%
Corporate Remedies $208 115%
Dept Of Assistive And Rehabilitative Services $258 142%
Elap Services $273 151%
Texas Workers Compensation $282 156%
Aetna $299 - $340 165%
Iasis Employees $309 170%
Magellan Behavioral Health $309 170%
Lifesynch $337 186%
First Health $361 199%
Galaxy Health Network $361 199%
Private Healthcare Systems $361 199%
Texas Municipal League $361 199%
Healthsmart $386 213%
Multiplan $412 227%
Commercial Non-Contracted $515 284%
Heart To Heart Hospice $515 284%
Mhnet $515 284%
Self Pay - Mcd Pending 100 Percent $515 284%
Single Case Agreement $515 284%
United Behavioral Health $515 284%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals