CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Winkler County Memorial Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $277
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Winkler County Memorial Hospital is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.53x the Medicare baseline. Located in 821 Jeffee Drive, Kermit, TX.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$277

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: $277 (153%)
Insurance Median: $277 (153%)
Cash: $277 (153% of Medicare)
Ins. Median: $277 (153% 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
Blue Cross Blue Shield $199 - $225 110%
Aetna $225 - $295 124%
Caprock Mcr Adv- All Plans $225 124%
Molina Marketplace - All Other Plans $225 124%
Molina Mcr Adv $225 124%
Superior Mcr Adv - All Other Plans $225 124%
Humana $227 - $295 125%
UnitedHealthcare $277 - $346 153%
First Care Chip - All Other Plans $346 191%
First Care Star $346 191%
Molina Chip $346 191%
Molina Mcaid $346 191%
Superior Star/Chip $346 191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 821 Jeffee Drive, Kermit, TX 79745
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals