CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Lewisgale Hospital Pulaski

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $696
Cash Discount Price: $944
vs. Medicare Baseline: 3.84x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Lewisgale Hospital Pulaski is $696. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $944. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 3.84x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$944

Average discount available for prompt cash payment at this facility.

Insurance Median

$696

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: $944 (521%)

Insurance Median: $696 (384%)

Cash: $944 (521% of Medicare)

Ins. Median: $696 (384% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 384% of the Medicare baseline (a markup of 284%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Lifeworks	$172 - $186	95%
Universal Healthcare Group	$200 - $216	110%
United	$303 - $441	167%
Virginia Health Network	$317 - $696	175%
Aetna	$327 - $441	180%
Cigna	$376 - $407	207%
Greenvbrier Sporting Club	$544 - $588	300%
Corvel	$653 - $706	360%
Richfield Nursing Center	$680 - $735	375%
Richfield Retirement Community	$680 - $735	375%
Multiplan	$698 - $755	385%
Community Care Network	$726 - $784	400%
Graham-White Manufacturing	$726 - $784	400%
Occunet Workers Comp	$726 - $784	400%
One Health Plan	$726 - $784	400%
Patients Choice	$798 - $862	440%
4Most	$816 - $882	450%
American Postal Workers Union	$816 - $882	450%
Phcs	$816 - $882	450%
Star Transportation	$816 - $882	450%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $944.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lewisgale Hospital Pulaski is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90837.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.