CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Charleston Area Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $189
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Charleston Area Medical Center is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.04x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.
Cash / Self-Pay
$273

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

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: $273 (151%)
Insurance Median: $189 (104%)
Cash: $273 (151% of Medicare)
Ins. Median: $189 (104% 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 $96 - $268 53%
The Health Plan Of West Virginia Inc. $96 - $265 53%
Unicare Health Plan Of West Virginia Inc. $96 - $106 53%
Tricare $116 - $224 64%
City Of Charleston $145 - $211 80%
Blue Cross Blue Shield $149 - $249 82%
Triwest Va $157 - $176 87%
Choicecare Network $162 - $268 89%
Optimum Choice Inc. $162 - $181 89%
UnitedHealthcare $162 - $268 89%
West Virginia Senior Advantage Inc. $170 - $190 94%
Integrated Medical Solutions $174 - $246 96%
Cigna $179 - $370 99%
Three Rivers Providers Network $187 - $363 103%
Healthsmart $189 - $367 104%
Multiplan $189 - $367 104%
Caresource $193 - $273 106%
Naphcare $193 - $273 106%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Morris Street, Charleston, WV 25301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals