CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Lonesome Pine Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $182
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Lonesome Pine Hospital is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.00x the Medicare baseline. Located in 1990 Holton Avenue East, Big Stone Gap, VA.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

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: $50 (28%)
Insurance Median: $182 (100%)
Cash: $50 (28% of Medicare)
Ins. Median: $182 (100% 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
UnitedHealthcare $55 - $191 30%
Sentara Health $84 - $173 46%
Cigna $138 - $182 76%
Aetna $141 - $193 78%
Medcost $158 87%
Amerigroup $173 95%
Humana $173 95%
Managed Medicaire $173 95%
Medicare (plans) $173 95%
United Mine Workers Of America $173 95%
Blue Cross Blue Shield $178 - $331 98%
Devoted Health Plan $182 100%
Molina Healthcare $182 - $195 100%
Mountain Empire Pace $182 100%
Nhc Advantage $182 100%
Wellcare $184 101%
Optima Health $192 106%
First Health Coventry $298 164%
Seven Corners, Inc. $331 183%
Ambetter / Centene $378 208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1990 Holton Avenue East, Big Stone Gap, VA 24219
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals