CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Lee County Community Hospital

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $106
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Lee County Community Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.58x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $49 (27%)
Insurance Median: $106 (58%)
Cash: $49 (27% of Medicare)
Ins. Median: $106 (58% 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
Aetna $47 - $276 26%
Ambetter / Centene $47 26%
Amerigroup $47 - $212 26%
Humana $47 26%
Managed Medicaire $47 26%
Medicare (plans) $47 26%
Mountain Empire Pace $47 26%
Sentara Health $47 - $55 26%
United Mine Workers Of America $47 26%
Blue Cross Blue Shield $48 - $266 26%
Cigna $49 - $212 27%
Devoted Health Plan $49 27%
Molina Healthcare $49 - $276 27%
Nhc Advantage $49 27%
UnitedHealthcare $99 - $274 55%
Seven Corners, Inc. $112 62%
First Health Coventry $212 117%
Medcost $212 117%
Optima Health $266 147%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals