CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Memorial Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $132
  • Cash Discount Price: $177
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Memorial Medical Center is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.73x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$177

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $177 (98%)
Insurance Median: $132 (73%)
Cash: $177 (98% of Medicare)
Ins. Median: $132 (73% 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
Ambetter / Centene $40 - $127 22%
Capstar Health Network-All Plans $76 - $302 42%
Cigna $76 - $284 42%
Healthcare Highways-All Plans $82 - $302 45%
Prime Healthcare Services-All Plans $88 - $265 49%
Blue Cross Blue Shield $95 - $101 52%
Humana $101 - $302 56%
Triwest Va Pccc-All Plans $104 - $132 57%
Amerigroup Mcr Adv-All Other Plans $106 - $135 58%
Care Improvement Plus - All Other Plans $106 - $135 58%
Coventry First Hlth Mcr Adv $106 - $168 58%
Multiplan Mcr Adv $106 - $107 58%
Superior Allwell Mcr Adv-All Other Plans $106 - $135 58%
Universal American Mcr-All Other Plans $106 - $135 58%
Care Improvement Plus Mcr $107 - $135 59%
Corvel Work Comp-All Plans $107 - $321 59%
Independent Med Sys Ppo-All Plans $107 - $321 59%
Multiplan Phcs Ppo-All Other Plans $107 - $321 59%
Provider Select Ppo-All Plans $107 - $321 59%
Three Rivers Ppo-All Plans $107 - $321 59%
Usa Mso - All Plans $107 - $321 59%
Universal American Snp $111 - $142 61%
Amerigroup Chip $126 - $181 69%
Amerigroup Star $126 - $181 69%
Amerigroup Star Kids $126 - $181 69%
Amerigroup Star Plus $126 - $181 69%
Comm Health Chip $126 - $181 69%
Comm Health Perinatal-All Other Plans $126 - $181 69%
Molina Chip/Star-All Plans $126 - $181 69%
Scott & White Chip/Star-All Plans $126 - $181 69%
Superior Chip/Star $126 - $181 69%
Texas Childrens Hp - All Plans $126 - $181 69%
UnitedHealthcare $126 - $189 69%
Comm Health Mcaid Hmo $133 - $191 73%
Comm Health Star $133 - $191 73%
Coventry First Hlth Hmo Ppo-All Other Plans $168 - $302 93%
Galaxy Health Network-All Plans $195 - $321 108%
Aetna $302 167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals